United States v. Mellette ( 2022 )


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  •       This opinion is subject to revision before publication
    UNITED STATES COURT OF APPEALS
    FOR THE    ARMED FORCES
    _______________
    UNITED STATES
    Appellee
    v.
    Wendell E. MELLETTE Jr.,
    Electrician’s Mate (Nuclear) First Class Petty Officer
    United States Navy, Appellant
    No. 21-0312
    Crim. App. No. 201900305
    Argued February 8, 2022—Decided July 27, 2022
    Military Judge: Warren A. Record
    For Appellant: Lieutenant Commander Michael W. Wester,
    JAGC, USN (argued).
    For Appellee: Lieutenant Commander Jeffrey S. Marden,
    JAGC, USN (argued); Lieutenant Colonel Christopher G.
    Blosser, USMC, Major Clayton L. Wiggins, USMC, Lieuten-
    ant John L. Flynn IV, JAGC, USN, and Brian K. Keller, Esq.
    (on brief).
    Amicus Curiae on behalf of Patient/Victim SS: Peter Coote,
    Esq. (on brief).
    Amici Curiae on behalf of the United States Navy, the
    United States Marine Corps, and the United States Coast
    Guard Victims’ Legal Counsel and Special Victims’ Counsel
    Programs: Major Nathan H. Cox, USMC, Lieutenant Com-
    mander Adam J. Sitte, JAGC, USN, and Paul T. Markland,
    Esq. (on brief).
    Judge HARDY delivered the opinion of the Court, in
    which Chief Judge OHLSON and Senior Judge RYAN
    joined. Judge MAGGS filed a dissenting opinion in which
    Judge SPARKS joined.
    _______________
    Judge HARDY delivered the opinion of the Court.
    The Government charged Appellant with sexually abusing
    and assaulting SS, a fifteen-year-old girl with a history of
    mental health issues. In preparation for his court-martial,
    Appellant sought access to SS’s mental health diagnoses and
    treatments on the basis that the records could prove relevant
    to SS’s credibility as a witness. The Government declined to
    United States v. Mellette, No. 21-0312/NA
    Opinion of the Court
    provide the requested records, asserting that the psychother-
    apist-patient privilege provided by Military Rule of Evidence
    (M.R.E.) 513 protected the records in toto from disclosure. Ap-
    pellant filed a motion to compel production and in camera re-
    view of SS’s mental health records, arguing primarily that the
    psychotherapist-patient privilege does not sweep so broadly
    as to protect a patient’s diagnoses and treatment plan.
    The military judge denied the motion, and the United
    States Navy-Marine Corps Court of Criminal Appeals
    (NMCCA) affirmed, holding that the psychotherapist-patient
    privilege protects not only confidential communications, but
    diagnoses and treatment plans contained within medical rec-
    ords. United States v. Mellette, 
    81 M.J. 681
    , 691–93 (N-M. Ct.
    Crim. App. 2021). We granted review to determine the scope
    of the patient-psychotherapist privilege under M.R.E. 513.
    United States v. Mellette, 
    82 M.J. 13
     (C.A.A.F. 2021) (order
    granting review).
    Based on the plain language of M.R.E. 513, and mindful
    of the Supreme Court’s admonition that privileges must be
    strictly construed, we conclude that diagnoses and treat-
    ments contained within medical records are not themselves
    uniformly privileged under M.R.E. 513. The decision of the
    NMCCA is set aside, and we return the case to the Judge Ad-
    vocate General of the Navy for further proceedings consistent
    with this opinion.
    I. Background
    While serving in the Navy, Appellant engaged in a sexual
    relationship with SS, the fifteen-year-old sister of Appellant’s
    then-wife. After Appellant’s wife discovered the relationship,
    the couple divorced, with Appellant’s now ex-wife receiving
    custody of their young daughter. During a later dispute over
    Appellant’s visitation rights, Appellant’s ex-wife reported his
    prior sexual relationship with SS to Appellant’s commanding
    officer, leading to an investigation by the Naval Criminal In-
    vestigative Service (NCIS).
    After the NCIS investigation, which included an interview
    with SS in which she revealed that she had spent time in a
    mental health facility, the Government charged Appellant
    with one specification of sexual abuse of a child and one spec-
    ification of sexual assault of a child, both under Article 120b,
    2
    United States v. Mellette, No. 21-0312/NA
    Opinion of the Court
    Uniform Code of Military Justice (UCMJ), 10 U.S.C. § 920b
    (2012). A critical element of each charge was that the alleged
    misconduct occurred prior to SS’s sixteenth birthday in July
    2014. See Article 120b(h)(4), UCMJ (defining a child as “any
    person who has not attained the age of 16 years”).
    In parallel to the criminal investigation and proceedings,
    Appellant and his ex-wife continued their legal dispute over
    custody of their daughter. As part of those civil proceedings,
    SS sat for a deposition in which she discussed her prior sexual
    relationship with Appellant. During the deposition, SS dis-
    closed that in August 2013, she voluntarily spent a week in a
    mental health facility after her high school administrators
    discovered she had engaged in self-harm. SS revealed at least
    part of the mental health diagnoses she received at the facil-
    ity, her treatment plan during her stay, and the follow-up
    treatment plan she received when she was discharged.
    Prior to his court-martial, Appellant sought discovery of
    any evidence that SS “sought or received mental health treat-
    ment” and copies of “S.S.’s medical records related to mental
    health and prescriptions” from the period when SS was in the
    mental health facility through the start of Appellant’s court-
    martial. The Government denied the request, partially on the
    basis that the requested information was protected by the
    psychotherapist-patient privilege provided in M.R.E. 513. In
    response, Appellant moved to compel production and in cam-
    era review of SS’s mental health records. Appellant asserted
    that the requested information was “relevant to issues of sug-
    gestion, memory, and truthfulness” with respect to SS.
    The military judge denied Appellant’s motion to compel,
    holding that the documents sought by Appellant were pro-
    tected by the psychotherapist-patient privilege under
    M.R.E. 513. The military judge further concluded that Appel-
    lant had not provided any evidentiary or legal basis to order
    production of the documents and perform in camera review.
    At Appellant’s court-martial, SS testified that she had en-
    gaged in self-mutilation and spent time in a mental health
    treatment facility for depression and anxiety in August 2013.
    SS stated that she started spending more time with Appellant
    in the months following her discharge from the mental health
    3
    United States v. Mellette, No. 21-0312/NA
    Opinion of the Court
    facility. SS described how Appellant starting sexually abus-
    ing her during those encounters, but she struggled to provide
    precise dates for when the abuse occurred. Although Appel-
    lant departed for deployment in February 2014, SS testified
    that the sexual abuse escalated when Appellant returned in
    April 2014.
    Given the need for the Government to prove beyond a rea-
    sonable doubt that Appellant’s alleged misconduct occurred
    before SS’s sixteenth birthday in July 2014, Appellant’s de-
    fense counsel focused on SS’s inability to provide specific
    dates for the incidents of abuse and assault during SS’s
    cross-examination. SS repeatedly answered that she didn’t
    know or was not sure when the events she described during
    her direct testimony occurred, a fact that Appellant’s counsel
    highlighted during his closing arguments.
