United States v. Cabrera-Frattini , 2007 CAAF LEXIS 819 ( 2007 )


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  •                         UNITED STATES, Appellant
    v.
    Jose R. CABRERA-FRATTINI, Lance Corporal
    U.S. Marine Corps, Appellee
    No. 07-5001
    Crim. App. No. 200201665
    United States Court of Appeals for the Armed Forces
    Argued February 5, 2007
    Decided June 22, 2007
    RYAN, J., delivered the opinion of the Court, in which EFFRON,
    C.J., and BAKER, ERDMANN, and STUCKY, JJ., joined.
    Counsel
    For Appellant: Major Brian K. Keller, USMC (argued); Commander
    P .C. LeBlanc, JAGC, USN, and Colonel R. F. Miller, USMC (on
    brief).
    For Appellee:    Captain S. Babu Kaza, USMC (argued).
    Military Judges:     A. W. Keller and T. A. Daley (arraignment)
    THIS   OPINION IS SUBJECT TO REVISION BEFORE FINAL PUBLICATION.
    United States v. Cabrera-Frattini, No. 07-5001/MC
    Judge RYAN delivered the opinion of the Court.
    In Crawford v. Washington, the Supreme Court held that
    “[t]estimonial statements of witnesses absent from trial” are
    admissible “only where the declarant is unavailable, and only
    where the defendant has had a prior opportunity to cross-examine
    [the witness].”   
    541 U.S. 36
    , 59 (2004).   We are asked in this
    case to determine whether the military judge abused his
    discretion by finding a thirteen-year-old witness suffering from
    bipolar disorder and post-traumatic stress syndrome unavailable
    for Confrontation Clause purposes based on the witness’s medical
    records and the testimony of a board-certified child
    psychiatrist that testifying would be detrimental to the
    witness’s mental and physical health, including possible suicide
    at both the time of trial and the foreseeable future.   We hold
    that the military judge did not abuse his discretion by ruling
    that the witness was unavailable.
    A general court-martial, composed of officer and enlisted
    members, convicted Appellee, contrary to his pleas, of carnal
    knowledge and committing an indecent act with a minor in
    violation of Articles 120 and 134, Uniform Code of Military
    Justice (UCMJ), 
    10 U.S.C. §§ 920
    , 934 (2000).   The sentence
    adjudged by the court-martial and approved by the convening
    authority included forfeiture of all pay and allowances,
    reduction to the lowest enlisted grade, confinement for three
    2
    United States v. Cabrera-Frattini, No. 07-5001/MC
    years, and a dishonorable discharge.      The United States Navy-
    Marine Corps Court of Criminal Appeals set aside the findings
    and sentence, holding that the military judge erred by
    determining that the witness was unavailable and admitting her
    videotaped deposition, in violation of Appellee’s Sixth
    Amendment right to confrontation.       United States v. Cabrera-
    Frattini, No. NMCCA 200201665, 
    2006 CCA LEXIS 218
    , at *1 (N-M.
    Ct. Crim. App. Aug. 2, 2006)(unpublished).         Chief Judge Rolph,
    in dissent, concluded that the military judge had not erred.
    
    Id.
     at *32-*68.
    Pursuant to Article 67(a)(2), UCMJ, 
    10 U.S.C. § 867
     (a)(2)
    (2000), the Judge Advocate General of the Navy certified to this
    Court this issue:
    WHETHER THE NAVY-MARINE CORPS COURT OF CRIMINAL APPEALS
    ERRONEOUSLY HELD THAT THE MILITARY JUDGE ABUSED HIS
    DISCRETION BY FINDING THE 13-YEAR-OLD WITNESS UNAVAILABLE ON
    THE BASIS OF MENTAL ILLNESS OR INFIRMITY, AND THUS THAT THE
    MILITARY JUDGE HAD ERRONEOUSLY ADMITTED THE WITNESS’S
    VIDEOTAPED DEPOSITION.
    A. Background
    1.    TO’s deposition
    The charges referred against Appellee arise from sexual
    intercourse he had with TO while another Marine anally sodomized
    her.    TO, then a twelve-year-old girl, is unrelated to Appellee.
