Cyrus R. Vance Jr., District Attorney, New York City (Christine Ante of counsel),
for appellant.
Eric T. Schneiderman, Attorney General, Albany (Jonathan D. Hitsous of counsel),
for Commissioner of the New York State Office for People with Developmental
Disabilities, respondent.
Sheila E. Shea, Mental Hygiene Legal Service, Albany (Charles Bayer of counsel),
for Arto ZZ., respondent.
McCarthy, J. Appeal, by permission, from an order of the Supreme Court (Feldstein,
J.), entered May 28, 2014 in Franklin County, which granted petitioner's application
pursuant to CPL 330.20 to direct the release of respondent Arto ZZ. from an unsecure
psychiatric facility under certain conditions.
Respondent Arto ZZ. (hereinafter respondent), who is mildly developmentally
disabled, has been in the custody and care of petitioner since his 1986 acquittal of a
criminal charge by reason of mental disease or defect (see CPL 330.20). In 2004,
respondent was transferred from a secure to a nonsecure facility (Matter of Arto ZZ., 24 AD3d
947, 947 [2005], lv denied 6 NY3d 707 [2006]). In 2013, petitioner
commenced this proceeding seeking respondent's release pursuant to an order of
conditions, specifically requesting an order that respondent reside in a highly supervised
intermediate care facility operated by the Office for People with Developmental
Disabilities (hereinafter OPWDD) and comply with his service plan (see CPL
330.20 [12]). Respondent New York County District Attorney (hereinafter the DA)
opposed the application. Following the presentation of the DA's case in opposition,
petitioner moved for an order granting respondent's release. The DA cross-moved for
dismissal of petitioner's application. Supreme Court granted petitioner's application,
releasing respondent pursuant to a restrictive order of conditions. The DA appeals with
this Court's permission (see CPL 330.20 [21] [a] [iii]).
Initially, Supreme Court correctly denied the DA's cross motion. Petitioner's expert
psychologist apparently misunderstood the applicable legal definition, as is evident from
his supporting affidavit. A person does not necessarily meet the legal definition of
"mentally ill" just because he or she falls within the definition of that phrase that is used
by the scientific or psychiatric community; this can make the law confusing for medical
professionals. Nevertheless, the court relied on the expert's factual and medical
determinations in his affidavit and annexed report, disregarding that medical expert's
legal conclusions. Considering the appropriate factual information and accompanying
opinion that respondent was suitable for release with certain conditions, petitioner's
application was legally sufficient (see CPL 330.20 [12], [20]).
Supreme Court did not err in granting petitioner's application to release respondent
pursuant to an order of conditions. In reviewing a CPL 330.20 commitment
determination, this Court's authority is as broad as that of the trial court and we may
render any determination warranted by the record, though we defer to the trial court's
factual and credibility findings (see Matter of Amir F., 94 AD3d 1209, 1212 [2012]; Matter of Stephen W., 90
AD3d 1166, 1170 [2011]; see also Matter of George L., 85 NY2d 295, 305
[1995]; Matter of Eric U.,
40 AD3d 1148, 1149-1150 [2007], lv denied 9 NY3d 809 [2007]). If the
court finds that a person committed pursuant to CPL 330.20 does not have a dangerous
mental disorder but is mentally ill, that person must be confined in a nonsecure facility
(see CPL 330.20 [12]; Matter of David B., 97 NY2d 267, 276-277
[2002]). If the court finds that the person is no longer mentally ill, it must release the
person with an order of conditions (see CPL 330.20 [12]; Matter of Allen B. v Sproat, 23
NY3d 364, 370 [2014]). For purposes of CPL 330.20, a person with a
developmental disability is considered "mentally ill" if he or she "is in need of care and
treatment as a resident in [*2]the in-patient services of a
developmental center or other residential facility for the . . .
developmentally disabled under the jurisdiction of [OPWDD]" (CPL 330.20 [1] [d]). The
DA had the burden to prove by a preponderance of the evidence that respondent met the
statutory definition of a "mentally ill" person (see CPL 330.20 [12]; People v
Escobar, 61 NY2d 431, 439-440 [1984]).
Although respondent undeniably was diagnosed with more than one mental illness,
such diagnoses are insufficient to prove that he was "mentally ill" under the applicable
statutory definition (see CPL 330.20 [1] [d]; Matter of David B., 97
NY2d at 279 [noting that "the statutory language limits the class of retained mentally ill
individuals to those who must have inpatient care and treatment," among other
requirements]). The report and affidavit of petitioner's expert indicated that respondent
had improved such that he no longer required inpatient care and instead could function in
a supervised intermediate care facility. The DA's expert disagreed, opining that
respondent met the definition of "mentally ill" because he needed constant supervision.
Supreme Court reasonably discounted that expert's opinion because, despite his
impressive credentials, he generally worked with mentally ill individuals who did not
have developmental disabilities and he was not sufficiently familiar with OPWDD
facilities and procedures. He also engaged in baseless speculation about respondent
possibly eloping from the proposed residence and the potential difficulties in locating or
returning him; such speculation cannot support the DA's burden (see Matter of
George L., 85 NY2d at 307-308).[FN*] Contrary to the expert's testimony,
respondent could be deemed no longer mentally ill even if he had a psychiatric diagnosis
and still needed supervision. "A release order directs [petitioner] to terminate the
defendant's in-patient status without ending his [or her] responsibility for the defendant"
(Matter of Allen B. v Sproat, 23 NY3d at 370; see CPL 330.20 [1]
[m]).
The DA relies heavily on Matter of David B. (97 NY2d at 277) to support his
argument for retention of respondent. That case is not directly on point, as the statute
provides a different definition of "mentally ill" for individuals who have developmental
disabilities in addition to one or more diagnosed mental disorders (see CPL
330.20 [1] [d]). For those individuals with developmental disabilities, the statute does
not require that their judgment be so impaired by a mental illness that they are "unable to
understand the need for such care and treatment" (CPL 330.20 [1] [d]); this makes sense,
as such inability could be related to developmental disabilities [*3]as opposed to mental illness. Even if that additional factor
applied here, however, respondent acknowledged in his testimony that he needed
constant supervision, indicating that he understood the need for care and treatment.
While the DA's expert disagreed that respondent had any such understanding, Supreme
Court found respondent credible and did not rely on that expert's testimony. Thus, even
under the definition of mentally ill that applies to individuals without developmental
disabilities, the DA did not meet his burden.
Supreme Court correctly determined that respondent, who acknowledged that he
needed constant supervision, could be released from inpatient care subject to certain
conditions, including his residence in an intermediate care facility with 24-hour
supervision by OPWDD staff. Inasmuch as the DA failed to meet his burden of proving
that respondent was "mentally ill" as defined in CPL 330.20 (1) (d), the court properly
granted petitioner's application and released respondent subject to an order of
conditions.
Lahtinen, J.P., Rose, Lynch and Devine, JJ., concur. Ordered that the order is
affirmed, without costs.
Footnotes
Footnote *:The DA contends that
any of his expert's testimony concerning the proposed residence was irrelevant because
Supreme Court never should have reached the secondary issue of conditions of release;
according to this argument, the hearing should have only addressed the primary question
of whether respondent needed to be confined due to his diagnosed mental illness.
Contrary to this argument, the topic of conditions of release was properly raised at the
hearing, and the court could use all of the hearing testimony to weigh the credibility of
the DA's expert.