J.S., Matter of

• Decision Date: 25 September 1991
• Parties: In the Matter of J.S. Appeal of COMMONWEALTH of Pennsylvania, DEPARTMENT of PUBLIC WELFARE.
• Court: Pennsylvania Commonwealth Court

Page 750

597 A.2d 750

142 Pa.Cmwlth. 493

In the Matter of J.S.

Appeal of COMMONWEALTH of Pennsylvania, DEPARTMENT of PUBLIC WELFARE.

Commonwealth Court of Pennsylvania.

Argued March 5, 1991.

Decided Sept. 25, 1991.

Howard Ulan, Asst. Counsel, for appellant.

Bradley S. Bridge, Asst. Defender, for appellees.

Before McGINLEY and BYER, JJ., and BARRY, Senior Judge.

BARRY, Senior Judge.

The Department of Public Welfare (DPW) appeals from an order of the Court of Common Pleas of Philadelphia County that denied DPW's motion to the court to review the recommendation of a mental health review officer under the Mental Health Procedures Act (MHPA). ¹ DPW contends that the court of common pleas erred in holding that DPW lacked standing to seek such review. It also seeks to obtain a ruling that the procedure under which J.S., the person involved in the case, agreed to an involuntary commitment is invalid under the MHPA.

In 1985, the Philadelphia State Hospital filed a petition pursuant to Section 304(c) of the MHPA, 50 P.S. § 7304(c), which sought court-ordered (i.e., involuntary) inpatient treatment for J.S. for a period up to ninety days. Section 304(a)(1) permits such treatment upon a "determination" that a person is "severely mentally disabled" as defined in Section 301(a), 50 P.S. § 7301(a), to mean that, as a result of mental illness, he poses a clear and present danger of harm to others or to himself. Section 301(b) provides that clear and present danger to others may be shown by "establishing" that within the past thirty days the person has inflicted or attempted to inflict serious bodily harm upon another and that there is a reasonable probability that such conduct will be repeated.

Rather than establishing the facts alleged in the petition filed against J.S. by the hospital at a hearing, the parties followed a procedure under which J.S. agreed to the entry of an order of commitment with the addition of the phrase "no stipulation". All parties understood that addition to mean that J.S. did not admit to the behavioral facts alleged in the petition, that the order should not be deemed an adjudication of those facts, and that J.S. reserved the right at any subsequent recommitment hearing to demand proof of those facts and, if they were not proved, to be discharged from the hospital. At subsequent recommitment hearings pursuant to Section 305 of the MHPA, 50 P.S. § 7305, J.S. agreed to further treatment and reserved his right to demand proof.

This went on for approximately four years until, at a hearing on January 10, 1990, J.S. declined to agree and demanded proof of the original allegations. Although DPW was granted a continuance and made contact with the witness involved, she did not appear at the hearing. The mental health review officer therefore dismissed the petition for recommitment, but he recommended a stay of the proceedings, which the court of common pleas granted, pending the court's review. DPW filed a petition for review of the recommendation of the mental health review officer. The Defender Association of Philadelphia, which has represented J.S. throughout these proceedings, filed preliminary objections to DPW's petition. They asserted that the MHPA, by providing only that "the person made subject to treatment" by a certification of a mental health review officer might seek review by the court, Section 109, 50 P.S. § 7109, did not authorize DPW or any other petitioner to seek such review. At the first hearing before the court on DPW's petition, the Defender Association also raised a claim that the case was moot, because J.S. had informed his counsel that he agreed to remain in the hospital, hence he was not seeking discharge or expungement of his records. The court orally overruled all preliminary objections; however, the court ultimately issued an opinion that agreed with the Defender Association's argument that the MHPA did not permit DPW to seek review. The court's order denied DPW's petition and remanded the matter to the mental health review officer in order to continue J.S.'s treatment pursuant to the MHPA. DPW timely appealed to this Court.

The Defender Association repeats its contention that the case is moot. ² J.S.'s counsel first raised this issue by stating, "[I]t also appears that at least as of last Wednesday afternoon, J.S. had indicated to the mental health social worker from our office that he was willing to stay in the hospital." (Notes of Testimony of 3/28/90, p. 2.) Obviously, if J.S. were to change his mind again, or if he has changed his mind since the date of the last hearing on this matter, then the case would not be moot. Under these circumstances, where the mootness depends on no permanent change in the facts or the law but only on the possibly changeable desires of a committed person regarding discharge, we believe that the case should not be dismissed as moot but should be decided.

DPW first argues that the common pleas court erred by concluding that the MHPA did not permit it or any other petitioner to seek review by the court of the action of the mental health review officer. Section 109 of the MHPA, which creates the position of mental health review officer, provides that the hearings called for under Sections 304 and 305, among others, may be conducted by such an officer or by a judge. If the hearing is conducted by a mental health review officer, "the person made subject to treatment shall have the right to petition the court of common pleas for review of the certification." A hearing shall be held by the court within seventy-two hours of the filing of such petition, and the hearing shall include a review of the certification and such evidence as the court may receive or require.

First, we observe that review by the court of the action of the mental health review officer is not in the nature of appellate review. In In re Chambers, 282 Pa.Superior Ct. 327, 422 A.2d 1140 (1980), a person made subject to treatment under a Section 304 petition appealed the "order" of the mental health review officer to the Superior Court. The Superior Court noted that a Section 304 commitment required an "order" of the court of common pleas. The court concluded that the mental health review officer is the equivalent of a master, but he is not a judge or the equivalent of a judge of the court of common pleas. Therefore, the mental health review officer could not issue a final order from which appeal would lie to the Superior Court.

Petitions for involuntary treatment under Section 304 and 305 of the MHPA are filed with the court, and a court order must be entered to effect the involuntary treatment. Where the initial hearing on such a petition is conducted by a judge, there is no question that the petitioner has standing to present evidence and argument to the court. Where the hearing is conducted by a mental health review officer, that hearing is simply an optional step, which results in a recommendation to the court rather than an order. The review by the court is not an "appeal", and the party who filed the petition need not establish separate standing to seek such review. Although the statute prescribes the procedure for a person made subject to treatment to seek review of the certification, it is silent on the procedural question of review of actions other than certification.

Further, the express policy of the MHPA supports a conclusion that petitioners such as DPW may seek review by the court. Section 102 of the MHPA, 50 P.S. § 7102, provides in part:

The provisions of this act shall be interpreted in conformity with the principles of due process to make voluntary and involuntary treatment available where the need is great and its absence could result in serious harm to the mentally ill person or to others.

This Court has held that common sense must be applied in construing the provisions of the MHPA. Uram v. County of Allegheny, 130 Pa.Commonwealth Ct. 148, 567 A.2d 753 (1989), (common sense required interpretation of provision speaking only of a "written application" for a warrant for emergency examination to permit initial receipt of information by telephone, to thus provide a decisionmaker with flexibility to respond to life-threatening situations). The purpose of the MHPA to provide treatment where the need is great could be thwarted if the act were interpreted to prevent a petitioner such as DPW from seeking review by the court to point out possible errors by the mental health review officer. Due process concerns may be accommodated by using common sense to conclude that the same time constraints applicable to review of a certification also apply to review sought by a petitioner such as DPW.

As noted above, Section 304(a)(1) refers to a "determination of clear and present danger" under section 301(b). Section 304(f) provides for the entry of an order directing treatment "[u]pon a finding by clear and convincing evidence that the person is severely mentally disabled and in need of treatment and subject to subsection (a)...." The purpose of the procedure under which J.S. was committed was to allow for the entry of an order of commitment without the making of findings relating to the behavioral facts alleged in the original petition....