    The members, sitting as a general court-martial, convicted
    Appellant of one specification of sexual abuse of a child but
    acquitted him of sexual assault of a child, both offenses under
    Article 120b, UCMJ. The members sentenced Appellant to
    confinement for five years and a dishonorable discharge. The
    convening authority approved the sentence.
    Before the NMCCA, both Appellant and the Government
    argued that the military judge erred in holding that medical
    records that revealed SS’s diagnoses and treatments were
    privileged under M.R.E 513. Mellette, 81 M.J. at 691. The
    NMCCA disagreed, holding both that the plain language of
    M.R.E. 513 protected such records and that it would be ab-
    surd to conclude otherwise. Id. at 692. The NMCCA further
    held SS had waived the privilege by discussing her mental
    health diagnoses and treatment, including her prescribed
    medications, with her family, with NCIS, and during her civil
    deposition. Id. at 693.1
    Having found error, the NMCCA then held that Appel-
    lant’s lack of access to the requested information about SS’s
    1  Even if SS had not waived the privilege, the NMCCA held in
    the alternative that the military judge abused his discretion in con-
    cluding that Appellant had not shown, at the very least, that in
    camera review of the pertinent mental health records was constitu-
    tionally required to protect Appellant’s due process and confronta-
    tion rights. Mellette, 81 M.J. at 694.
    4
    United States v. Mellette, No. 21-0312/NA
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    mental health diagnoses and treatments only prejudiced Ap-
    pellant with respect to the post-deployment allegations,
    which were supported solely by SS’s testimony. Id. at 695–96.
    Because strong corroborating evidence existed for the prede-
    ployment allegations, the NMCCA held that the error was
    harmless beyond a reasonable doubt with respect to those
    findings. Id. Accordingly, the NMCCA struck the words “on
    divers occasions” from Appellant’s conviction for sexual abuse
    of a child and reduced Appellant’s sentence to three years of
    confinement and a dishonorable discharge. Id. at 701.
    This Court granted review of the following three issues:
    I. M.R.E. 513 extends the psychotherapist-patient
    privilege to a “confidential communication” between
    patient and psychotherapist or assistant. Did the
    lower court err by concluding diagnoses and treat-
    ment are also subject to the privilege, invoking the
    absurdity doctrine?
    II. Did the NMCCA depart from Supreme Court and
    CAAF precedent by not reviewing the evidence at is-
    sue—diagnoses and treatment, including prescrip-
    tions—in concluding: (1) the mental health evidence
    was both prejudicial and non-prejudicial; and
    (2) failure to produce it was harmless beyond a rea-
    sonable doubt where the unknown evidence could
    have negated the evidence the NMCCA claimed to
    be “overwhelming” evidence?
    III. Whether the Court of Criminal Appeals erred by
    holding that [SS] waived the psychotherapist-pa-
    tient privilege.
    Mellette, 82 M.J. at 13–14.
    II. Discussion
    We granted review of three questions in this case, but our
    answer to the first question—whether the patient-psycho-
    therapist privilege established by M.R.E. 513 protects a pa-
    tient’s diagnoses and treatments from disclosure—moots the
    remaining two. Because we conclude that such records are not
    privileged under M.R.E. 513, we do not reach the second or
    third questions presented.
    A. Standard of Review
    This Court reviews questions regarding the scope of the
    patient-psychotherapist privilege established by the Military
    5
    United States v. Mellette, No. 21-0312/NA
    Opinion of the Court
    Rules of Evidence de novo. United States v. Beauge, 
    82 M.J. 157
    , 162 (C.A.A.F. 2022). When construing those rules, we ap-
    ply the standard principles of statutory construction. United
    States v. Kohlbek, 
    78 M.J. 326
    , 330 (C.A.A.F. 2019). When the
    language of a rule is susceptible to only one interpretation, we
    enforce the rule according to its terms. 
    Id.
     (citing Hartford
    Underwriters Ins. Co. v. Union Planters Bank, N.A., 
    530 U.S. 1
    , 6 (2000)). But when a rule’s language is ambiguous, we in-
    terpret that language within the broader context of the rule.
    Beauge, 82 M.J. at 162.
    When interpreting M.R.E. 513, we must also account for
    the Supreme Court’s guidance that “[t]estimonial exclusion-
    ary rules and privileges contravene the fundamental princi-
    ple that the public has a right to every man’s evidence,” Tram-
    mel v. United States, 
    445 U.S. 40
    , 50 (1980) (alteration in
    original removed) (internal quotation marks omitted) (cita-
    tion omitted), and our own view that “privileges ‘run contrary
    to a court’s truth-seeking function,’ ” United States v. Jasper,
    
    72 M.J. 276
    , 280 (C.A.A.F. 2013) (quoting United States v.
    Custis, 
    65 M.J. 366
    , 369 (C.A.A.F. 2007)). The Supreme Court
    has further advised that evidentiary privileges “must be
    strictly construed and accepted only to the very limited extent
    that permitting a refusal to testify or excluding relevant evi-
    dence has a public good transcending the normally predomi-
    nant principle of utilizing all rational means for ascertaining
    truth.” Trammel, 
    445 U.S. at 50
     (internal quotation marks
    omitted) (citation omitted); see also Jasper, 72 M.J. at 280
    (recognizing that privileges must be “narrowly construed”).
    B. Military Rule of Evidence 513
    We begin our analysis, as we must, with the text of the
    rule. M.R.E. 513(a) states:
    A patient has a privilege to refuse to disclose and to
    prevent any other person from disclosing a confiden-
    tial communication made between the patient and a
    psychotherapist or an assistant to the psychothera-
    pist, in a case arising under the [UCMJ], if such com-
    munication was made for the purpose of facilitating
    diagnosis or treatment of the patient’s mental or
    emotional condition.
    By its terms, the rule protects “confidential communica-
    tion[s]” between a patient and a psychotherapist “made for
    6
    United States v. Mellette, No. 21-0312/NA
    Opinion of the Court
    the purpose of facilitating diagnosis or treatment of the pa-
    tient’s mental or emotional condition.”2
    Although the first question presented asks whether “diag-
    noses and treatment are also subject to the privilege,” that is
    not precisely the correct query. We have no doubt, and neither
    party disputes, that communications between a patient and a
    psychotherapist involving diagnoses and treatments are priv-
    ileged and that a medical record could transcribe a communi-
    cation in such a way to make it privileged. The critical ques-
    tion in this case is whether other evidence that does not
    qualify as a communication between a patient and a psycho-
    therapist—such as a patient’s routine medical records—are
    also protected by the rule. Essentially, the question before us
    is whether “communication[s]” in rule M.R.E. 513(a) should
    be interpreted narrowly to exclude medical records and other
    similar evidence that does not constitute a confidential com-
    munication or interpreted broadly to include all evidence that
    in some way reflects, or is derived from, confidential commu-
    nications.