    In October 2001, the military judge ordered the deposition
    of TO so that Appellee would not be denied the opportunity to
    3
    United States v. Cabrera-Frattini, No. 07-5001/MC
    cross-examine a key Government witness under oath prior to
    trial.1
    TO was deposed on November 13, 2001.     The deposition was
    videotaped in accordance with R.C.M. 702(g)(3).    TO gave her
    testimony under oath and in Appellee’s presence.    Appellee’s
    military counsel conducted a full cross-examination of TO
    without limitation.2    This post-referral deposition was taken in
    full contemplation of the charged offenses referred to general
    court-martial.
    2.    Prosecution subpoenas and attempts to obtain TO for trial
    Trial was scheduled to begin on December 10, 2001.     Trial
    counsel subpoenaed TO and her mother to appear, issued travel
    orders, and made arrangements for them to fly from St. Louis,
    Missouri, to Parris Island, South Carolina.
    1
    TO had moved to another state, and was unavailable at
    Appellee’s Article 32, UCMJ, 
    10 U.S.C. § 832
     (2000),
    investigation. Appellee sought to depose TO so that he could
    cross-examine her to “ask her those hard questions and get them
    on the record.” The military judge ordered the deposition, but
    denied Appellee’s motion for a new Article 32, UCMJ,
    investigation. He found the existing investigation in
    substantial compliance with Rule for Courts-Martial (R.C.M.)
    405(a). The military judge instead ordered the Article 32,
    UCMJ, investigation reopened for the sole purpose of considering
    TO’s deposition. After considering TO’s deposition, the
    investigating officer again recommended a general court-martial.
    2
    The Navy Marine Corps Court of Criminal Appeals noted: “There
    is no dispute that the deposition was properly ordered and
    conducted, and that appellant had ample and full opportunity to
    cross-examine TO, with a view toward the deposition’s possible
    later use at trial.” Cabrera-Frattini, 
    2006 CCA LEXIS 218
    , at
    *13. This portion of the decision was not appealed.
    4
    United States v. Cabrera-Frattini, No. 07-5001/MC
    3. TO’s hospitalization
    Shortly after her deposition, TO attempted suicide.     On
    December 4, 2001, she was admitted to a psychiatric hospital in
    St. Louis, Missouri, because she was a severe danger to herself.
    Upon admission, TO was preoccupied with suicidal thoughts.
    Dr. Linda Bock, a psychiatrist who specializes in child and
    adolescent psychiatry, initiated in-patient psychiatric
    treatment of TO’s “significant psychiatric problems.”
    4. TO’s absence from trial
    On December 7, trial counsel received a faxed letter from
    TO’s treating physician, Dr. Bock, which informed trial counsel
    that TO was hospitalized for in-patient psychiatric evaluation
    and treatment in St. Louis, Missouri, because TO was a “severe
    danger to herself.”    The letter stated TO was having
    “significant psychiatric problems” and was being treated with
    medications, but having “medication adjustment reactions.”    It
    further stated she could not attend court before the end of
    December 2001 and that her date of discharge from the hospital
    was unknown.
    5. The military judge’s inquiry
    On December 10, 2001, Appellee’s counsel filed a motion in
    limine to exclude TO’s videotaped deposition testimony.    Several
    hearings on the motion were held at which the Government offered
    documentary evidence to explain TO’s hospitalization and ongoing
    5
    United States v. Cabrera-Frattini, No. 07-5001/MC
    medical condition as the reason for her unavailability for
    trial.
    The military judge required more.   Consequently, pursuant
    to the military judge’s order, the trial counsel produced Dr.
    Bock for an Article 39(a), UCMJ, 
    10 U.S.C. § 839
    (a) (2000),
    session on January 22, 2002.   Dr. Bock appeared before the
    military judge to address TO’s medical and psychiatric
    condition.   Without objection, Dr. Bock established her
    credentials and expertise as a board-certified child
    psychiatrist and practicing psychiatric analyst with more than
    twenty years of experience.3
    In addition to her curriculum vitae, Dr. Bock presented
    eighty-eight pages of TO’s medical and psychiatric treatment
    records.   In her sworn testimony, Dr. Bock reiterated the
    diagnosis she had previously documented in TO’s medical records.
