People v. Houser ( 2016 )


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  • Filed 11/23/16
    CERTIFIED FOR PUBLICATION
    IN THE COURT OF APPEAL OF THE STATE OF CALIFORNIA
    FOURTH APPELLATE DISTRICT
    DIVISION TWO
    THE PEOPLE,
    Plaintiff and Respondent,                E063996
    v.                                                (Super.Ct.No. FVA1400075)
    EARL LEWIS HOUSER, JR.,                           OPINION
    Defendant and Appellant.
    APPEAL from the Superior Court of San Bernardino County. Gerard S. Brown,
    Judge. Reversed.
    Edward J. Haggerty, under appointment by the Court of Appeal, for Defendant
    and Appellant.
    Kamala D. Harris, Attorney General, Gerald A. Engler, Chief Assistant Attorney
    General, Julie L. Garland, Assistant Attorney General, Arlene A. Sevidal and Michael
    Pulos, Deputy Attorneys General, for Plaintiff and Respondent.
    1
    During a trial on multiple counts of sexual offenses against a child, defense
    counsel informed the court that he had a doubt as to defendant and appellant Earl Lewis
    Houser, Jr.‟s mental competence to stand trial. The trial court appointed a psychologist
    to assess defendant‟s mental competence within the meaning of Penal Code section 1367,
    subdivision (a),1 and to advise the court whether there was substantial evidence that
    defendant was not competent to stand trial. Following a hearing at which the
    psychologist testified and was cross-examined by both the prosecution and the defense,
    the trial court concluded that defendant was mentally competent to stand trial. The trial
    resumed and defendant was convicted on all counts.
    Although defendant‟s briefing addresses the question whether the court‟s ruling
    that defendant was mentally competent was supported by substantial evidence, we
    conclude, based on California Supreme Court opinions beginning with People v.
    Pennington (1967) 
    66 Cal. 2d 508
    (Pennington), that the issue before the trial court at that
    juncture was whether the expert‟s testimony was sufficient to raise a reasonable doubt as
    to defendant‟s competence and thus triggered his constitutional right to a full competency
    hearing, not whether defendant was or was not mentally competent. We also conclude
    that the evidence was sufficient to raise such a doubt. Because a trial court has “no
    power to proceed with the trial once a doubt arises as to the sanity of the defendant,” the
    1   All further statutory citations refer to the Penal Code.
    2
    error is prejudicial per se and reversal is required.2 (Pennington, at p. 521; see § 1368.)
    Accordingly, we will reverse defendant‟s conviction.
    PROCEDURAL HISTORY
    A jury convicted defendant of six acts of lewd acts with a child under the age of
    14 years (§ 288, subd. (a); counts 1, 2, 3, 5, 6, 7) and one count of oral copulation with a
    child under the age of 10 years (§ 288.7, subd. (b); count 4). On count 4, the jury was
    given the option of finding defendant guilty either of orally copulating the victim or
    having the victim orally copulate him. The jury found him guilty of having the victim
    orally copulate him and not guilty on the alternate theory.
    The court sentenced defendant to a determinate term of 16 years in state prison for
    the violations of section 288, subdivision (a), followed by an indeterminate term of
    15 years to life in state prison on count 4.
    Defendant filed a timely notice of appeal.
    FACTUAL HISTORY3
    The crimes were alleged to have taken place between 2007 and 2010. Defendant
    was the boyfriend of the victim‟s mother, and during the relevant period, he lived with
    the victim, her mother and her two brothers. The victim was between the ages of seven
    and 10 years at the time. During that time, defendant often cared for the victim while her
    2 Although the title of section 1368 refers to “sanity,” the statute itself refers to
    “mental competence.”
    3 Because the sole issue we address in this appeal does not require any analysis of
    the evidence, a brief statement of the underlying facts suffices.
    3
    mother was at work and her brothers were out of the house. He took advantage of their
    absences to molest the victim.
    The victim did not disclose the abuse to her mother until she was 13 years old. By
    then, defendant no longer lived with them. The mother reported the abuse to the police.
