Howes v. U.S.

• Decision Date: 19 October 1989
• Docket Number: No. 88-4168,88-4168
• Citation: 887 F.2d 729
• Parties: Sandra HOWES, Plaintiff-Appellant, v. UNITED STATES of America, Defendant-Appellee.
• Court: U.S. Court of Appeals — Sixth Circuit

Page 729

887 F.2d 729

Sandra HOWES, Plaintiff-Appellant, v. UNITED STATES of America, Defendant-Appellee.

No. 88-4168.

United States Court of Appeals, Sixth Circuit.

Submitted June 8, 1989.

Decided Oct. 19, 1989.

Richard W. Divine, Dayton, Ohio, for Sandra Howes.

Jan M. Holtzman, Asst. U.S. Atty., Cincinnati, Ohio, for U.S.

Before KEITH and GUY, Circuit Judges; and HULL, Chief District Judge. ^*

RALPH B. GUY, Jr., Circuit Judge.

Sandra Howes appeals the district court's grant of summary judgment in favor of the United States in this action for the negligent breach of doctor/patient confidentiality by military and civilian doctors employed at the Wright Patterson Air Force Base (WAFB) in Dayton, Ohio. We are persuaded that the district court properly entered summary judgment for the government and, accordingly, affirm.

Sandra Howes is the dependent wife of United States Air Force Technical Sergeant John A. Howes. Sergeant Howes was assigned to the 1815 Operational Test and Evaluation Squadron at WAFB and was responsible for maintaining and repairing extremely sensitive cryptologic machines at various sites around the world. The sensitive nature of his responsibilities required him to have a high-level security clearance. Around July 1983, Mrs. Howes sought psychological treatment and advice from Dr. Douglas C. Griffith, a civilian clinical psychologist employed by the United States at WAFB. ¹ At that time, Mrs. Howes was having difficulty coping with her husband's infidelity. She visited Dr. Griffith on several occasions for treatment of this problem.

In October 1985, Mrs. Howes returned to Dr. Griffith with new complaints of stress related to her husband's excessive use of alcohol and marijuana. She sought Dr. Griffith's assistance and intervention with her husband's problem, and her deposition testimony together with Dr. Griffith's treatment notes indicate that she was not seeking treatment for herself. Dr. Griffith advised Mrs. Howes that such intervention was beyond his expertise as a psychologist and suggested that the Social Actions office at WAFB was the appropriate office for advice on such matters. ² He advised her that he would seek consultation on how to proceed, and they agreed to follow up on the matter at a later date. In January 1986, Mrs. Howes returned to Dr. Griffith and complained that the problem had persisted and worsened. Dr. Griffith explained his need for clarification on security issues from liaison staff and from the clinic chief. Dr. Griffith's notes again indicate that Mrs. Howes was seeking advice and not treatment. He then contacted the Social Actions office to discuss the problem but did not mention Mrs. Howes by name. He also consulted with his supervisors, Lieutenant Colonel Tenaglia and Colonel Ibis Sigas, M.D., regarding how to proceed, purportedly with Mrs. Howes' consent. Again, he did not mention Mrs. Howes by name. Dr. Sigas is a psychiatrist and served as the chairwoman of the Department of Mental Health at WAFB. She advised Dr. Griffith that he must follow Air Force regulations requiring all personnel to report known or suspected incidents of illegal drug abuse to WAFB authorities. Following these consultations, Dr. Griffith contacted and advised Mrs. Howes of his obligation to report the matter to her husband's commander, Social Actions, or the Office of Special Investigation, particularly in light of her husband's duties and security clearance. At that time, Mrs. Howes complained that her confidentiality had been breached. Dr. Griffith responded that he had only consulted with the others at her request. Although Mrs. Howes had no further contact with Dr. Griffith, she subsequently filed a complaint with the Hospital Commander about the alleged breach of confidentiality. Her complaint was referred to Dr. Sigas, who then contacted Dr. Griffith. Dr. Griffith explained that Mrs. Howes was the patient he had previously discussed with her anonymously. Dr. Sigas, in the course of her investigation, had access to Dr. Griffith's entries in the medical records documenting his sessions with Mrs. Howes.

