Landmark Cases Flashcards
(108 cards)
Addington Vs. Texas (1970)
Frank Addington’s mother filed a petition requesting involuntary commitment of her son after he threatened her. He was committed by a jury based on “clear and convincing evidence.” Addington challenged his civil commitment arguing that clear and convincing standard was too low and violated 14th amendment due process. He argued that criminal standard of proof (beyond a reasonable doubt) should apply.
Texas Supreme court stated that the minimum standard should actually be preponderance of the evidence for civil commitment.
US Supreme Court held that “Preponderance of the evidence” standard was not sufficient as the standard of proof in a civil commitment proceeding because stakes surrounding involuntary commitment are graver than monetary damages. A civil commitment is not comparable to a criminal prosecution (because it’s purpose is treatment and not punishment) so “beyond a reasonable doubt” standard of proof is not applied (because of fallibility and lack of certainty of psychiatric diagnoses). “Clear and Convincing” standard is minimum for commitment.
Jackson Vs. Indiana (1972)
Theon Jackson was charged with two counts of robbery of two women who’s stolen items were valued at $9. Competency evaluation was ordered and he was described as a deaf mute who was unable to read and write and used limited sign language. Found incompetent to stand trial with unlikelihood he would ever be competent (based on examiners). He was committed to Mental Health department until he could be certified “sane.”
Counsel filed motion for new trial as Mr. Jackson was not “insane” nor could he be restored to competence which meant this was a life sentence without a conviction.
Supreme Court of Indiana affirmed denial by trial court.
US Supreme Court reversed and held that Jackson’s commitment under Indiana law deprived him of equal protection and violated his due process rights under the 14th amendment. The law subjected him to a more lenient commitment standard and to a more stringent standard of release than those applicable to all others not charged with criminal offenses. The nature of duration of his commitment did not bear a reasonable relation to the purpose for which he was committed.
Lake Vs. Cameron (1966)
Catherine Lake was found wandering the streets of DC and was picked up by police and taken to DC general hospital. She filed writ of habeas corpus in DC circuit Court and was transferred to St. Elizabeth’s hospital to await her civil commitment hearing.
At subsequent commitment hearing she was found to be of “unsound mind” and suffering from mild dementia. She appealed to US Court of Appeals.
DC appellate court held that an indigent patient could not be required to carry the burden of showing the availability of alternatives. Patient should be held in the “least restrictive setting” and have “individualized treatment plans.”
Zinermon Vs. Burch (1990)
Darrell Burch was admitted to a Florida state mental hospital in 1981 after being found wandering on a highway in Tallahassee while hallucinating and telling officials he was in “heaven.”
He signed voluntary admission forms despite never having been evaluated for his capacity. He later brought a civil rights action claiming the hospital deprived him of liberty without due process of 14th amendment. He alleged the hospital should have known he was incompetent to give informed consent to sign voluntary forms.
Case initially dismissed on basis that post deprivation remedy was not required.
United States Supreme Court held that the complaint was sufficient to state a claim under 42 U.S.C.S (1983) and Zinermon was entitled to receive procedural safeguards provided by Florida’s statutory involuntary placement procedure and the staff members had allegedly failed to initiate such procedure. The state’s violation of this duty to investigate patient’s competence was “fully predictable” and not a “random, unauthorized” violation of law as the state contended.
Lessard Vs. Schmidt (1972)
Alberta Lessard was brought to a mental health center in Milwaukee by police. An emergency detention form was filed in order to detain her in the hospital. Three days later a judge ordered her to have ten additional days of detention based on evidence presented from the officers.
At a subsequent hearing, the mental health center petitioned that she be permanently committed due to her schizophrenia and the judge ordered additional detention time.
She filed a class action lawsuit in district court arguing that Wisconsin’s involuntary commitment statute violated her due process rights.
The trial court ruled that the patient has to have all the same protections afforded the criminal suspect since involuntary commitment was a significant deprivation of liberty. They held that the state must prove mental illness and dangerous “beyond a reasonable doubt” and ensure the following due process:
- Effective and timely notice of “charges”
- Notice of right to jury trial
- Appointed counsel
- Right to remain silent
- Exclusion of hearsay evidence
- Standard of proof beyond a reasonable doubt
Olmstead Vs. L.C (1999)
Tommy Olmstead was the commissioner of the Georgia Dept of Resources. LC was a mentally challenged woman with schizophrenia who was admitted to Georgia regional hospital for treatment of her psychiatric illness. After a period of treatment, it was determined by treating clinicians that LC could safely be treated in a community-based program, however she remained in hospital pending placement in appropriate outpatient program. She sued for relief pursuant to the ADA.