    A detective assisted the mother in planning and executing a pretext call to defendant,
    which was recorded. During the lengthy conversation, defendant first denied having
    molested the victim but ultimately admitted having committed the acts she had described.
    LEGAL ANALYSIS
    The Competency Statutory Scheme, Due Process, and the Standard of Review
    Both the due process clause of the Fourteenth Amendment to the United States
    Constitution and state law prohibit the state from trying or convicting a person who is
    mentally incompetent. (People v. Sattiewhite (2014) 
    59 Cal. 4th 446
    , 464 (Sattiewhite).)
    A person is incompetent to stand trial “if, as a result of mental disorder or developmental
    disability, the defendant is unable to understand the nature of the criminal proceedings or
    to assist counsel in the conduct of a defense in a rational manner.” (§ 1367, subd. (a).)
    Defendant contends that the trial court‟s ruling that he was mentally competent to stand
    trial violated his constitutional right to due process because it was not supported by
    substantial evidence. As noted above, however, procedurally, the issue before the trial
    court was not whether defendant was competent to stand trial but whether there was
    substantial evidence that defendant might be mentally incompetent and was therefore
    entitled to a full competency hearing.
    4
    Section 1368 provides that a competency hearing is required when the trial court
    declares a doubt as to the defendant‟s competence to stand trial. (§ 1368, subd. (a).)4
    Despite the wording of section 1368, however, the California Supreme Court has
    declared that a competency hearing is also required if defense counsel informs the court
    that he or she has a doubt as to the defendant‟s competency and produces substantial
    evidence that the defendant is not competent: “[O]nce the accused has come forward
    with substantial evidence of incompetence to stand trial, due process requires that a full
    competence hearing be held as a matter of right.” (People v. Welch (1999) 
    20 Cal. 4th 701
    , 738 (Welch), citing Pate v. Robinson (1966) 
    383 U.S. 375
    , 384-386 and Pennington,
    4   Section 1368 provides: “(a) If, during the pendency of an action and prior to
    judgment, or during revocation proceedings for a violation of probation, mandatory
    supervision, postrelease community supervision, or parole, a doubt arises in the mind of
    the judge as to the mental competence of the defendant, he or she shall state that doubt in
    the record and inquire of the attorney for the defendant whether, in the opinion of the
    attorney, the defendant is mentally competent. If the defendant is not represented by
    counsel, the court shall appoint counsel. At the request of the defendant or his or her
    counsel or upon its own motion, the court shall recess the proceedings for as long as may
    be reasonably necessary to permit counsel to confer with the defendant and to form an
    opinion as to the mental competence of the defendant at that point in time.
    “(b) If counsel informs the court that he or she believes the defendant is or may be
    mentally incompetent, the court shall order that the question of the defendant‟s mental
    competence is to be determined in a hearing which is held pursuant to Sections 1368.1
    and 1369. If counsel informs the court that he or she believes the defendant is mentally
    competent, the court may nevertheless order a hearing. Any hearing shall be held in the
    superior court.
    “Except as provided in Section 1368.1, when an order for a hearing into the present
    mental competence of the defendant has been issued, all proceedings in the criminal
    prosecution shall be suspended until the question of the present mental competence of the
    defendant has been determined.
    “If a jury has been impaneled and sworn to try the defendant, the jury shall be
    discharged only if it appears to the court that undue hardship to the jurors would result if
    the jury is retained on call.