    She described bipolar disorder as a mood disorder that caused TO
    to suffer disturbed, erratic behavior.   She explained that TO
    suffered from bipolar II disorder, rapid cycling and post-
    traumatic stress disorder, as defined by criteria set forth in
    3
    Dr. Bock’s curriculum vitae reflected an internship in
    pediatrics, a residency in psychiatry, and a fellowship in child
    and adolescent psychiatry. She served in numerous consulting
    and teaching positions relating to her profession, published
    extensively in her field, and was a member and/or director of
    multiple professional organizations related to the treatment of
    psychiatric disorders.
    6
    United States v. Cabrera-Frattini, No. 07-5001/MC
    the Diagnostic and Statistical Manual of Mental Disorders (DSM-
    IV) (4th ed. 1994).
    Dr. Bock testified that TO’s mental condition deteriorated
    significantly after TO gave her deposition.      As evidence, Dr.
    Bock cited TO’s suicide attempt.       Its gravity was magnified by
    the fact that it was her second attempt.      In her sessions with
    Dr. Bock, TO focused on the issue of testifying at the trial as
    one of the reasons that she could not go on living, believing it
    would be better to be dead than to testify.      TO’s condition
    required Dr. Bock to administer antipsychotic and mood-
    stabilizer medications to treat her disorders.      Dr. Bock and
    other practitioners treated TO in the hospital for almost a
    week.    Dr. Bock discharged TO on December 10, 2001.
    Dr. Bock described TO’s prognosis upon release from
    hospitalization as “guarded,” noting that TO had “a serious
    chronic psychiatric disorder.”    She did not expect TO’s mood to
    begin to show signs of stabilizing for at least six to twelve
    months due to her illness, as that was the time needed for the
    antipsychotic and mood-stabilizing drugs to have an appreciable
    effect.    Dr. Bock expected a difficult recovery period with a
    possibility of re-hospitalization.      Dr. Bock concluded that it
    would be detrimental for TO to testify as a witness based upon
    TO’s demonstrated psychological abnormalities before and during
    hospitalization.
    7
    United States v. Cabrera-Frattini, No. 07-5001/MC
    On cross-examination, Dr. Bock reiterated her medical
    conclusion that TO could not testify because it would aggravate
    TO’s bipolar disorder.   She testified that TO was on the verge
    of psychotic mania during her hospitalization.   She stated that
    she had prescribed medications to get TO’s stress levels down
    and that, while testifying out of the sight of the members might
    be less stressful, it still would detrimentally increase brain
    stimulation.
    In response to the military judge’s questions, Dr. Bock
    testified that TO’s mental illness was ongoing and its treatment
    would be long-term and protracted.    She told the military judge
    that testifying would be a major, over-stimulating event for TO,
    which could predictably result in a repeat suicide attempt or a
    repeat psychiatric hospitalization.
    Dr. Bock further testified on both direct and cross-
    examination that TO would not be able to talk about what
    happened to her until TO, who was then thirteen, was eighteen to
    twenty-five, and perhaps not even then.
    At the time of this hearing, a month and a half had passed
    since Dr. Bock had seen TO.   Dr. Bock addressed the current
    accuracy of her prognosis, stating there was no other data that
    would be pertinent to change her view.
    8
    United States v. Cabrera-Frattini, No. 07-5001/MC
    6.     The military judge’s findings of fact
    Based upon Dr. Bock’s testimony and the medical record
    evidence, the military judge found that TO had two significant
    psychiatric illnesses:    bipolar II disorder and post-traumatic
    stress disorder.    He found that she was being treated with
    Seroquel, a brain protectant and antipsychotic, and Tegretol, a
    mood stabilizer.    As a result, he found that it “would be
    detrimental to [TO]’s mental and physical health now and in the
    foreseeable future to testify at the court-martial or any
    hearing regarding the charges before the court . . . .”    He
    concluded that “any court appearance would re-traumatize [TO]
    and would worsen her mental and physical health to include her
    possible suicide.”