ADA Title II prohibits unjustified segregation of the mentally ill.
US Supreme Court affirmed appellate court’s judgment - The district court was required to consider, in view of the resources available to the State, not only the cost of providing community-based care but also the range of services the State provides others with mental disabilities and the State’s obligation to mete out those services equitably
PAIMI
In 1985 US Senate subcommittee determined that individuals with mental illness were vulnerable to mistreatment and neglect. Congress passed the Protection and Advocacy for Individuals with Mental Illness Act: Gives lawyers the authority to investigate patient allegations of neglect, abuse, and civil rights violations
CRIPA
Civil Rights of Institutionalized Persons Act of 1980 is a US federal law that protects the rights of people in state or local correctional facilities, nursing homes, mental health facilities, and institutions for people with intellectual and developmental disabilities
Re Lifschutz (1970)
Lifschutz, a Psychiatrist held in contempt for refusing to answer deposition questions and produce records relating to treatment of a former patient.
California Supreme Court concluded Lifschutz’s patient waived the privilege by instituting the civil lawsuit; waiver of privilege does not require unlimited disclosure - only those matters directly relevant to the nature of the specific emotional or mental condition to which the patient has voluntarily disclosed and tendered his pleadings.
The patient, not the therapist, had the right to privacy and therefore the exclusive ability to waive that right; the constitutional protection of the practice of religion (clergy) is distinct from psychotherapy
Doe vs Roe (1977)
New York Supreme Court held that Ms. Doe’s information should have been kept confidential and rejected the defendants claim that the scientific contribution of the book justified the disclosure and that that the first Amendment protected their rights to publish the book.
Privacy rights of patients limits free speech rights
Dr. Roe’s husband was also held liable as a “willing violator of the patient’s rights”
- Punitive damages were not granted in the case because the Court did not believe the defendant’s actions were willful, malicious, or wanton
HIPAA
Health Insurance Portability and Accountability Act (1996) established the first comprehensive federal protections for health privacy
Jaffee Vs. Redmond (1996)
Petitioner was administrator of decedent’s estate and respondent was a former police officer who shot the decedent during the course of duty.
The respondent refused to disclose notes from psychotherapist sessions and the district court advised the jury they could then presume that the contents of the notes would have been unfavorable to the respondent.
On Certiorari, the Supreme Court affirmed 7th circuit apellate court which reversed and remanded district court decision on the basis of the existence of a psychotherapist privilege. Also rejected the balancing component of the privilege and cited FRE 501
Federal Rules of Evidence rule 501
The common law - as interpreted by the United States courts in the light of reason and experience - governs a claim of privilege unless any of the following provides otherwise:
- The US constitution
- A federal statute
- Rules prescribed by the Supreme Court
State Vs. Andring (1984)
Plaintiff was charged with three counts of sexual misconduct for having inappropriate sexual contact with his 10-year old stepdaughter and 11-year old niece.
Minnesota Supreme Court recognized that the physician-patient privilege did not preempt the child abuse reporting and investigation requirements, the court ruled that satisfying the need for information for criminal investigation and prosecution required only that information defined in the statute: Identity of the child, the identity of the parent, guardian, or other persons responsible for the child’s care, the nature and extent of the child’s injuries; and the name and address of the reported
Minnesota Supreme Court overturned trial court’s decision ruling that group therapy communication should also be privileged.
People Vs. Stritzinger (1983)
Defendant was convicted of several counts of child molestation involving his stepdaughter.
Supreme Court considered the boundaries of exceptions to the privilege of psychologist. The court held that the trial court erred in admitting the psychologist’s testimony as to his session with the defendant, because it did not contain any information that the psychologist was required to report under the Act.
Dr. Walker had duty to report alleged abuse but did not have obligation to become an agent of the investigation
O’Connor Vs. Donaldson (1975)
Kenneth Donaldson kept in custody as Florida State Hospital against his will for nearly 15 years. Donaldson repeatedly demanded his release, claiming he was not dangerous, not mentally ill, and the hospital was not providing treatment.