    “If the defendant is declared mentally incompetent, the jury shall be 
    discharged.” 5 supra
    , 66 Cal.3d at pp. 516-519; accord, 
    Sattiewhite, supra
    , 59 Cal.4th at p. 465.) If
    defense counsel states a doubt but does not produce sufficient evidence to persuade the
    trial court that the defendant might not be mentally competent, the trial court need not
    hold a competency hearing but it may, in its discretion, appoint a mental health
    professional to assess the defendant and report to the court. If at that point there is
    substantial evidence that the defendant is not competent to stand trial, the trial court must
    suspend the criminal proceedings and hold a full competency hearing. The trial court has
    no discretion to do otherwise. (Welch, at p. 738.) In this context, “substantial evidence”
    has been defined as evidence that is sufficient to raise a reasonable doubt concerning the
    defendant‟s competence to stand trial. (Ibid.) Accordingly, the court‟s duty to hold a
    competency hearing arises even if the evidence is in conflict (ibid.) and even if the trial
    judge does not personally entertain a doubt as to whether the defendant is competent.
    
    (Pennington, supra
    , 66 Cal.2d at p. 518 [where “doubt as to sanity may be said to appear
    as a matter of law,” trial court has no discretion to deny a competency hearing].) Denial
    of a competency hearing when one is warranted by the evidence is a violation of due
    process and is reversible error per se. (Id. at p. 521.)
    At oral argument, the Attorney General argued that 
    Pennington, supra
    , 
    66 Cal. 2d 508
    , is no longer the law and that current Supreme Court precedent holds that we must
    review deferentially a trial court‟s decision not to hold a competency hearing. This is
    incorrect.
    Counsel relied upon People v. Rogers (2006) 
    39 Cal. 4th 826
    (Rogers). There, the
    court stated, “Both federal due process and state law require a trial judge to suspend trial
    6
    proceedings and conduct a competency hearing whenever the court is presented with
    substantial evidence of incompetence, that is, evidence that raises a reasonable or bona
    fide doubt concerning the defendant‟s competence to stand trial. . . . [Citing, inter alia,
    
    Pennington, supra
    , 66 Cal.2d at pp. 516-517.] [¶] A trial court’s decision whether or not
    to hold a competence hearing is entitled to deference, because the court has the
    opportunity to observe the defendant during trial. [Citations.] The failure to declare a
    doubt and conduct a hearing when there is substantial evidence of incompetence,
    however, requires reversal of the judgment of conviction. [Citations.]” (Id. at p. 847,
    italics added.)
    Although the italicized portion of the foregoing statement appears to support the
    Attorney General‟s position, the court‟s discussion of the competency hearing scheme
    actually makes it clear that it is consistent with the holding of 
    Pennington, supra
    , 
    66 Cal. 2d 508
    . In support of the statement that the trial court‟s observations are entitled to
    deference, Rogers cites People v. Danielson (1992) 
    3 Cal. 4th 691
    , at page 727. 
    (Rogers, supra
    , 39 Cal.4th at p. 847.) Danielson in turn cites People v. Merkouris (1959) 
    52 Cal. 2d 672
    , at page 679, for the proposition that a trial judge‟s ruling regarding whether a
    competency hearing is required should always be given great deference. (Danielson, at
    p. 727.) In Pennington, the court discussed Merkouris at length and ultimately rejected
    Merkouris‟s holding that where the evidence on the subject of the defendant‟s sanity or
    competence was “„highly conflicting,‟” that evidence, “‟together with the trial judge‟s
    personal observation of defendant,‟” was sufficient to support the trial judge‟s conclusion
    that he did not have a doubt as to the defendant‟s sanity or competence. (Pennington, at
    7
    p. 516, quoting Merkouris at p. 681.) In Pennington, the court concluded, based on Pate
    v. 
    Robinson, supra
    , 
    383 U.S. 375
    , that due process mandates a hearing on competency
    whenever there is substantial evidence that the defendant might not be mentally
    competent. Ordering a competency hearing is within the trial court‟s discretion only
    when the evidence casting doubt on the defendant‟s competence or sanity is not
    substantial. (Pennington, at pp. 516-519.) When there is substantial evidence as a matter
    of law, the trial court has no discretion. (Id. at pp. 516-518.) This distinction is reiterated
    in 
    Welch, supra
    , 20 Cal.4th at page 738, as well as in People v. Mai (2013) 
    57 Cal. 4th 986
    , at page 1033, and in 
    Sattiewhite, supra
    , 59 Cal.4th at page 465.