    The Government argues that the plain language of
    M.R.E. 513(a) protects medical records that contain diagno-
    ses and treatment, but we disagree. The phrase “communica-
    tion made between the patient and a psychotherapist” does
    not naturally include other evidence, such as routine medical
    records, that do not memorialize actual communications be-
    tween the patient and the psychotherapist. We must begin
    with the assumption that the President’s specific choice of the
    word “communication” in M.R.E. 513(a)—rather than
    broader nouns such as “documents,” “information,” or “evi-
    dence”—and the President’s inclusion of the limiting phrase
    “made between the patient and a psychotherapist” have
    meaning. Otherwise, nothing would distinguish the language
    of M.R.E 513(a) from a hypothetical, alternative rule that
    2 More accurately, the rule protects such communications be-
    tween a patient and “a psychotherapist or an assistant to the psy-
    chotherapist.” M.R.E. 513(a) (emphasis added). To be clear, all ref-
    erences to communications with a psychotherapist in this opinion
    include communications to an assistant to the psychotherapist.
    7
    United States v. Mellette, No. 21-0312/NA
    Opinion of the Court
    simply protected “documents made for the purpose of facili-
    tating diagnosis or treatment of the patient’s mental or emo-
    tional condition.”
    The President has the authority, within the limits of the
    Confrontation Clause, to define the scope of the patient-psy-
    chotherapist privilege as broadly as he sees fit. If the Presi-
    dent intended M.R.E. 513(a) to broadly protect all patient
    medical records, the President could have used express lan-
    guage that unambiguously reflected that intent. Indeed,
    other jurisdictions have done exactly that. In Florida, for ex-
    ample, the legislature expressly protected mental health pa-
    tients’ records and diagnoses:
    A patient has a privilege to refuse to disclose, and to
    prevent any other person from disclosing, confiden-
    tial communications or records made for the purpose
    of diagnosis or treatment of the patient's mental or
    emotional condition, including alcoholism and other
    drug addiction, between the patient and the psycho-
    therapist, or persons who are participating in the di-
    agnosis or treatment under the direction of the psy-
    chotherapist. This privilege includes any diagnosis
    made, and advice given, by the psychotherapist in the
    course of that relationship.
    
    Fla. Stat. Ann. § 90.503
    (2) (West 2018) (emphasis added).3
    But here, the President chose a different path, including only
    confidential communications made between the patient and a
    psychotherapist with no mention of any other types of
    evidence.
    The Government argues that, despite the specific lan-
    guage of M.R.E. 513(a), broader consideration of the entire
    rule makes clear that M.R.E. 513 protects all evidence that
    discloses a patient’s diagnoses and treatment, regardless
    whether that evidence qualifies as a communication made be-
    tween the patient and the psychotherapist. In support of this
    3  See also, e.g., 
    Wyo. Stat. Ann. § 33-38-113
    (a) (1999)
    (preventing the disclosure of “confidential information, including
    information contained in administrative records”); 740 Ill. Comp.
    Stat. Ann. 110/10(a) (West 2017) (preventing the disclosure of a
    patient’s “record or communications”), Ark. R. Evid. 503(b)
    (preventing the disclosure of a patient’s “medical records or
    confidential communications”).
    8
    United States v. Mellette, No. 21-0312/NA
    Opinion of the Court
    argument, the Government points to two provisions,
    M.R.E. 513(e)(2) and M.R.E. 513(b)(5). Again, we disagree.
    Neither provision overcomes the plain language of
    M.R.E. 513(a), especially given that we are required to nar-
    rowly construe the language of the rule. Trammel, 
    445 U.S. at 50
    ; Jasper, 72 M.J. at 280.
    M.R.E. 513(e) establishes a procedure to determine the
    admissibility of patient records or communications. Because
    the rule authorizes a military judge to examine the proffered
    evidence in camera “if such examination is necessary to rule
    on the production or admissibility of protected records or
    communications,” M.R.E. 513(e)(3) (emphasis added), the
    Government argues that the patient-psychotherapist
    privilege must extend to all patient records. We disagree.
    Military Rule of Evidence 513(e)(3)—the only provision in
    M.R.E. 513(e) that uses the word “protected”—does nothing
    more than acknowledge the well-established rule that
    documents that are not themselves communications may be
    partially privileged to the extent that those records
    memorialize or otherwise reflect the substance of privileged
    communications. See, e.g., Colton v. United States, 
    306 F.2d 633
    , 639 (2d Cir. 1962) (“Documentary evidence of
    confidential communications is necessarily privileged as
    much as testimonial evidence.”). It does not mean that every
    document or record related to the diagnosis or treatment of a
    patient’s mental health is privileged.
    Similarly, M.R.E. 513(e)(2) requires a military judge to
    conduct a hearing before ordering the production or admis-
    sion of “evidence of a patient’s records or communication,” de-
    fined as “testimony of a psychotherapist, or assistant to the
    same, or patient records that pertain to communications by a
    patient to a psychotherapist, or assistant to the same, for the
    purposes of diagnosis or treatment of the patient’s mental or
    emotional condition.” M.R.E. 513(b)(5) (emphasis added). The
    Government argues that because all patient records “pertain
    to communications” between the patient and the psychother-
    apist, they must all be included within the scope of
    M.R.E. 513(a). Again, we disagree. We interpret these provi-
    sions as simply recognizing that to the extent testimonial or
    documentary evidence reveals what M.R.E. 513(a) expressly
    9
    United States v. Mellette, No. 21-0312/NA
    Opinion of the Court
    protects—confidential communications—they are also par-
    tially protected; not, as the Government argues, that the en-
    tirety of every patient record is necessarily included within
    the patient-psychotherapist privilege.
    The Government also argues that we should interpret
    M.R.E. 513(a) as protecting all patient records related to the
    diagnosis or treatment of a patient’s mental health because
    the textually similar lawyer-client privilege established by
    M.R.E. 502 protects attorney records. This argument is fa-
    tally flawed because it disregards the fact that the attorney
    work-product privilege is separate and distinct from the at-
    torney-client privilege. United States v. Nobles, 
    422 U.S. 225
    ,
    238 n.11 (1975). As defined by the Federal Rules of Evidence,
    attorney-client privilege is “the protection that applicable law
    provides for confidential attorney-client communications,”
    while the work-product protection is “the protection that ap-
    plicable law provides for tangible material (or its intangible
    equivalent) prepared in anticipation of litigation or for trial.”
    Fed. R. Evid. 502(g)(1)–(2).
    This distinction between communications and tangible
    materials (i.e., records and other nontestimonial evidence), is
    also reflected in the Manual for Courts-Martial, United
    States. Although the military’s attorney-client privilege pro-
    tects “confidential communications made for the purpose of
    facilitating the rendition of professional legal services,”
    M.R.E. 502(a) (emphasis added), an entirely separate provi-
    sion—Rule for Courts-Martial (R.C.M.) 701(f)—protects at-
    torney-work product. That provision expressly shields from
    disclosure or production “notes, memoranda, or similar work-
    ing papers prepared by counsel and counsel’s assistants and
    representatives.” 
    Id.
     Thus, the existence of an entirely sepa-
    rate provision from M.R.E. 502 protecting attorney-work
    product—and the lack of any parallel provision establishing a
    psychotherapist work-product privilege—undermines the
    Government’s argument that M.R.E. 513(a) protects patient
    records.
