Justia Juvenile Law Opinion Summaries
Articles Posted in Health Law
In the Matter of J.P.
In two separate cases, mothers petitioned the Juvenile Court to involuntarily commit their children for inpatient care due to substance use disorders under Massachusetts General Laws c. 123, § 35. E.S. was committed for ninety days, and J.P. for thirty days, following hearings where family members and court clinicians testified about the juveniles' substance use and behaviors.In the case of E.S., the Bristol County Juvenile Court judge found clear and convincing evidence of a substance use disorder, citing E.S.'s history of alcohol and marijuana use, recent positive tests for fentanyl, and concerning behaviors such as stumbling and passing out. The judge also found a likelihood of serious harm due to the imminent risk posed by E.S.'s substance use and the lack of immediate outpatient care options. E.S.'s commitment was affirmed on appeal.For J.P., the Essex County Juvenile Court judge ordered commitment based on testimony about J.P.'s daily marijuana use, behavioral changes, and a single incident of driving under the influence. However, the court clinician did not find J.P. to be a danger to himself or others. On appeal, the Supreme Judicial Court found the evidence insufficient to support a likelihood of serious harm, noting the lack of clear evidence of imminent risk. J.P.'s commitment order was reversed.The Supreme Judicial Court of Massachusetts held that a finding of a substance use disorder under § 35 must be supported by clinical evidence to comply with substantive due process. The court affirmed E.S.'s commitment but reversed and vacated J.P.'s commitment, remanding the case for entry of an order consistent with its opinion. View "In the Matter of J.P." on Justia Law
T.M. v. Superior Court
In a juvenile wardship proceeding, the minor's counsel declared a doubt about the minor's competency to stand trial. Consequently, the juvenile court suspended the proceedings and referred the minor for a competency evaluation. The court's protocol mandated the disclosure of the minor's mental health records to the court-appointed expert for evaluation. The minor objected, citing the psychotherapist-patient privilege under California Evidence Code section 1014. The court overruled the objection and ordered the disclosure, prompting the minor to file a writ petition challenging this decision.The Contra Costa County Superior Court overruled the minor's objection, stating that Welfare and Institutions Code section 709 permits the compelled disclosure of all available records, including mental health records, for competency evaluations. The court also referenced Evidence Code section 1025, which it interpreted as allowing such disclosures in competency proceedings. The minor's request for a stay to seek appellate review was denied, leading to the filing of the writ petition.The California Court of Appeal, First Appellate District, reviewed the case. The court held that Evidence Code section 1016 renders the psychotherapist-patient privilege inapplicable in juvenile competency proceedings once the minor's counsel declares a doubt about the minor's competency. The court reasoned that the issue of the minor's mental or emotional condition is tendered by the minor through their counsel, thus falling under the patient-litigant exception to the privilege. The court denied the minor's writ petition and dissolved the partial stay of the juvenile court's order. View "T.M. v. Superior Court" on Justia Law
Commonwealth v. Z.
The juvenile in this case was on probation after being adjudicated as a youthful offender for breaking and entering a vehicle with intent to commit a felony. While on probation, he began experiencing severe mental health issues, including hallucinations and delusions, which led him to obtain a firearm illegally. His mother called the police, and he was found in possession of a loaded firearm without a license. This led to new criminal charges and a notice of probation violation for not obeying state laws.The Juvenile Court judge found that the juvenile violated his probation by possessing the firearm and revoked his probation, sentencing him to incarceration. The judge ruled that the defense of lack of criminal responsibility was not available in probation violation hearings but considered the juvenile's mental illness in determining the disposition. The juvenile appealed, arguing that due process requires allowing the defense of lack of criminal responsibility in probation violation hearings.The Supreme Judicial Court of Massachusetts reviewed the case and held that the affirmative defense of lack of criminal responsibility is not required in probation violation hearings. The court reasoned that the primary inquiry in such hearings is whether the probationer violated a condition of probation, not whether the probationer is criminally responsible. However, the court acknowledged that evidence of mental illness is relevant to determining whether a violation was willful and in deciding the appropriate disposition. The court affirmed the lower court's decision, finding no error in the judge's ruling or abuse of discretion in revoking the juvenile's probation and imposing a sentence of incarceration. View "Commonwealth v. Z." on Justia Law
State ex rel. Dilly v. Hall
The case involves two petitioners, Daniel Dilly, Superintendent of the Rubenstein Juvenile Center (RJC), and Nancy Oldaker, Health Services Administrator at RJC, who were held in contempt of court by Judge Kurt Hall of the Circuit Court of Lewis County, West Virginia. The contempt charges arose from an incident involving a resident of RJC, identified as D.P., who suffered a broken jaw during a fight with other residents. The court had ordered that D.P. be taken off RJC grounds for an X-ray and that his mother be notified of his medical appointments. The court found that these orders were not adequately followed by the petitioners.The Circuit Court of Lewis County held a hearing to review D.P.'s placement and medical care, resulting in a "Medical Care Order" that directed RJC to schedule an appointment for D.P. with his oral surgeon and to allow D.P.'s mother to attend the appointment. The court also ordered RJC to provide a report concerning the incident that led to D.P.'s injury. When these orders were not fully complied with, the court held a "show cause" hearing and found both Superintendent Dilly and Ms. Oldaker in contempt of court, fining each of them $250.The Supreme Court of Appeals of West Virginia found that procedural errors in the lower court's contempt proceedings deprived the court of jurisdiction to impose such sanctions. The court noted that the lower court failed to provide the petitioners with adequate notice that they were facing indirect criminal contempt proceedings and did not afford them jury trials before imposing the fines. The court concluded that the contempt orders were void and granted the petitioners' requested writs of prohibition, thereby preventing the lower court from enforcing the contempt orders. View "State ex rel. Dilly v. Hall" on Justia Law
In re Kieran S.
