Harry M., Matter of

Decision Date31 October 1983
PartiesIn the Matter of HARRY M. (Anonymous), Appellant, Wassaic Developmental Center, Respondent.
CourtNew York Supreme Court — Appellate Division

Mental Health Information Service, Wassaic, N.Y. (Francis M. Savastano, Manhasset, Robert A. Feenick, Orangeburg, and William M. Brooks, Rego Park, of counsel), for appellant.

Robert Abrams, Atty. Gen., New York City (Thomas P. Dorsey, Asst. Atty. Gen., New York City, of counsel), for respondent.

Before TITONE, J.P., and LAZER, MANGANO and GIBBONS, JJ.

TITONE, Justice Presiding.

In this proceeding brought pursuant to section 15.35 of the Mental Hygiene Law, the petitioner appeals from an order of the Supreme Court, Dutchess County, which certified a jury verdict finding that he is mentally retarded and in need of further retention at the Wassaic Developmental Center for a period not to exceed one year measured from the initial order of retention dated September 9, 1982 *. His primary contention is that the court's instructions to the jury denied him due process of law because they created a possibility that the jury would find him to be in need of further retention merely because treatment would be beneficial to him even if he posed no threat of harm to himself or others. We agree that the instructions were erroneous and reverse.

The salient facts are not in dispute. In 1941, petitioner, then eight years of age, was admitted to the Wassaic Developmental Center, a school for the mentally retarded. He remained at Wassaic for the next 32 years until his discharge in 1978. Apparently, he functioned well for several years thereafter, but began to suffer seizures and psychotic episodes of paranoia in 1980 and voluntarily returned to Wassaic for some brief treatment. The next year, following an arrest for breaking some furniture at his motel residence, he was admitted to the Harlem Valley Psychiatric Hospital with a diagnosis of chronic paranoid schizophrenia. He was discharged little more than two months later and returned to his own apartment while receiving outpatient treatment.

In January, 1983, petitioner's social worker, Richard Sprance, and a psychologist went to investigate complaints of loud noises emanating from his apartment. Sprance could not obtain petitioner's consent for entry and persuaded the landlord to open the door with his key. Sprance noticed some broken furniture and tried to induce petitioner to see a physician. They continued to talk for about 45 minutes when petitioner picked up a knife and made a threatening motion towards his two uninvited guests.

Sprance wanted to get petitioner out of the apartment and under immediate supervisory conditions. Believing that petitioner was not a candidate for civil commitment because his I.Q. exceeded 70, Sprance decided that his best course would be to press a criminal charge of menacing, a class B misdemeanor (Penal Law, § 120.15).

Following arraignment on the information, petitioner was found incompetent to stand trial and was readmitted to Wassaic for a period not to exceed 90 days, as specified by CPL 730.40 (subd. 1). When that period expired, on April 22, 1982, the State was obligated either to release him or commence civil commitment proceedings (CPL 730.40, subd. 2; Pitler, NY Crim Prac Under the CPL, § 7.15, p. 349, 1979 Cum.Supp., p. 161). It was determined to proceed under article 15 of the Mental Hygiene Law which provides for the involuntary admission of a person to a school for the mentally retarded when that person "would benefit from care and treatment as a resident in a school" and such care and treatment "is essential to his welfare, and * * * his judgment is so impaired that he is unable to understand the need for such care and treatment" (Mental Hygiene Law, § 15.01).

When the 90-day period authorized by CPL 730.40 (subd. 1) expired on April 22, 1982, petitioner was retained at Wassaic on medical certificates (Mental Hygiene Law, § 15.27) and, upon his refusal to remain as a voluntary patient, application was made for an order of retention (Mental Hygiene Law, § 15.33) which was granted on September 9, 1982 by the County Court of Dutchess County. Petitioner thereupon demanded a jury trial in accordance with section 15.35 of the Mental Hygiene Law.

The evidence at trial tended to establish that petitioner, who by then was under new medication, was now functioning within the limits of mild retardation. Psychiatrists conceded that he was well groomed, a good worker and was neither violent nor destructive. Nevertheless, several witnesses believed that a supervised living arrangement was necessary to ensure that petitioner took his medication and to provide him with a structured life-style. There is no indication as to what behavioral developments would ensue if he refrained from taking that medication.