    Finally, the Government argues that a psychotherapist’s
    diagnoses and treatment of a patient should be protected by
    M.R.E. 513(a) in the same way that an attorney’s legal advice
    is protected by the attorney-client privilege. This argument
    fails because it conflates the content of communications with
    10
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    Opinion of the Court
    underlying facts. See 1 Paul R. Rice, Attorney-Client Privilege
    in the United States § 5:1 (2014) (“An important but com-
    monly misunderstood limitation of the privilege is that it does
    not protect the information contained within communications
    to the attorney.”); Upjohn Co. v. United States, 
    449 U.S. 383
    ,
    395 (1981) (“The privilege only protects disclosure of commu-
    nications; it does not protect disclosure of the underlying facts
    by those who communicated with the attorney . . . .”).
    As explained by the United States Court of Appeals for the
    Second Circuit in a case where the government prosecutors
    sought answers from witnesses to a series of factual questions
    related to work performed by the corporate defendant’s em-
    ployees at the direction of their attorneys in preparation for
    litigation:
    Although an attorney-client communication is
    privileged and may not be divulged, the underlying
    information or substance of the communication is
    not, as appellants incorrectly believe, so privileged.
    Further, the remaining 19 questions seek
    underlying factual information to which the
    prosecutor is clearly entitled. The factual
    information is not protected by the attorney-client
    privilege just because the information was
    developed in anticipation of litigation.
    In re Six Grand Jury Witnesses, 
    979 F.2d 939
    , 945 (2d Cir.
    1992) (citation omitted). Even though the answers to the pros-
    ecutor’s questions might reveal the substance of the legal ad-
    vice provided by the defendant’s attorneys, the government
    was still entitled to ask the recipients of the legal advice spe-
    cific factual questions, such as:
       What analysis did you perform?
       What records did you review?
       What conclusions did your draw?
       What information did you give anyone other
    than an attorney?
       When did you give them this information?
    
    Id. at 946
     (Appendix A). This case demonstrates the funda-
    mental principle that the attorney-client privilege prevents
    the disclosure of what an attorney advised a client to do, but
    11
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    Opinion of the Court
    it does not prevent the disclosure of what the client actually
    did or did not do in response to that advice.
    Accordingly, the Government is incorrect in its assertion
    that M.R.E. 513(a) must extend “not just to confidential com-
    munications . . . , but also to the underlying diagnoses and
    treatments.” Brief for Appellee at 22, United States v. Mel-
    lette, No. 21-0312 (C.A.A.F. Dec. 20, 2021). A patient’s diag-
    nosis and the treatment that a patient received to care for
    those conditions are “underlying facts,” Upjohn Co., 
    449 U.S. at 395
    , not confidential communications. Although
    M.R.E. 513(a) prevents a witness from being required to dis-
    close the substance of the communications between a patient
    and a psychotherapist, it does not extend to all evidence that
    might reveal a patient’s diagnoses and treatments. The
    NMCCA erred in holding otherwise.
    It is worth emphasizing that this conclusion is not based
    on our views on the proper scope of the patient-psychothera-
    pist privilege or a belief that the benefits of protecting a pa-
    tient’s diagnoses and treatment from disclosure fail to “trans-
    cend[] the normally predominant principle of utilizing all
    rational means for ascertaining truth.” Trammel, 
    445 U.S. at 50
     (internal quotation marks omitted) (citation omitted). In-
    stead, our analysis rests solely on the specific text of
    M.R.E. 315(a) and the Supreme Court’s mandate—and our
    own precedent—that states that evidentiary privileges “must
    be strictly construed.” Trammel, 
    445 U.S. at 50
    ; see Jasper,
    72 M.J. at 280. As the promulgator of the Military Rules of
    Evidence, the President has both the authority and the re-
    sponsibility to balance a defendant’s right to access infor-
    mation that may be relevant to his defense with a witness’s
    right to privacy. Unless the President’s decision with respect
    to that balance contravenes a constitutional or statutory lim-
    itation, we must respect that choice.
    C. Remaining Issues
    Because we hold that the NMCAA erred when it concluded
    that M.R.E. 513(a) protects all evidence of a mental health
    patient’s diagnoses and treatments from disclosure, we need
    not decide whether SS waived the privilege with respect to
    those topics or whether the NMCCA erred by performing its
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    Opinion of the Court
    prejudice analysis without examining the undisclosed
    evidence.
    D. Remedy
    Before trial, Appellant filed a motion to compel production
    and in camera review of “S.S.’s mental health records: to in-
    clude the dates visited said mental health provider, the treat-
    ment provided and recommended, and her diagnosis.” These
    documents were not protected from disclosure by
    M.R.E. 513(a), and as noted by the NMCCA, they involved
    key areas of concern that “go to the very essence of witness
    credibility and reliability—potential defects in capacity to un-
    derstand, interpret, and relate events.” Mellette, 81 M.J. at
    694 (internal quotation marks omitted) (citation omitted). To
    the extent that these documents existed—and were otherwise
    admissible under the Military Rules of Evidence and the
    Rules for Courts-Martial—they should have been produced or
    admitted subject to the procedural requirements of
    M.R.E. 513(e).
    The military judge’s error may have denied Appellant
    from reviewing relevant and material evidence before his
    court-martial. Without any way of knowing whether any such
    evidence existed, or if so, how important that evidence might
    have been to Appellant’s defense, we decline to decide
    whether Appellant was prejudiced by this error. Instead, we
    remand to the NMCCA to order a DuBay hearing for the pur-
    pose of obtaining any records that were responsive to Appel-
    lant’s original motion to compel and determining whether
    those records should have been provided to Appellant prior to
    his court-martial.4 Once all the responsive, relevant, and ad-
    missible evidence has been identified, the lower court shall
    determine whether the military judge’s original denial of Ap-
    pellant’s motion to compel materially prejudiced Appellant’s
    defense pursuant to its authority under Article 66, UCMJ, 
    10 U.S.C. § 866
     (2012). Following these proceedings, Article 67,
    UCMJ, 
    10 U.S.C. § 867
     (2012), shall apply.
    4 United States v. DuBay, 
    17 C.M.A. 147
    , 
    37 C.M.R. 411
     (1967).
    This may require the DuBay military judge to conduct an in camera
    review, issue appropriate protective orders, and place portions of
    the record under seal as necessary. See R.C.M. 701(g); R.C.M. 1113.
    13
    United States v. Mellette, No. 21-0312/NA
    Opinion of the Court
    III. Conclusion
    The decision of the United States Navy-Marine Corps
    Court of Criminal Appeals is reversed. The record is returned
    to the Judge Advocate General of the Navy for remand to the
    lower court for further proceedings consistent with this
    opinion.
    14
    United States v. Mellette, No. 21-0312/NA
    Judge MAGGS, with whom Judge SPARKS joins,
    dissenting.
    The first assigned issue, and the only question that the
    Court decides in this appeal, is whether the United States
    Navy-Marine Corps Court of Criminal Appeals (NMCCA)
    erred in concluding that the psychotherapist-patient privilege
    established by Military Rule of Evidence (M.R.E.) 513 covers
    diagnoses and treatments. This issue is difficult and
    important. Indeed, it has divided the Courts of Criminal
    Appeals. Compare H.V. v. Kitchen, 
    75 M.J. 717
    , 719 (C.G. Ct.
    Crim. App. 2016) (holding that the privilege covers diagnoses
    and treatments), and United States v. Mellette, 
    81 M.J. 681
    ,
    692 (N-M. Ct. Crim. App. 2021) (same), with United States v.