Supreme Court held that a state could not constitutionally confine a “non dangerous” individual who was capable of surviving safely in freedom by himself or with help of family or friends
Youngberg Vs. Romeo (1982)
Romeo, a minor, was involuntarily committed to the Pennhurst State School and Hospital. He was injured on numerous occasions while a patient at the institution. His mother brought action against Pennsylvania State Institution for violation of rights under Civil Rights Act of 1871.
The Supreme Court vacated and remanded judgment of Third Circuit - institutionalized patient had rights under 14th amendment to safe conditions of confinement, freedom from bodily restraints, and training or “habilitation.”
Wyatt V. Stickney (1971)
Ricky Wyatt was included in a suit for reinstatement of multiple hospital employees who had been laid off due to a cut in Alabama’s cigarette tax. District Judge dismissed the lawsuit brought by the professionals, but consented to hear the part of the suit dealing with patients’ grievances.
5th Circuit (did not go to Supreme Court) ruled that patients “unquestionably have a constitutional right to receive such individual treatment as will give each of them a realistic opportunity to be cured or to improve his or her mental condition”
Patients entitled to:
- Least restrictive environment
- Freedom from unnecessary or excessive medication
- right to not be subjected to experimental research without informed consent
- Right to not be subjected to lobotomy or ECT without consent and consultation with counsel
Requirements for staffing included 2 psychiatrists and 12 nurses per 250 patients
Rogers Vs. Commissioner (1983)
Established rights driven model of treatment refusal.
Class action lawsuit from group of involuntarily committed patients at Boston State Hospital who were refusing treatment with antipsychotic medication
Supreme Court remanded case - affirmed that an involuntarily committed patient is considered competent to refuse treatment until judicially found incompetent.
Massachusetts Court responded to request by US Supreme Court on how patient’s rights will be protected under Massachusetts’ law.
1) Competency and substituted judgment determinations must be made in court by a judge
2) Substituted judgment treatment decision must be made before a hospitalized patient can be forcibly medicated.
3) Emergencies are exceptions to these requirements
Rennie Vs. Klein (1978)
Pilot (Rennie) began experiencing mental health issues (either Bipolar or Schizophrenia) after his twin brother died in a plane crash. He was forcibly administered Prolixin.
Rennie found to be competent and refused to be treated with antipsychotic medication due to side effects - he was treated with antipsychotic medication without consent due to suicidal and homicidal behavior
US Supreme Court remanded case to third circuit with instructions to reconsider in light of decision in Youngberg vs. Romeo.
Decision: Involuntarily committed, legally competent patient who refused medication had a right to professional medical review of the treating psychiatrist’s decision (vs judicial review in Rogers case)
Application of the President and Directors of Georgetown College (1964)
Patient was Jehovah’s Witness and had lost 2/3 of her own blood supply after ruptured ulcer. District court denied permission to administer blood.
Plaintiff (hospital) appealed and court held that a court may grant permission to a hospital to administer blood to a critically ill patient whose competence is compromised by her illness, even though such treatment is prohibited by her religious belief.
Parens Patriae extended to both Mrs. Jones and her 7-month old infant. If a parent has no power to forbid the saving of a child’s life, then the husband has no power to order doctors to allow his wife to die.
Washington Vs. Harper (1990)
Petitioners petitioned for certiorari to the Supreme Court of Washington which held that state policy allowing prison authorities to administer medication to inmates against their will was unconstitutional because it deprived inmates of their due process rights.
US Supreme court reasoned that the right to be free of medication had to be balanced against the state’s duty to treat mentally ill inmates and run a safe prison. Concluded however that the state’s procedures did not deprive inmates of the right to refuse treatment without adequate due process.
State’s procedures: Administrative hearing with psychiatrist, psychologist, and correctional officer not involved in patient’s treatment
Canterbury Vs. Spence (1972)
Canterbury required a laminectomy after having a ruptured intervertebral disk. After the procedure he fell out of bed while still in the hospital which caused paralysis and incontinence. He sued Dr. Spence for malpractice, stating that he had not been advised of risk of paralysis.
Appeals court for District of Columbia Circuit held that a doctor must disclose all of the material risks that would influence a “reasonable” person in determining whether to consent to treatment
Kaimowitz Vs. Michigan (1973)
“John Doe” was committed to a state hospital as a sexual psychopath. He was subsequently transferred to a facility to be a research subject in the use of psychosurgery and gave written consent for the procedure.
Trial court held that a person who is involuntarily detained in a state facility cannot give legally adequate consent to an innovative or experimental surgical procedure on the brain