SUPERIOR COURT OF NEW JERSEY
APPELLATE DIVISION
A-6790-97T5
IN THE MATTER OF
THE COMMITMENT OF
W.H.
_________________________________________________________________
Submitted: May 19, 1999 - Decided: June 15, 1999
Before Judges Braithwaite and Wecker.
On appeal from the Superior Court of New
Jersey, Law Division, Hudson County.
Ivelisse Torres, Public Defender, attorney
for appellant (Richard I. Friedman, Deputy
Public Defender, of counsel and on the
brief).
Respondent's brief was suppressed.
The opinion of the court was delivered by
BRAITHWAITE, J.A.D.
Appellant W.H., a fifty-one year old man, was ordered
temporarily committed to Meadowview Hospital on June 3, 1998.
Appellant has a "long psychiatric history" and was committed
because "[h]e became non-compliant with his medications."
Following a hearing on June 25, 1998, a final order of commitment
was entered with a "review in two weeks" so that appellant's
medication could be changed. Following his review hearing,
appellant was "conditionally discharged" from the hospital.
Appellant now appeals from the commitment order of June 25,
1998, arguing that the State failed to meet its burden of proof
that he was a danger to himself, others or property. He also
asserts that the State's physician provided a "net opinion" and
that this appeal is not moot despite his release from the
hospital.
We agree that appellant's release from the hospital has not
mooted the controversy. "An involuntary committee's property is
subject to a lien for the cost of his hospital care." In Re
Commitment of A.A.,
252 N.J. Super. 170, 172 n.1 (App. Div. 1991)
(citing N.J.S.A. 30:4-80.1). With such a potential monetary
obligation, appellant's appeal is not moot. We also agree that
the State failed to meet its burden of proof and now reverse.
To support appellant's commitment, the State's expert
testified in part as follows:
Q. Doctor, if the patient were released
from a structured setting such as this, would
he be a danger to himself or others?
A. Most likely if he's released at this
point in time from this facility, he will
become non-compliant with his medications,
most likely decompensate and require
rehospitalization.
Q. What is the hospital's plan toward
continued commitment?
A. Continued hospitalization until we can
stabilize him some more.
Q. Thank you, Doctor.
THE COURT: Doctor, I don't think you
answered the question. The attorney asked
whether if he were released from this
environment at the present time, would he be
a danger to himself or others?
THE WITNESS: He very well could be. He does
have a history of violence in the past.
That's a likely possibility.
THE COURT: Well, is it a possibility or a
probability?
THE WITNESS: Well, at this point in time I
really can't tell you with a hundred percent
certainty.
THE COURT: I'm not asking for a hundred
percent certainty but to a degree of medical
certainty.
THE WITNESS: Yes. Yes.
THE COURT: Cross-examine.
CROSS-EXAMINATION BY MR. FRIEDMAN:
Q. Yes, possible, Doctor, or yes, probable?
A. Yes, possible.
Q. Thank you. I have no further questions.
THE COURT: You're saying it's only possible
that he would be a danger, not a probability?
THE WITNESS: I don't know that. I really
can't -- it all depends whether he remains
compliant with his medications. If he were
to remain compliant with his medications, the
likelihood that he would become violent is
very very minimal.
THE COURT: No, but the question is, you
testified he was brought into the hospital
because he was non-compliant.
THE WITNESS: Correct.
THE COURT: If he doesn't comply with his
medication, would he then probably be a
danger to himself and others?
THE WITNESS: He very well could be, yes.
Q. And when he's non-compliant with his
medication, would he be able to take care of
himself?
A. I don't believe so.
Q. Could he cook for himself, clean for
himself?
A. Well, again, that depends on how
psychotic he is. He may or may not. But
most likely, if he doesn't take his
medication, he will become psychotic, and
will require rehospitalization.
[emphasis added.]
Following the State's witness, appellant produced his aunt
and uncle who both testified that he has never been violent
toward "anybody" nor "tried to harm himself." They also stated
that appellant cooks and shops for food for himself. Further,
both testified that they have frequent contact with appellant and
"can tell . . . when he stops taking his medication." When
appellant stops taking his medications "he walks up and down and
he talks to himself." "But he'll still take care of himself as
far as cooking is concerned."
In ordering appellant's commitment, the judge found all of
the witnesses to be credible, but concluded that appellant would
be "a danger to himself and others."
N.J.S.A. 30:4-27.2 defines the terms "dangerous to self" or
"dangerous to others or property."
h. "Dangerous to self" means that by reason
of mental illness the person has threatened
or attempted suicide or serious bodily harm,
or has behaved in such a manner as to
indicate that the person is unable to satisfy
his need for nourishment, essential medical
care or shelter, so that it is probable that
substantial bodily injury, serious physical
debilitation or death will result within the
reasonably foreseeable future; however, no
person shall be deemed to be unable to
satisfy his need for nourishment, essential
medical care or shelter if he is able to
satisfy such needs with the supervision and
assistance of others who are willing and
available.
i. "Dangerous to others or property" means
that by reason of mental illness there is a
substantial likelihood that the person will
inflict serious bodily harm upon another
person or cause serious property damage
within the reasonably foreseeable future.
This determination shall take into account a
person's history, recent behavior and any
recent act or threat.
To enter an order of involuntary commitment, the court must
find by clear and convincing evidence that the patient is
mentally ill and that the illness causes the patient to be
dangerous to himself, others or property. R. 4:74-7(f)(1). Our
review of this record convinces us that the State failed to meet
its burden of proof. The doctor's testimony was equivocal in
that appellant would only "possibly" be a danger to himself or
others if he again became non-compliant with his medication.
At one point in the hearing when asked if appellant would be
a danger to himself if he stopped taking his medicine, the doctor
answered: "[T]hat depends on how psychotic he is. He may or may
not. But most likely, if he doesn't take his medication, he will
become psychotic, and will require rehospitalization." The
doctor also testified that appellant had a history of violence,
but no facts were presented to support that conclusion.
Further, appellant's witnesses testified that he had never
been violent and the judge found them credible. Evidence that
appellant, when he does not take his medication, is delusional
and talks to himself is insufficient to meet the burden of
finding by clear and convincing evidence that he will be a danger
to himself or others "within the reasonably foreseeable future."
N.J.S.A. 30:4-27.2h and i. See In Re Commitment of Robert S.,
263 N.J. Super. 307, 311 (App. Div. 1992); cf. In Re Commitment
of A.A., supra, 252 N.J. Super. at 179 (holding the wife's
testimony that husband's release would cause psychological harm
to other family members was insufficient to support commitment
court's finding that husband would cause serious bodily harm to
another person).
"Evidence is `clear and convincing' when it produce[s] in
the mind of the trier of fact a firm belief or conviction as to
the truth of the allegations sought to be established, evidence
so clear, direct and weighty and convincing as to enable [the
factfinder] to come to a clear conviction, without hesitancy, of
the truth of the precise facts in issue." In Re Jobes,
108 N.J. 394, 407 (1987)(citing State v. Hodge,
95 N.J. 369, 376
(1984)(citations omitted)). The proofs here do not meet this
standard.
Reversed.