    Rodriguez, No. ARMY 20180138, 
    2019 CCA LEXIS 387
    , at
    *7–8, 
    2019 WL 4858233
    , at *4 (A. Ct. Crim. App. Oct. 1, 2019)
    (unpublished) (holding that the privilege does not cover
    diagnoses and treatments).
    In its thoughtful opinion, the Court determines, with some
    qualifications, that the privilege does not extend to diagnoses
    and treatments and holds that the NMCCA erred in deciding
    otherwise. My analysis is different, leading me to conclude
    that the privilege covers diagnoses and treatments to the
    extent that they reveal what a patient told a psychotherapist
    or a psychotherapist told a patient for the purpose of
    facilitating the diagnosis and treatment of the patient’s
    mental condition. I therefore do not believe that the military
    judge or the NMCCA erred in their resolution of this issue.
    The Court’s conclusion with respect to the first assigned
    issue makes it unnecessary for the Court to reach the other
    assigned issues in this case. Because I disagree with the
    Court’s resolution of the first assigned issue, I must go further
    and also address the other assigned issues. For the reasons
    that I present below, although I disagree with some aspects
    of the NMCCA’s opinion in this case, I would affirm that
    court’s judgment. Mellette, 81 M.J. at 701.
    I. Background
    Prior to the trial in this case, Appellant moved for
    production of the victim’s mental health records, requesting
    information    about    any   “treatment     provided   and
    United States v. Mellette, No. 21-0312/NA
    Judge MAGGS, dissenting
    recommended, and her diagnosis.”1 Appellant sought these
    records for their potential value in cross-examining the victim
    when she testified against him with respect to the sole
    specification at issue in this appeal.2 Appellant asserted that
    this evidence would be “relevant to issues of suggestion,
    memory, and truthfulness.”
    The military judge, however, denied Appellant’s motion,
    ruling that the psychotherapist-patient privilege in M.R.E.
    513(a) shielded the records from discovery. Relying on the
    opinion of the United States Coast Guard Court of Criminal
    Appeals (CGCCA) in H.V. v. Kitchen, 75 M.J. at 719, the
    military judge further ruled that even if the records were not
    privileged, they were not discoverable under R.C.M. 703
    because Appellant had failed to show that they were “relevant
    and necessary.” The military judge reasoned that Appellant
    had no basis for believing that any nonprivileged records of
    the kind he sought existed or that such records would not be
    merely cumulative of information that he already had.
    Indeed, the military judge further ruled that there was no
    evidence that the victim might be suffering from a condition
    relevant to issues of “suggestion, memory, and truthfulness.”
    The military judge accordingly concluded that “the defense
    [was] engaged in a ‘fishing expedition.’ ”
    The NMCCA partially agreed and partially disagreed with
    the military judge’s ruling. Mellette, 81 M.J. at 688, 691–93.
    The NMCCA’s analysis consisted of four steps relevant to this
    appeal.3 First, the NMCCA held that the psychotherapist-
    patient privilege in M.R.E. 513(a) covers “diagnoses and
    1  Appellant also sought records concerning the dates that the
    victim visited her mental health provider, but the production of
    records concerning these dates is not at issue in this appeal.
    2  The sole specification at issue in this appeal alleged that
    Appellant, in violation of Article 120b, Uniform Code of Military
    Justice (UCMJ), 10 U.S.C. § 920b (2012), “did at or near Trenton,
    Florida, on divers occasions, between on or about August 2013 to on
    or about 12 July 2014, commit lewd acts upon [the victim], a child
    who had not attained the age of 16 years.”
    3  The NMCCA addressed a possible alternative to the second
    and third steps but discussion of this alternative is not relevant to
    this appeal.
    2
    United States v. Mellette, No. 21-0312/NA
    Judge MAGGS, dissenting
    treatment, including prescribed medications.” Id. at 691–92.
    Second, the NMCCA held that the victim waived this
    privilege under M.R.E. 510(a) by making voluntary
    disclosures of some of her diagnoses and treatments. Id. at
    693. Third, the NMCCA held that the military judge abused
    his discretion in concluding that the requested medical
    records were not “relevant and necessary” under R.C.M. 703
    given that other diagnoses “could impact her credibility” and
    medications could have a “potential for adverse effect on
    memory.” Id. Fourth, the NMCCA held that the military
    judge’s error caused material prejudice to the Appellant by
    limiting how effectively he could challenge the victim’s
    allegations. Id. at 695–96. The NMCCA redressed the error
    by excepting from the specification at issue the words “on
    divers occasions,” but it otherwise affirmed the finding of
    guilt. Id. at 696. In so doing, the NMCCA reasoned that other
    evidence corroborated the victim’s testimony with respect to
    at least one occurrence of the charged offense. Id.
    In this appeal, Appellant challenges the first and fourth
    steps of the NMCCA’s reasoning. With respect to the first
    step, Appellant contends that the NMCCA erred in
    concluding that the psychotherapist-patient privilege in
    M.R.E. 513(a) extends to diagnoses and treatments. With
    respect to the fourth step, Appellant argues that the NMCCA
    erred in conducting its prejudice analysis because the
    NMCCA did not conduct an in camera review of the victim’s
    mental health records to determine their content. Appellant
    asks this Court to set aside the NMCCA’s decision and
    remand for a DuBay hearing with respect to the issue of
    prejudice. See United States v. DuBay, 
    17 C.M.A. 147
    , 149, 
    37 C.M.R. 411
    , 413 (1967).
    The Government, in contrast, generally supports the
    NMCCA’s analysis. But the Government asserts that if we
    choose to revisit the second step of the NMCCA’s analysis, we
    should hold that the NMCCA erred in concluding that the
    victim completely waived her psychotherapist-patient
    privilege. In any event, the Government argues that this
    Court should affirm the adjudged and approved findings and
    sentence.
    In my view, the NMCCA chose the correct four-step
    framework for deciding this case and its decision should be
    3
    United States v. Mellette, No. 21-0312/NA
    Judge MAGGS, dissenting
    affirmed. I also generally agree with the NMCCA’s reasoning
    in these steps. But that said, I would qualify the NMCCA’s
    conclusions as follows:
    With respect to the NMCCA’s first conclusion, I agree
    that the psychotherapist-privilege in M.R.E. 513(a) covers
    diagnoses and treatments but only to the extent that they
    reveal confidential communications between the patient and
    psychotherapist that were made for the purpose of diagnosing
    or treating the patient’s mental condition.
    With respect to the NMCCA’s second conclusion, I agree
    that the victim in this case waived her psychotherapist-
    patient privilege but only with respect to the communications
    containing the information that she revealed.
    With respect to the NMCCA’s third conclusion, I agree
    that the military judge erred in denying production of the
    victim’s medical records but only to the extent that he denied
    production of the narrow class of records that contained
    communications about diagnoses and treatments with respect
    to which the victim previously had waived her privilege.
    With respect to the NMCCA’s fourth conclusion, the
    qualifications above cause my prejudice analysis to differ
    somewhat from the analysis of the NMCCA. Unlike the
    NMCCA, I conclude that any error did not prejudice
    Appellant. Having reached that determination, I conclude
    that regardless of whether the NMCCA’s remedial measure
    (i.e., excepting the words “on divers occasions” from the
    specification at issue) was required for addressing an error
    with respect to M.R.E. 513(a), no further remedy is necessary.