The case involves Amber C., the mother of a two-year-old child, Kieran S., who appealed from the juvenile court’s jurisdiction findings and disposition orders after the court sustained a petition by the Los Angeles County Department of Children and Family Services. The petition was filed under Welfare and Institutions Code section 300, subdivision (b), alleging that Amber's substance abuse posed a substantial risk of serious physical harm to Kieran. The Department received a referral in April 2019, stating that the parents used drugs in the child's presence. Amber tested positive for amphetamine, methamphetamine, and morphine. Despite her positive test results, Amber denied using methamphetamine and claimed she did not use any drugs while with Kieran. After failing to cooperate with welfare checks and evading the Department, Amber absconded with Kieran.The juvenile court sustained counts under section 300, subdivision (b), alleging Amber abused substances, failed to protect Kieran from Victor’s mental and emotional issues, and absconded with Kieran. At the disposition hearing, the juvenile court declared Kieran a dependent child of the court, removed him from his parents, ordered Amber to attend a drug treatment program, and ordered reunification services. Amber appealed from the jurisdiction findings and disposition orders, arguing that there was no evidence she was under the influence of drugs when Kieran was detained and that there was no evidence of neglect or risk of harm to Kieran in her care.The Supreme Court granted Amber’s petition for review and transferred the case back to the Court of Appeal with directions to vacate its prior decision and reconsider Amber’s appeal in light of In re N.R., which held that substance abuse is not prima facie evidence of a parent’s inability to provide regular care to a child of tender years. The Court of Appeal found that substantial evidence supported the juvenile court’s finding Amber’s drug abuse created a substantial risk of physical harm to Kieran and affirmed the juvenile court’s jurisdiction findings and disposition orders. View "In re Kieran S." on Justia Law
Vilches v. Leao
Vilches, the father and guardian of Doe (age 7), took her to Leao for treatment. Vilches later sued Leao to compel the release of Doe’s therapy records. Under Health and Safety Code 123110, the personal representative of a minor is entitled to access the minor’s patient records unless “[t]he health care provider determines that access to the patient records ... would have a detrimental effect on the provider’s professional relationship with the minor patient or the minor's physical safety or psychological well-being. The decision of the health care provider ... shall not attach any liability to the provider unless the decision is found to be in bad faith. Leao indicated she had determined that it would have a detrimental impact on Doe’s ability to trust in general, and would negatively impact the patient-counselor relationship. She was also concerned that Vilches would use the records to coach his daughter's responses in a court evaluation in an upcoming custody proceeding.The court of appeal affirmed summary judgment in favor of Leao, rejecting an argument that the absence of bad faith does not immunize a therapist’s determination from judicial review and that section 123110 creates a presumption of entitlement to disclosure. The statute does not require separate determinations for each type of patient record. When the provider makes the detriment determination, a plaintiff must show bad faith to compel disclosure. View "Vilches v. Leao" on Justia Law
Ohio Department of Medicaid v. Price
Federal Medicaid funds are not available for state medical expenditures made on behalf of “any individual who is an inmate of a public institution (except as a patient in a medical institution),” 42 U.S.C. 1396d(a)(29)(A). "Inmate of a public institution" means a person who is living in a public institution. However, an individual living in a public institution is not an “inmate of a public institution” if he resides in the public institution “for a temporary period pending other arrangements appropriate to his needs.” Ohio submitted a proposed plan amendment aimed at exploiting this distinction: it sought to classify pretrial detainees under age 19 as noninmates, living in a public institution for only “a temporary period pending other arrangements appropriate to [their] needs,” for whom the state could claim Medicaid reimbursement. The Centers for Medicare and Medicaid Services rejected the amendment, finding that the inmate exclusion recognizes “no difference” between adults and juveniles, or convicted detainees and those awaiting trial. The Sixth Circuit denied a petition for review, agreeing that the involuntary nature of the stay is the determinative factor. The exception does not apply when the individual is involuntarily residing in a public institution awaiting adjudication of a criminal matter. View "Ohio Department of Medicaid v. Price" on Justia Law
A.C.v. Shelby Cnty. Bd. of Educ.
During her second grade year and after three years of disagreement between school officials and her parents over requests for certain disability accommodations for A.C., a minor with Type 1 diabetes,the principal made reports to Tennessee’s Department of Children’s Services alleging that the parents were medically abusing A.C. The parents filed suit, claiming that the principal’s reports were made in retaliation to their disability accommodation requests and violated the Rehabilitation Act and the Americans with Disabilities Act, 2 U.S.C. 12203 and 29 U.S.C. 794(a). The district court found that the parents did not prove a prima facie element of their case and could not prove that the reasons given for making the child-abuse reports were a pretext for retaliation. The Sixth Circuit reversed, stating that the district court prematurely placed on the parents the burden of rebutting the school’s stated reasons for its actions. Evidence of falsity in the reports of abuse coupled with the temporal proximity of those reports to requests for accommodations is sufficient to permit an inference of causation. View "A.C.v. Shelby Cnty. Bd. of Educ." on Justia Law