Defense counsel, believing that the jury could be misled into directing retention merely upon a finding that institutionalization would be beneficial to his client, requested that the court charge the jury in the following language:

"[I]f you have not found that the state has established by evidence that is clear and convincing that because of his mental retardation Harry M * * * poses a real and present threat of substantial, physical harm to himself or others, you must order the State to discharge Mr. M * * *. Such a threat can result from an inability of Mr. M * * * to meet his food, clothing or shelter needs or an inability to behave in a manner that is either [sic, neither] violent or [sic, nor] otherwise dangerous. Moreover, the State may retain Harry M * * * only if it establishes that Wassaic Developmental Center is the least restrictive setting in which Harry M * * * can live and receive treatment * * *

"You may ask what may happen to Mr. M * * * if the State is ordered to discharge him. If you order to discharge Harry M * * *, he will be released pursuant to a discharge plan drawn up by the Wassaic Development Center. In this would be drawn living accommodations for Mr. M * * *. In addition, as a discharged client, Mr. M * * * must still receive services to assist him in overcoming any psychiatric mental disability that Mr. M * * * may suffer from. In [sum] by ordering the State to discharge Harry M * * *, you are not subjecting him to a life on his own, but a life in the community which he will be assisted by the community services of the Wassaic Developmental [Center]".

Instead of giving these requested charges, the court gave the following charge which tracks the exact language of article 15 of the Mental Hygiene Law:

"Now, ladies and gentlemen, in this case the burden of proof rests upon the State of New York to show by clear and convincing evidence, that Harry M * * * is a person afflicted with mental retardation to such an extent that he is in need of involuntary care and treatment in a school for the retarded. The credible evidence means the testimony and Exhibits that you find worthy to be believed. The law requires that in order for the State to prevail, the evidence that supports its claim must appear to you to be clear and convincing. In this connection I suggest you ask yourselves; one, is it clear? And, two, is it convincing? If the evidence supporting the statements claimed does not appear to you as being clear and convincing, then you must resolve the question in favor of Harry M * * *. It is only if the evidence supporting the statements claimed appears to you as being clear and convincing that you can find in favor of the State.

* * *

* * *

"Ladies and gentlemen, I further charge you that mental retardation means sub-average intellectual functioning which originates during the developmental period and is associated with impairment in adaptive behavior.

"The [term 'care and treatment'] means furnishing to such mentally retarded person medical care, surgical attendance, nursing and medications as well as food, clothing and maintenance. The term 'in need of involuntary care and treatment' means that a person is in need of in-patient care and treatment as a resident in a school, that such care and treatment is essential to his welfare, and that his judgment is so impaired that he is unable to understand the need for such care and treatment".

The jury was sent out to deliberate and answer the following interrogatory: "Is the alleged retarded person afflicted with mental retardation to such an extent that he is in need of involuntary care and treatment in a school for the retarded?" The unanimous jury response was "yes".

On appeal, petitioner does not challenge the weight of the evidence or the constitutionality of the procedures set forth in article 15 of the Mental Hygiene Law in and of themselves. Rather, he focuses on the jury instructions, claiming that the standard they enunciated was too broad and therefore unconstitutional. The Attorney-General, on the other hand, urges that the instructions given were proper because they followed the statutory language itself and the State, under the doctrine of parens patriae, may direct involuntary retention of mentally retarded persons requiring care and treatment. Mindful of the presumption that the Legislature intended to enact a constitutional statute (People v. Epton, 19 N.Y.2d 496, 505, 281 N.Y.S.2d 9, 227 N.E.2d 829; People v. Finkelstein, 9 N.Y.2d 342, 344, 214 N.Y.S.2d 363, 174 N.E.2d 470) and of our obligation to construe a statute in a fashion that not only upholds its constitutionality " 'but also * * * avoid[s] any grave doubts upon that score' " when it is feasible to do so (Matter of Coates, 9 N.Y.2d 242, 253, 213 N.Y.S.2d 74, 173 N.E.2d 797, app. dismd. sub nom. Coates v. Walters, 368 U.S. 34, 82 S.Ct. 147, 7 L.Ed.2d 91; see, also, People v. Nieves, 36 N.Y.2d 396, 400, 369 N.Y.S.2d 50, 330 N.E.2d 26), we reject the Attorney-General's position and hold the instructions inadequate.

Recognizing the "massive curtailment of liberty"...

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