    II. Standards of Review
    Several different standards of review apply to this case.
    This Court must uphold the military judge’s findings of fact
    unless they are clearly erroneous. United States v. Mosby, 
    56 M.J. 309
    , 310 (C.A.A.F. 2002). Issues about the meaning of
    evidentiary rules such as M.R.E. 510(a) and M.R.E. 513(a) are
    questions of law that this Court must decide de novo. United
    States v. Matthews, 
    68 M.J. 29
    , 35–36 (C.A.A.F. 2009). This
    Court reviews a military judge’s denial of production of
    evidence under M.R.E. 703(e)(1) for abuse of discretion.
    United States v. Mosley, 
    42 M.J. 300
    , 303 (C.A.A.F. 1995).
    4
    United States v. Mellette, No. 21-0312/NA
    Judge MAGGS, dissenting
    Finally, “[w]e review prejudice determinations under a de
    novo standard of review.” United States v. Ward, 
    74 M.J. 225
    ,
    227 (C.A.A.F. 2015) (citing United States v. Diaz, 
    45 M.J. 494
    ,
    496 (C.A.A.F. 1997)).
    III. Discussion
    Following the framework of the NMCCA’s opinion, I
    address the following issues: (A) the application of the
    psychotherapist-patient privilege in M.R.E. 513(a) to
    diagnoses and treatments; (B) the victim’s possible waiver of
    the psychotherapist-patient privilege under M.R.E. 510(a);
    (C) Appellant’s right to production of records under R.C.M.
    703; and (D) the prejudice to Appellant under Article 59(a),
    UCMJ, 
    10 U.S.C. § 859
    (a).
    A. Application of the Psychotherapist-Patient Privilege in
    M.R.E. 513(a) to Diagnoses and Treatments
    M.R.E. 513(a) creates an evidentiary privilege that
    protects from disclosure certain communications between a
    patient and a psychotherapist.4 The rule states in relevant
    part:
    A patient has a privilege to refuse to disclose and to
    prevent any other person from disclosing a
    confidential communication made between the
    patient and a psychotherapist . . . if such
    communication was made for the purpose of
    facilitating diagnosis or treatment of the patient’s
    mental or emotional condition.
    M.R.E. 513(a).
    This Court interprets the M.R.E., including those rules
    establishing privileges, according to their plain meaning.
    Matthews, 68 M.J. at 38. Although the Supreme Court strictly
    construes federal common law privileges to limit their
    application, Trammel v. United States, 
    445 U.S. 40
    , 50 (1980),
    this practice has no clear application to the interpretation of
    codified privileges. 25 Charles Alan Wright & Kenneth W.
    Graham, Jr., Federal Practice and Procedure: Evidence
    4 M.R.E. 513(b)(2) defines the term “[p]sychotherapist” in part
    to include “a psychiatrist, clinical psychologist, clinical social
    worker, or other mental health professional who is licensed . . . to
    perform professional services.”
    5
    United States v. Mellette, No. 21-0312/NA
    Judge MAGGS, dissenting
    § 5586, at 715 (1989) (explaining that Trammel does not affect
    the meaning of privileges codified in statutes). Consistent
    with this view, this Court has not construed privileges in the
    M.R.E. to be more limited than what their text provides. See
    United States v. Custis, 
    65 M.J. 366
    , 369 (C.A.A.F. 2007)
    (declining to create an exception to M.R.E. 504 by departing
    from the rule’s text notwithstanding what the Supreme Court
    said in Trammel).
    In this case, the parties’ dispute over the meaning of
    M.R.E. 513(a) is simply summarized. Appellant argues
    that     the   psychotherapist-patient      privilege    covers
    “communication[s] . . . made for the purpose of facilitating
    diagnosis or treatment” but does not extend to the diagnosis
    and treatment themselves. Relying on the opinion of the
    United States Army Court of Criminal Appeals in Rodriquez,
    
    2019 CCA LEXIS 387
    , at *7–8, 
    2019 WL 4858233
    , at *4,
    Appellant contends that the plain meaning of M.R.E. 513’s
    text supports this conclusion. The Government responds that
    diagnoses and treatments are privileged. Quoting the
    CGCCA’s opinion in H.V. v. Kitchen, 75 M.J. at 719, the
    Government argues that “ ‘diagnoses and the nature of
    treatment necessarily reflect, at least in part, the patient’s
    confidential communications to the psychotherapist’ because
    ‘[m]ost diagnoses of mental disorders rely extensively on what
    the patient has communicated to the psychotherapist.’ ”
    (Alteration in original.) The Government further contends
    that diagnoses and treatment are part of the confidential
    communications that a psychotherapist makes to facilitate
    treatment.
    In my view, the text of M.R.E. 513 supports the view of the
    Government and the H.V. v. Kitchen opinion. M.R.E. 513(a)
    grants a patient a privilege to prevent anyone from
    “disclosing” a confidential communication between the
    patient and a psychotherapist that was made for the purpose
    of facilitating diagnosis or treatment of the patient’s mental
    condition. Key to interpreting this provision is a careful
    consideration of how someone might “disclose” a covered
    communication. In general, the verb “to disclose” means “to
    reveal in words (something that is secret or not generally
    known).” Merriam–Webster Unabridged Dictionary https://
    unabridged.merriam-webster.com/unabridged/disclose (last
    6
    United States v. Mellette, No. 21-0312/NA
    Judge MAGGS, dissenting
    visited July 26, 2022). The central question here is whether
    M.R.E. 513(a) addresses only complete and verbatim
    disclosures of covered communications or instead addresses
    any disclosures of such communications.
    M.R.E. 513(a) certainly empowers a patient to prevent a
    complete and verbatim disclosure of a covered
    communication. For example, the patient could prevent the
    psychotherapist from releasing either the original copy or a
    photocopy of a confidential written communication between
    the psychotherapist and the patient that was made for the
    purpose of facilitating the diagnosis or treatment of the
    patient’s condition. Similarly, if the covered communication
    was made orally, the patient could prevent the
    psychotherapist from releasing a video or audio recording or
    a transcription of the communication. Such acts would be
    disclosures within the meaning of M.R.E. 513(a) because they
    would reveal the covered communications.
    But R.C.M. 513(a) does not qualify the term “disclosing”
    in such a way that the privilege only allows a patient to
    prevent someone from disclosing a complete and verbatim
    record of a covered communication. A partial or nonverbatim
    disclosure is still a disclosure so long as it reveals some of
    what would otherwise be secret. Accordingly, a patient may
    use the privilege in R.C.M. 513(a) to prevent the
    psychotherapist from disclosing notes of what was discussed
    during covered communication, even if those notes are not
    necessarily a complete and verbatim transcript of what was
    said. See United States v. Beauge, 
    82 M.J. 157
    , 159–60
    (C.A.A.F. 2022) (holding that the military judge did not abuse
    his discretion in denying the appellant’s motion for in camera
    review of the victim’s psychiatric records including “the
    psychotherapist’s notes”). Similarly, the privilege allows a
    patient to prevent a psychotherapist from testifying about
    what he or she remembered was said in a covered
    communication, even if the psychotherapist could not
    necessarily recollect the exact words that were uttered. See
    United States v. Jenkins, 
    63 M.J. 426
    , 428 (C.A.A.F. 2006)
    (assuming that a psychotherapist’s testimony was covered by
    R.C.M. 513(a) but determining that it fell within the
    exceptions in M.R.E. 513(d)(4) and (6)).