    Moreover, he found that TO “had first-hand knowledge of the
    material facts in her deposition[,] . . . appreciated the moral
    duty to tell the truth[,] . . . was reluctant to testify against
    the accused[,] . . . [and] lacked a motive to fabricate having
    consensual sexual intercourse with the accused.”
    7.    The military judge’s conclusion of law
    The military judge concluded TO was unavailable and
    admitted TO’s videotaped deposition.    The military judge ruled
    that the prosecution had established the requirement of
    unavailability for purposes of both the Sixth Amendment and
    9
    United States v. Cabrera-Frattini, No. 07-5001/MC
    Military Rule of Evidence (M.R.E.) 804.4       He concluded the
    government had made a reasonable and good-faith effort to obtain
    TO’s presence.
    Appellee’s counsel did not introduce contradictory expert
    testimony, ask to perform his own psychiatric assessment of TO,
    or request a continuance.
    Based on TO’s videotaped deposition and the other evidence
    presented at trial, Appellee was convicted.
    B.   Discussion
    The Confrontation Clause of the Sixth Amendment provides
    that “[i]n all criminal prosecutions, the accused shall enjoy
    the right . . . to be confronted with the witnesses against
    him.”    U.S. Const. amend VI.   The Supreme Court recently decided
    that, before “testimonial” statements may be admitted, the
    Confrontation Clause requires that the accused have been
    afforded a prior opportunity to cross-examine the witness, and
    that the witness be unavailable.        Crawford, 
    541 U.S. at 53-54
    .
    The military judge decided this case prior to the Supreme
    Court’s decision in Crawford.     At that time, the admissibility
    of out-of-court statements under the Confrontation Clause was
    controlled by Ohio v. Roberts, 
    448 U.S. 56
     (1980).        Crawford
    applies to criminal cases, such as this one, that are still
    4
    As we respond only to the certified issue relating to
    unavailability, we will not address the other findings of the
    military judge related to the admissibility of the deposition.
    10
    United States v. Cabrera-Frattini, No. 07-5001/MC
    pending on direct review.      See Griffith v. Kentucky, 479 U.S
    314, 328 (1987) (holding “a new rule for the conduct of criminal
    prosecutions is to be applied retroactively to all cases . . .
    pending on review”); see also Whorton v. Bockting, 
    127 S. Ct. 1173
    , 1181 (2007) (declaring Crawford to be a new rule of law).
    Crawford did not purport to change the test of witness
    “unavailability.”   Crawford, 
    541 U.S. at 53-54
    .
    1.   Legal framework
    It has been the rule in this Court for more than twenty
    years that a military judge’s determination of a witness’s
    unavailability (and the antecedent question of the government’s
    good-faith efforts) is reviewed for abuse of discretion.     United
    States v. Cokeley, 
    22 M.J. 225
    , 229 (C.M.A. 1986).     “Findings of
    fact are affirmed unless they are clearly erroneous; conclusions
    of law are reviewed de novo.”     United States v. Rader, 
    65 M.J. 30
    , 32 (C.A.A.F. 2007).    So long as the military judge
    understood and applied the correct law, and the factual findings
    are not clearly erroneous, neither the military judge’s decision
    to admit evidence, nor his unavailability ruling, should be
    overturned.   United States v. McDonald, 
    59 M.J. 426
    , 430
    (C.A.A.F. 2004) (citations omitted).
    In order for a witness to be “unavailable” for Sixth
    Amendment purposes, the government must first make a “good
    faith” effort to secure the witness’s presence at trial.     Barber
    11
    United States v. Cabrera-Frattini, No. 07-5001/MC
    v. Page, 
    390 U.S. 719
    , 724-25 (1968).       In Roberts, the Supreme
    Court held that the lengths to which the prosecution must go to
    produce a witness is determined under a reasonableness standard.