    Nor does Drope v. Missouri (1975) 
    420 U.S. 162
    , also cited in 
    Rogers, supra
    , 39
    Cal.4th at page 847, support the Attorney General‟s contention that the trial judge‟s
    observation of the defendant is entitled to deference despite objective evidence that
    suggests mental incompetence. In fact, just like 
    Pennington, supra
    , 
    66 Cal. 2d 508
    ,
    Drope rejected the contention that the trial court‟s determination as to inferences to be
    drawn from undisputed evidence is entitled to deference. On the contrary, the court held,
    it is incumbent on a reviewing court “„to analyze the facts in order that the appropriate
    enforcement of the federal [constitutional] right may be assured.‟ [Citation.]” (Drope at
    p. 175; see also 
    id. at pp.
    174-182.)
    In 
    Rogers, supra
    , 
    39 Cal. 4th 826
    , the court analyzed the evidence the defendant
    asserted as the basis for his claim that the trial court was required to hold a competency
    hearing and concluded that it was not substantial. The court then noted that the trial court
    had the opportunity to observe the defendant‟s testimony and demeanor during the trial.
    8
    The court noted that the defendant‟s intelligence was above average, that he testified
    coherently and articulately, and that there was nothing in the defendant‟s testimony that
    would have caused the trial court to question whether the defendant was able to
    understand the proceedings or cooperate with counsel. The court held that, considering
    all of the evidence before the trial court, “there was no substantial indication of
    incompetence requiring the trial court to declare a doubt and conduct a competence
    hearing.” (Rogers at p. 849.) Accordingly, the holding in Rogers is fully consistent with
    
    Pennington, supra
    , 66 Cal.2d at pages 516 through 519. More importantly, it most
    definitely does not overrule Pennington.
    Nor does People v. Townsel (2016) 
    63 Cal. 4th 25
    , also cited by the Attorney
    General, support her position. Townsel does not explicitly hold that the trial court‟s
    ruling was subject to deferential review. It does, however, hold that the evidence the
    defendant relied upon to assert that the trial court was obligated to appoint the director of
    a regional center to assess whether his developmental disability rendered him not
    competent to stand trial did not amount to substantial evidence that he was not mentally
    competent. (Id. at pp. 36-42.) Accordingly, that case, too, does not indicate that the
    court has departed from the rules it enunciated in 
    Pennington, supra
    , 
    66 Cal. 2d 508
    .
    Application to the Instant Case
    In this case, the issue arose as follows: On the morning of the third day of
    testimony, the bailiff informed the court that defendant had indicated that he did not want
    to come into the courtroom. The bailiff did not disclose whether defendant gave any
    reason. Defense counsel waived defendant‟s presence for that day‟s proceedings. That
    9
    afternoon, counsel informed the court that he had a doubt as to defendant‟s competency
    to stand trial. He stated that during the previous day‟s proceedings, defendant “was
    having a hard time keeping it together, and I had to constantly pat him on the back and
    say, are you okay, hang in there.” The court responded that defendant‟s emotional
    response to listening to the evidence, which included the victim‟s testimony and the
    recorded pretext call with the victim‟s mother, was understandable. For that reason, the
    court was not “comfortable” suspending the proceedings “unless somebody that knows a
    lot more about psychology and psychiatry than any of us do has an opportunity to go
    ahead and meet with the defendant.” The court said that after the afternoon‟s planned
    testimony, which it expected to be brief, it would have defendant brought up from the
    holding cell and allow defense counsel, his supervisor “and anybody else he chooses” to
    confer with defendant “so they can be [in] a better position to indicate to the court”
    whether they believed that defendant was not mentally competent. If defense counsel
    reported that he believed defendant was not competent, the court would arrange for a
    psychiatrist or psychologist to interview defendant and to be prepared to testify on the
    following Monday morning as to defendant‟s competency.5 Defense counsel objected to
    the court not suspending the proceedings, but the court repeated that it did not consider
    suspension of the proceedings and initiation of a full competency hearing appropriate
    “given my concerns and my reservations about [defendant‟s] conduct and the timing of
    5 These events took place on Wednesday, April 22, 2015. The court had already
    decided that because a juror had a medical appointment for his or her child on Thursday
    and the court is always dark on Fridays, trial proceedings would be recessed until
    Monday.