    7
    United States v. Mellette, No. 21-0312/NA
    Judge MAGGS, dissenting
    Much like a nonverbatim summary or recollection, a
    diagnosis or treatment also may provide some evidence of
    what a patient confidentially told the psychotherapist or what
    the psychotherapist confidentially told the patient for the
    purpose of treating the patient’s mental condition. As a U.S.
    district court explained in Stark v. Hartt Transportation
    Systems, Inc., “[a] person’s mental health diagnoses and the
    nature of his or her treatment inherently reveal something of
    the private, sensitive concerns that led him or her to seek
    treatment and necessarily reflect, at least in part, his or her
    confidential communications to the psychotherapist.” 
    937 F. Supp. 2d 88
    , 91 (D. Me. 2013); see also H.V. v. Kitchen, 75 M.J.
    at 719 (citing and following Stark). Or as another U.S. district
    court explained in United States v. White, “[a] party armed
    with knowledge of a patient’s diagnosis will be able to make
    an educated guess about the substance of the communications
    that gave rise to the diagnosis.” Criminal Action No. 2:12-cr-
    00221, 
    2013 U.S. Dist. LEXIS 49426
    , at *23, 
    2013 WL 1404877
    , at *7 (S.D.W.Va. Apr. 5, 2013), rev’d sub nom.
    Kinder v. White, 609 F. App’x 126, 131 (4th Cir. 2015)
    (agreeing with the trial court that the records of a diagnosis
    were privileged but overruling its determination that an
    exception to the privilege applied). In other words, disclosing
    a diagnosis or a treatment may reveal what the patient said
    to the psychotherapist or what the psychotherapist said to the
    patient for the purpose of facilitating treatment of the
    patient’s mental condition.
    Accordingly, I would hold that a record of a patient’s
    diagnosis is privileged to the extent that its disclosure would
    reveal what the patient confidentially told the
    psychotherapist or what the psychotherapist confidentially
    told the patient for the purpose of diagnosing or treating the
    patient’s mental condition. For example, a record containing
    a diagnosis of anxiety or depression would be privileged to the
    extent that disclosure of the diagnosis reveals, even if only
    indirectly, that the patient told the psychotherapist that the
    patient was anxious or depressed for the purpose of obtaining
    treatment. Likewise, I would hold that a treatment is
    privileged to the extent that its disclosure would reveal what
    the psychotherapist confidentially told the patient or what
    the patient confidentially told the psychotherapist for the
    8
    United States v. Mellette, No. 21-0312/NA
    Judge MAGGS, dissenting
    purpose of diagnosing or treating the patient’s mental
    condition. For example, a record showing that the
    psychotherapist prescribed a regimen of counseling or
    medication would be privileged to the extent that disclosing
    the treatment regimen provides some evidence about what
    the psychotherapist confidentially told the patient for the
    purpose of treating the patient’s mental condition.5
    Similar questions about what constitutes a disclosure
    have arisen with respect to other privileges. A leading treatise
    notes that “[a]n important question about the power of the
    client    to     prevent    disclosure     of    attorney-client
    confidences . . . is whether the privilege bars circumstantial
    as well as direct evidence of attorney-client communications.”
    24 Charles Alan Wright & Kenneth W. Graham, Jr., Federal
    Practice and Procedure: Evidence § 5489, at 424 (1986). Some
    courts have reasoned, correctly in my view, that a “lawyer’s
    papers should be privileged if they would be circumstantial
    evidence of the client’s communication” under the attorney-
    client privilege. Id. § 5491, at 459; see also 24 Charles Alan
    Wright, Kenneth W. Graham, Jr. & Ann Murphy at 318 n.89
    (1986 & Supp. 2022) (citing cases). Likewise, although the
    government deliberations privilege generally does not cover
    portions of documents that contain only facts, the privilege
    will cover factual “material [that] is so inextricably
    intertwined with the deliberative sections of documents that
    its disclosure would inevitably reveal the government’s
    deliberations.” In re Sealed Case, 
    121 F.3d 729
    , 737 (D.C. Cir.
    1997).
    In this case, as explained above, Appellant moved for
    production of the victim’s mental health records, requesting
    information    about    any   “treatment     provided   and
    5 Communications from a psychotherapist to a patient about a
    diagnosis or treatment might be beneficial or even required. After
    observing that “psychiatrists often have to break difficult news to
    patients,” the author of one peer-reviewed study discusses both the
    “negative and positive effects of disclosing the diagnosis to
    patients.” Michelle Cleary et al., Delivering Difficult News in
    Psychiatric Settings, 17 Harv. Rev. Psychiatry 315, 319 (2009).
    Such disclosures, the author asserts, may facilitate treatment by
    providing patients the benefits of “increased insight into their
    symptoms, ability to access treatment, and plans for the future.” 
    Id.
    9
    United States v. Mellette, No. 21-0312/NA
    Judge MAGGS, dissenting
    recommended, and her diagnosis.” To the extent that any
    such records containing a diagnosis and treatment would
    reveal what the victim confidentially told her psychotherapist
    or the psychotherapist confidentially told the victim for the
    purpose of facilitating her diagnosis and treatment, they are
    privileged. Such records are not discoverable.
    But what about possible records containing diagnoses and
    treatments that somehow disclose nothing about the
    confidential communications between the victim and her
    psychotherapist? The answer is twofold. First, if any such
    records somehow existed, they would not be privileged under
    R.C.M. 513. Second, as the military judge recognized, they
    still would not necessarily be discoverable. Under R.C.M.
    703(e)(1), the accused “is entitled to the production of
    evidence which is relevant and necessary.” To obtain an order
    of production under this rule, the accused must show more
    than a mere prospect or possibility that a production order
    will yield relevant and necessary evidence. “[T]he defense, as
    the moving party, . . . [is] required as a threshold matter to
    show that the requested material exist[s].” United States v.
    Rodriguez, 
    60 M.J. 239
    , 246 (C.A.A.F. 2004).
    In this case, the military judge found that “the defense has
    offered some evidence that the records might include an
    additional diagnosis.” But the military judge concluded that
    the defense “has offered no factual basis upon which to
    conclude the records would yield evidence admissible under
    M.R.E. 513.” I agree with the military judge’s assessment.
    Appellant has not provided any reason for this Court to
    believe that the victim’s mental health records contain any
    information about diagnoses and treatments that do not
    reveal what the victim confidentially told her psychotherapist
    or what the psychotherapist confidentially told the victim for
    the purpose of facilitating her diagnosis or treatment. And
    even if the records somehow might exist, I agree with the
    military judge’s assessment that such records would not be
    “reasonably segregable from records of communications
    between [the victim] and her mental health providers.”
    Appellant in this case has not suggested any method by which
    a military judge could decide whether a diagnosis or
    treatment provides evidence of their confidential
    10
    United States v. Mellette, No. 21-0312/NA
    Judge MAGGS, dissenting
    communications.6 For these reasons, Appellant has not
    shown that he is entitled to the records or even an in camera
    review of the records.