On January 30, 1986, Mrs. Howes met with Dr. Sigas regarding the alleged breach of confidentiality. At that time, however, she reiterated her concerns about her husband's involvement with marijuana. Dr. Sigas determined that Dr. Griffith had not breached any obligation of confidentiality and advised Mrs. Howes that she (Dr. Sigas) was obligated to report Sergeant Howes' drug abuse to his commander. Dr. Sigas, relying on the information revealed to her by Mrs. Howes, did report the drug abuse to Sergeant Howes' commander, the Air Force Office of Special Investigations, and to WAFB security. Mrs. Howes claims that, in so doing, Dr. Sigas also impermissibly breached the confidentiality inherent in their psychiatrist/patient relationship. Sergeant Howes subsequently was ordered to undergo urinalysis, which confirmed his marijuana use. Accordingly, Howes was reprimanded, his security clearance was revoked, and he was required to undergo drug rehabilitation. He was not court-martialed ³ and suffered no financial loss because of the reprimand.

Mrs. Howes filed suit against the United States pursuant to the Federal Tort Claims Act, 28 U.S.C. Secs. 2671-80, based on Dr. Griffith's revelations concerning her husband's marijuana use and on Dr. Sigas' further revelations to WAFB authorities. ⁴ She sought $16.75 in lost wages, $40,000 in lost benefits and entitlements, and $500,000 in compensatory damages. The parties consented to trial before a United States magistrate pursuant to 28 U.S.C. Sec. 636(c). ⁵ After other proceedings not pertinent to the present appeal, both parties filed cross motions for summary judgment. On November 17, 1988, the government prevailed and Howes' complaint was dismissed with prejudice. This appeal followed.

I.

Our review of a district court's grant of summary judgment is governed by the principles set forth in Celotex Corp. v. Catrett, 477 U.S. 317, 106 S.Ct. 2548, 91 L.Ed.2d 265 (1986), in which the Supreme Court stated:

[T]he plain language of Rule 56(c) mandates the entry of summary judgment, after adequate time for discovery and upon motion, against a party who fails to make a showing sufficient to establish the existence of an element essential to that party's case, and on which that party will bear the burden of proof at trial. In such a situation, there can be "no genuine issue as to any material fact," since a complete failure of proof concerning an essential element of the nonmoving party's case necessarily renders all other facts immaterial.

Id. at 322-23, 106 S.Ct. at 2552 (quoting Anderson v. Liberty Lobby Inc., 477 U.S. 242, 250, 106 S.Ct. 2505, 2511, 91 L.Ed.2d 202 (1986)).

The Federal Tort Claims Act subjects the United States to liability, as though it was a private person, "in accordance with the law of the place where the act or omission occurred." 28 U.S.C. Sec. 1346(b). Accordingly, Ohio law governs this case.

Ohio law recognizes a right to privacy belonging to patients of physicians, including psychiatrists, Ohio.Rev.Code Ann. Sec. 2317.02(B), as well as to patients of psychologists, Ohio Rev.Code Ann. Sec. 4732.19. The right essentially confers a privilege upon a patient to prevent the testimony of a physician or psychologist concerning a communication made to him by the patient, absent the patient's consent. Section 2317.02 provides, in pertinent part:

The following persons shall not testify in certain respects:

....

(B)(1) A physician concerning a communication made to him by his patient in that relation or his advice to his patient, except as otherwise provided ....

Section 4732.19 provides, in pertinent part:

The confidential relations and communications between a licensed psychologist or licensed school psychologist and client are placed upon the same basis as those between physician and patient under division (B) of section 2317.02 of the Revised Code. Nothing in this chapter shall be construed to require any such privileged communication to be disclosed.

In addition to conferring on patients the right to prevent their doctors' testimony concerning a privileged communication, Ohio law also recognizes a cause of action for a doctor's unauthorized disclosure of such privileged communications. In Hammonds v. Aetna Casualty and Surety Co., 243 F.Supp. 793 (N.D.Ohio 1965), a patient brought suit against his doctor's malpractice insurer for purportedly inducing his doctor to divulge information the doctor acquired about the patient in the course of their patient/doctor relationship. The insurer had falsely told the doctor that the patient was considering a malpractice action against him. Although the patient's cause of action in that case was against the insurer, the court noted that "[m]odern public policy ... demands that doctors obey their implied promise of secrecy." Id. at 796. The court also stated that "a doctor who makes an unauthorized divulgence of confidence should...