    10
    that conduct,” i.e., that the court did not, at that point, entertain a doubt as to defendant‟s
    competence.
    Later that day, defense counsel reported that he and his supervisor had spoken to
    defendant. Defendant told them he was hearing voices that interfered with his train of
    thought, in spite of the antipsychotic medication he was taking. Because of the voices,
    counsel said, defendant was not able to assist in his defense. The court again expressed a
    doubt as to whether there was substantial evidence that defendant was mentally
    incompetent. It stated that it would proceed as planned, by appointing a psychiatrist or
    psychologist to interview defendant and testify the following Monday. It would put the
    doctor on the witness stand and allow both parties to ask any questions they wished. The
    court said that it was not required to do so, but felt that “in this situation it wouldn‟t be a
    bad idea.”
    The court appointed Dr. Chuck Leeb, a psychologist, to assess defendant‟s mental
    competence. Dr. Leeb submitted a written report and then testified.6 We will describe
    Dr. Leeb‟s testimony in detail below, but for purposes of setting forth the history of the
    proceedings, it suffices to say that Dr. Leeb testified that defendant was schizophrenic
    and hearing voices, and that he had an irrational but genuine fear of the prosecutor,
    sufficient to cause a “flat out panic response” at the thought of being in the prosecutor‟s
    6   The report is sealed, and we do not quote from it. Dr. Leeb‟s testimony was not
    sealed.
    11
    presence. Based on his understanding of the legal requirements for competency to stand
    trial, however, he concluded that defendant was competent.
    Based on Dr. Leeb‟s testimony and on its own observations of defendant during
    the trial, the court ruled that defendant was competent to stand trial.7 Dr. Leeb‟s
    testimony, however, constituted substantial evidence sufficient to raise a doubt as to
    defendant‟s competence. Accordingly, the court‟s ruling was error.
    Dr. Leeb‟s conclusion that defendant was competent was based on his
    understanding that under the law, a defendant is competent if he or she is capable of
    understanding the proceedings and assisting defense counsel. However, in 
    Stankewitz, supra
    , 
    32 Cal. 3d 80
    , the court recognized the concept of “limited incompetence,” i.e., that
    a defendant who has the cognitive ability to understand the proceedings and could
    otherwise rationally assist in his or her defense is nevertheless legally incompetent if a
    paranoid delusion prevents him or her from doing so. In that case, the defendant suffered
    from a paranoid delusion focused on his public defender and the public defender‟s office
    in general. Among other things, defendant believed that his public defender was in
    collusion with the prosecutor. (Id. at p. 88.) After a “fundamental dispute” as to what
    defense should be presented came to a head, defense counsel informed the court that he
    7  The Attorney General asserts that the trial court found that there was insufficient
    evidence to raise a doubt as to defendant‟s competence to stand trial. We disagree that
    this is what the trial court found, and, as we discuss below, we conclude that there was
    sufficient evidence to raise a doubt, based on the concept of “limited incompetence”
    enunciated in People v. Stankewitz (1982) 
    32 Cal. 3d 80
    (Stankewitz). The Attorney
    General limits her discussion of the evidence to the trial court‟s observations and
    Dr. Leeb‟s testimony that defendant had the cognitive ability to assist in his defense.
    12
    believed that the defendant‟s position was irrational and was the product of a mental
    condition. The court appointed a psychiatrist to examine the defendant concerning his
    competency to stand trial. The doctor testified that the defendant‟s paranoid delusion
    prevented the defendant from assisting in his defense in a rational manner. (Ibid.) He
    also gave the opinion that the defendant might be able to rationally assist a private
    attorney if one were appointed for him. (Id. at p. 92.) The trial court acknowledged that
    the defendant could not cooperate with a public defender in a rational manner, but “chose
    to cast the issue in terms of whether there should be a substitution of counsel.” (Ibid.)