    
    448 U.S. at 74
    .   “[E]valuation of reasonableness or good-faith
    effort ‘requires us to consider all the circumstances rather
    than to apply a per se rule.’”    Cook v. McKune, 
    323 F.3d 825
    ,
    835 (10th Cir. 2003) (quoting Martinez v. Sullivan, 
    881 F.2d 921
    , 924 n.1 (10th Cir. 1989)).    See also Cokeley, 22 M.J. at
    229 (recognizing that “there is no bright-line rule which will
    fit every situation,” and that the “judge must carefully weigh
    all facts and circumstances of the case, keeping in mind the
    preference for live testimony.”).      The test for unavailability
    focuses on “whether the witness is not present in court in spite
    of good-faith efforts by the Government to locate and present
    the witness.”   Cokeley, 22 M.J. at 228.
    Courts are not without guidance in undertaking this fact-
    and circumstance-driven inquiry.       This Court has addressed some
    factors that should be considered to determine unavailability,
    including “the importance of the testimony, the amount of delay
    necessary to obtain the in-court testimony, the trustworthiness
    of the alternative to live testimony, the nature and extent of
    earlier cross-examination, the prompt administration of justice,
    and any special circumstances militating for or against delay.”
    Id.   Where the absence of the witness results from illness, a
    12
    United States v. Cabrera-Frattini, No. 07-5001/MC
    court should also consider the nature of the illness and the
    probable duration of the illness.     See United States v. Faison,
    
    679 F.2d 292
    , 297 (3d Cir. 1982).
    2.   Analysis
    “When reviewing a decision of a Court of Criminal Appeals
    on a military judge’s ruling, ‘we typically have pierced through
    that intermediate level’ and examined the military judge’s
    ruling, then decided whether the Court of Criminal Appeals was
    right or wrong in its examination of the military judge’s
    ruling.”   United States v. Shelton, 
    64 M.J. 32
    , 37 (C.A.A.F.
    2006) (quoting United States v. Siroky, 
    44 M.J. 394
    , 399
    (C.A.A.F. 1996)).   The sole issue before us is whether the lower
    court erred in reversing the military judge’s ruling that TO was
    unavailable for purposes of the Sixth Amendment.    We conclude
    that it did.
    The military judge’s ruling on the motion in limine
    identifies the appropriate framework for legal analysis for an
    unavailability determination and addresses the relevant Cokeley
    and Faison factors, in the context of undisputed factual
    13
    United States v. Cabrera-Frattini, No. 07-5001/MC
    findings.5   Those factual findings are not clearly erroneous, and
    we accept them as the factual predicate for our decision.
    The military judge’s good faith/unavailability findings
    included the following:   (a)the government subpoenaed TO and her
    mother, issued their travel orders and made arrangements to fly
    them to Parris Island; (b) TO’s hospitalization prevented her
    from complying with the subpoena; (c) TO had two significant
    psychiatric illnesses -- bipolar II disorder and post-traumatic
    stress disorder; (d) TO was taking Seroquel, a brain protectant
    and antipsychotic drug, and Tegretol, a mood stabilizer; (e) it
    “would be detrimental to TO’s mental and physical health now and
    in the foreseeable future to testify at this court-martial or
    any hearing regarding the charges that were before the court”;
    and (f) “[a]ny court appearance would re-traumatize [TO] and
    would worsen her mental and physical health to include her
    possible suicide” (emphasis added).
    In this case, the military judge did not abuse his
    discretion by concluding that the Government exercised good
    faith efforts under the circumstances to produce TO at trial and
    that she was, nonetheless, unavailable.   As both the majority
    and dissent below recognize, “[t]here is ample precedent for
    5
    Cokeley, of course, was decided in the context of a military
    judge’s denial of a defense request for a continuance. There
    was no such request in this case.