    B. Waiver of the Privilege Under M.R.E. 510(a)
    Under M.R.E. 510(a), a party may waive the protection of
    the psychotherapist-patient privilege. This provision states in
    relevant part:
    A person upon whom these rules confer a privilege
    against disclosure of a confidential matter or
    communication waives the privilege if the person or
    the person’s predecessor while holder of the privilege
    voluntarily discloses or consents to disclosure of any
    significant part of the matter or communication
    under such circumstances that it would be
    inappropriate to allow the claim of privilege.
    M.R.E. 510(a). Appellant argues that the victim waived
    whatever privilege she may have had by voluntarily revealing
    numerous details about her mental health in a deposition, in
    an interview with agents of the Naval Criminal Investigative
    Service, and in an interview with trial counsel. The
    Government responds that when the victim disclosed some of
    her diagnoses and treatments, she waived her privilege only
    for “that particular communication” between her and her
    psychotherapist that “included the diagnoses and treatments
    that she disclosed.”
    I agree with the Government because its argument
    accords with the text of both M.R.E. 510(a) and M.R.E. 513(a).
    Although M.R.E. 510(a) states a general waiver rule
    applicable to any disclosure of a privileged “matter or
    communication,” M.R.E. 513(a) provides a privilege only for
    “communication[s],” not for “matters.” Thus, the test for
    waiver of the psychotherapist-patient privilege in M.R.E.
    513(a) is not whether the patient talked about her mental
    health in general, but is instead whether she disclosed a
    “significant part” of a particular privileged “communication.”
    6 Perhaps  in other cases, the record might contain evidence that
    would allow a military judge to make such a decision. For example,
    a psychotherapist might testify that he or she made a diagnosis
    without relying on confidential communications with the patient for
    the purpose of treating the patient’s mental condition.
    11
    United States v. Mellette, No. 21-0312/NA
    Judge MAGGS, dissenting
    See Custis, 65 M.J. at 371 (holding that under M.R.E. 510(a),
    the appellant did not waive the spousal privilege because a
    “comment to his coworker did not relay either the actual
    conversation between Appellant and his wife or the substance
    of the privileged communications between Appellant and his
    wife”).
    The NMCCA appears to have missed this distinction when
    it concluded that the victim waived her psychotherapist-
    patient privilege when she “openly discussed her mental
    health matters with multiple people on multiple occasions.”
    Mellette, 81 M.J. at 693 (emphasis added). The NMCCA
    instead should have determined whether particular
    disclosures by the victim waived her privilege with respect to
    particular communications. In my view, because the NMCCA
    did not follow this approach, it overstated the victim’s waiver
    of her privilege in this case.
    Under M.R.E. 510(a), when the victim disclosed evidence
    of her diagnosis and treatment for two mental health
    conditions (hereinafter the “two disclosed conditions”), she
    waived     the   privilege   over   her   psychotherapist’s
    communications to her about the diagnoses and treatments
    with respect to these two disclosed conditions. The victim,
    however, did not waive her privilege over other
    communications—including other communications that
    might have led to additional diagnoses and treatments. As
    discussed immediately below, this important distinction
    affects the analysis of the necessity of producing records
    containing communications for which the privilege was
    waived.
    C. Production of Records Under R.C.M. 703(e)(1)
    Under R.C.M. 703(e)(1), a “party is entitled to the
    production of evidence which is relevant and necessary.”
    Under R.C.M. 703(f), an accused seeking production of an
    item of evidence must “include a description of [the] item
    sufficient to show its relevance and necessity.” The military
    judge, in my view, did not abuse his discretion in concluding
    that Appellant could not meet these requirements in seeking
    records of diagnoses and treatments for possible conditions
    other than the two that the victim had disclosed. Although
    Appellant “offered some evidence that the [psychotherapist’s]
    12
    United States v. Mellette, No. 21-0312/NA
    Judge MAGGS, dissenting
    records might include an additional diagnosis,” the military
    judge concluded that the defense “has offered no factual basis
    upon which to conclude the records would yield evidence
    admissible under M.R.E. 513.” See Rodriguez, 
    60 M.J. at 246
    (holding that, where the appellant “did not carry his burden
    as the moving party to demonstrate that the [evidence] he
    requested existed,” he could not show it was relevant or
    necessary). To the extent the NMCCA ruled otherwise, I
    disagree.
    But in my view, the military judge did abuse his discretion
    in denying production of records containing diagnoses and
    treatments for the two disclosed conditions. These records
    were not privileged because the victim waived her privilege
    with respect to them. And even if such records would be
    mostly cumulative, I agree with the NMCCA that they were
    still subject to production under R.C.M. 703, to “confirm [the
    victim’s] stated diagnoses” and “prescribed medications, not
    all of which she could remember the names of.” Mellette, 81
    M.J. at 693.
    D. Prejudice Under Article 59(a), UCMJ
    In the foregoing discussion, I have concluded that the
    military judge abused his discretion in not ordering the
    production of records concerning the victim’s diagnoses and
    treatments with respect to two disclosed conditions. The final
    question is whether this abuse of discretion materially
    prejudiced Appellant under Article 59(a), UCMJ. I conclude
    that it did not.
    When assessing prejudice for nonconstitutional errors,
    this Court weighs “(1) the strength of the Government’s case,
    (2) the strength of the defense case, (3) the materiality of the
    evidence in question, and (4) the quality of the evidence in
    question.” United States v. Kohlbek, 
    78 M.J. 326
    , 334
    (C.A.A.F. 2019) (internal quotation marks omitted) (citations
    omitted). Here, although the first two factors do not strongly
    favor either party, I do not believe the materiality and quality
    of the evidence are such that the error could have
    substantially impacted the findings. As explained above,
    Appellant already knew from the victim’s own statements
    that she had been diagnosed with the two disclosed conditions
    and had received treatments for them. Her mental health
    13
    United States v. Mellette, No. 21-0312/NA
    Judge MAGGS, dissenting
    records might have provided confirmation of what the victim
    disclosed. But the record of trial provides no suggestion that
    having such mental health records would have benefitted
    Appellant at trial.
    After the victim testified, trial defense counsel cross-
    examined and then recross-examined her. During these cross-
    examinations, trial defense counsel never asked the victim
    about her two disclosed conditions. Unless trial defense
    counsel erred (which Appellant has not alleged), then the
    most reasonable inference is that trial defense counsel
    believed that the two disclosed conditions were not “relevant
    to issues of suggestion, memory, and truthfulness.” And if
    they are not so relevant, then I cannot see how additional or
    confirmatory communications about those two disclosed
    conditions would have made a difference.
    The NMCCA believed that there was prejudice but that
    the appropriate remedy for addressing the prejudice was to
    except from the specification at issue the words “on divers
    occasions.”7 Because I would not have awarded any remedy
    for the failure to produce the medical records, I easily
    conclude that Appellant is not entitled to any additional
    remedy.
    IV. Conclusion
    For the foregoing reasons, I would affirm the decision of
    the United States Navy-Marine Corps Court of Criminal
    Appeals.
    7 The NMCCA also based its decision to except this language
    because some of the evidence purporting to support it was improper
    opinion testimony. Mellette, 81 M.J. at 698.
    14