    14
    United States v. Cabrera-Frattini, No. 07-5001/MC
    finding a witness, even a critical one, unavailable where the
    act of testifying in court is determined to be detrimental to
    the witness’s physical or mental well-being.”   Cabrera-Frattini,
    
    2006 CCA LEXIS 218
    , at *13-*14 (citing United State v. Keithan,
    
    751 F.2d 9
    , 12-13 (1st Cir. 1984) (finding unavailability in
    case of an elderly witness whose infirmity prevented travel);
    Howard v. Sigler, 
    454 F.2d 115
    , 120-21 (8th Cir. 1972)
    (upholding unavailability determination where tuberculosis
    prevented travel, even though witness might recover some day));
    accord Cabrera-Frattini, 
    2006 CCA LEXIS 218
    , at *53 (Rolph,
    C.J., dissenting) (citing United States v. Donaldson, 
    978 F.2d 381
    , 393 (7th Cir. 1992) (affirming unavailability determination
    of pregnant female admitted to hospital on the eve of trial));
    see also Ecker v. Scott, 
    69 F.3d 69
    , 70-73 (5th Cir. 1995)
    (finding unavailability where there was a fifty-percent chance
    the witness would still be unavailable after three to four
    weeks); Conley v. McKune, 2004 U.S. Dist LEXIS 26315, at *18-*19
    (D. Kan. 2000) (finding unavailability as a result of a
    witness’s medical condition and not as a result of the
    prosecution’s lack of reasonable diligence); Warren v. United
    States, 
    436 A.2d 821
    , 827-28 (D.C. 1981) (affirming a finding of
    unavailability where there was a high likelihood of temporary or
    permanent psychological injury).    And this Court’s precedent
    15
    United States v. Cabrera-Frattini, No. 07-5001/MC
    reaffirms that “[u]navailability is clear when the witness is
    not expected to improve.”   Cokeley, 22 M.J. at 229.
    Expert testimony supported the military judge’s finding
    that TO suffered from severe psychiatric illness that would make
    testifying at trial or any hearing “now and in the foreseeable
    future” detrimental to TO’s mental and physical health.6   Under
    the facts of this case, “detrimental” included the possible
    suicide of TO.
    The military judge’s analysis and rulings reflect that he
    understood that Confrontation Clause considerations are most
    consequential “when the testimony of a witness is critical to
    the prosecution’s case against the defendant.”   United States v.
    Quinn, 
    901 F.2d 522
    , 529 (6th Cir. 1990) (quoting United States
    v. Lynch, 
    499 F.2d 1011
    , 1022 (D.C. Cir. 1974)).    Contrary to
    Appellee’s assertion, the actions of the military judge in this
    case are dissimilar from those at issue in Cokeley, 22 M.J. at
    229 (finding military judge abused his discretion based on
    misapprehension of the applicable law and a failure to
    6
    We note that a continuance was not requested and, in any event,
    “is not necessary in every case where a witness is ill but may
    recover someday.” Cokeley, 22 M.J. at 229. Given the testimony
    about the protracted nature of TO’s psychiatric illness, the
    benefit of a continuance is speculative, at best. See also
    United States v. Crockett, 
    21 M.J. 423
    , 427-28 (C.M.A. 1986)
    (affirming finding of unavailability where videotaped deposed
    witnesses were in Florida and unwilling to travel to Germany for
    trial).
    16
    United States v. Cabrera-Frattini, No. 07-5001/MC
    articulate the relevant factors on the record) and Burns v.
    Clusen, 
    798 F.2d 931
    , 942 (7th Cir. 1986) (concluding that the
    factual findings were not supported by the record).   In this
    case, the military judge not only entered detailed findings of
    fact and conclusions of law, he also required the prosecution to
    carry its burden of demonstrating “unavailability” before the
    witness’s out-of-court statement was admitted.7   See Roberts, 
    448 U.S. at 74-75
    ; Cokeley, 22 M.J. at 229.
    The lower court held that the military judge erred by
    finding TO unavailable based solely on the evidence presented by
    the Government.   The question that divided the lower court was
    whether the trial judge took sufficient steps to determine that
    TO was unavailable for trial.   The majority concluded that the
    military judge should have required more, such as an updated
    prognosis, an independent medical opinion from a court-appointed
    expert, a recent letter from TO or her mother, or explicit
    exploration of the alternative of remote testimony.   There could
    be a case where the alternative steps proposed by the lower
    court might be warranted.   But in this case, Dr. Bock
    7
    We note that the military judge required, over the Government’s
    objection, that Government counsel call Dr. Bock to testify in
    order to demonstrate unavailability. But for the military
    judge’s insistence on this additional evidence, it is
    questionable that the Government would have met its burden of
    proof regarding the unavailability of a key Government witness
    by assuming it needed to put forward only the faxed letters
    initially offered.
    17
    United States v. Cabrera-Frattini, No. 07-5001/MC
    established both that TO was suffering from a serious mental
    illness that would likely demand years of medication and therapy
    to control, and that the risk of suicide was ongoing and would
    be exacerbated by testifying in any forum in the foreseeable
    future.
    While Dr. Bock’s testimony was presented to the trial judge
    forty-four days after her examination, Dr. Bock addressed the
    current accuracy of her prognosis, stating there was no other
    data that would be pertinent to change her view.    We agree with
    Chief Judge Rolph that Dr. Bock’s diagnosis was not stale.
    Cabrera-Frattini, 
    2006 CCA LEXIS 218
    , at *57-*59 (Rolph, C.J.,
    dissenting).
    The military judge found that it would cause TO harm “now
    and in the foreseeable future” to testify “at this court martial
    or any hearing regarding the charges before the court.”   In
    light of this finding, exploring the option of remote live
    testimony was not indicated.
    The lower court did not hold that the military judge’s
    findings of fact were clearly erroneous or unsupported by the
    record.   And it did “not quibble with the qualifications of Dr.
    Bock’s or her diagnosis that TO was suffering from a serious
    mental illness in December 2001 that would likely demand years
    of medication and therapy to control.”   Cabrera-Frattini, 
    2006 CCA LEXIS 218
    , at *22.   Rather, it noted that Dr. Bock’s opinion
    18
    United States v. Cabrera-Frattini, No. 07-5001/MC
    was “based on considerable medical acumen and reliable
    statistics . . . .” 
    Id. at *23
    .
    Appellee has not identified precedent requiring a second
    medical opinion upon a trial court finding that a mental or
    physical illness could be exacerbated, with potentially life-
    threatening consequences, by a court appearance.    Nor are we
    aware of a rule requiring courts to investigate independently
    the established medical condition of an unavailable witness,
    absent defendant’s request for an examination.   See Alcala v.
    Woodford, 
    334 F.3d 862
    , 880-81 (9th Cir. 2003) (holding courts
    have no duty to investigate, sua sponte, the medical condition
    of an alleged unavailable witness); Warren, 
    436 A.2d at 830
    (finding no responsibility on the part of court to request, sua
    sponte, an updated report of psychological health, relying
    instead on “a reasonable presumption of continuing mental
    condition”).
    We decline to hold that while non-amenability and refusal
    of a witness to voluntarily appear can establish constitutional
    unavailability, a life-threatening illness can not.   See Mancusi
    v. Stubbs, 
    408 U.S. 204
    , 212 (1972) (holding witness unavailable
    because state was powerless to compel witness’s attendance at
    trial); Crockett, 21 M.J. at 427-28 (reasoning that witnesses in
    Florida were unavailable because they could not be compelled
    against their will to testify in Germany).
    19
    United States v. Cabrera-Frattini, No. 07-5001/MC
    Under the particular facts of this case, we hold that the
    military judge did not abuse his discretion by concluding that
    the Government made good faith efforts to procure the witness’s
    presence for trial, concluding that TO was unavailable, and
    admitting TO’s videotaped deposition testimony.8
    3. Decision
    We answer the certified question in the affirmative.   The
    decision of the United States Navy-Marine Corps Court of
    Criminal Appeals is set aside.   The record of trial is returned
    to the Judge Advocate General of the Navy for remand to that
    court for further review in accordance with Article 66, UCMJ, 
    10 U.S.C. § 866
     (2000).
    8
    Concluding that TO was unavailable under the Confrontation
    Clause, we also are satisfied that the military judge did not
    abuse his discretion in finding TO unavailable under M.R.E.
    804(a)(4).
    20