    Nevertheless, the trial court denied the substitution, and defendant proceeded to trial
    “with a counsel [he] was unable to rationally assist.” (Ibid.)
    The California Supreme Court held that because there was substantial evidence
    indicating that defendant could not rationally assist his attorney because of his paranoid
    delusion, the question of the defendant‟s competence “should have been determined in a
    full competency hearing conducted as required by sections 1367 and 1368.” (
    Stankewitz, supra
    , 32 Cal.3d at p. 93.) The court held that the existence of potentially conflicting
    evidence did not relieve the trial court of the duty to conduct a competency hearing and
    that reversal of defendant‟s conviction was mandatory. (Id. at pp. 91-94.)
    Similarly, Dr. Leeb‟s testimony constituted substantial evidence that defendant
    could not rationally assist his attorney because of his paranoid delusion concerning the
    prosecutor. Dr. Leeb stated initially that his basic conclusion was that defendant was
    competent to stand trial, but that “the conclusions are really much more complicated than
    it seems” and that “there are a number of issues involved” with that conclusion. He
    13
    testified that defendant understood the proceedings and was willing to assist his attorney.
    However, defendant was schizophrenic and was having paranoid delusions and
    persecutory delusions. Defendant‟s refusal to enter the courtroom resulted from his fear
    of the prosecutor. He reacted viscerally to her, seeing her as a monster. Dr. Leeb
    testified that this fear was the result of defendant‟s “very dysfunctional personality
    structure,” consistent with empathic deprivation during childhood, meaning that the
    parent or primary caregiver wasn‟t able to instill in him the ability to regulate anxiety. In
    some people, if the primary caregiver is perceived by the infant as “being scary,” this can
    result in what Dr. Leeb described as “the traumatic image.” Unless it is dealt with
    through intensive therapy, this “implicit memory of a scary face holds forever,” and when
    that image comes up, the person can go into the “flight and fight [sic] response” or can go
    into a panic mode.
    Defendant explained to Dr. Leeb that when he looked at the prosecutor, he saw
    “this evil darkness, like an attacking vampire. I get so scared I can‟t sit at the table. I‟m
    jerking all around. I wanted to dive under the table. I won‟t go into the courtroom.”
    Dr. Leeb continued, “When [defendant] stated, „I see this evil darkness,‟ he shrank down
    into his chair, his eyes went wide, and you can [sic] see the fear response on his face, and
    his voice got high and he says [sic], „I‟m not going to go in there,‟ and he went like this
    with his arms (indicating), in what appeared to be a protective gesture.” Dr. Leeb then
    demonstrated the “attacking vampire,” as defendant had described how he saw the
    prosecutor. After calming him down and asking some innocuous questions, Dr. Leeb
    suddenly mimicked the face defendant had made. Based on defendant‟s instantaneous
    14
    reaction, Dr. Leeb believed that defendant‟s fear was real, that his response was to “an
    image that [went] back to [defendant‟s] infancy,” and that he was not malingering.
    Dr. Leeb said it would be “very difficult to get him into court because of—it‟s a flat out
    panic response.”
    Dr. Leeb went on to testify that although defendant‟s refusal to enter the
    courtroom was the product of his mental illness, it was nevertheless “on some level” a
    matter of choice. However, when asked by defense counsel whether he had focused on
    defendant‟s ability to cooperate with counsel—and counsel specifically stated that he
    wanted defendant to be present in the courtroom—in deciding whether defendant was
    competent, Dr. Leeb replied, “I asked him do you feel that you can go into the courtroom
    because your attorney wants you to go there and he said I don‟t think so. And I said, why
    not? And he said, that really scares me. I have difficulty seeing fear and competency. I
    don‟t know what‟s required legally, making an assumption you folks know your job real
    well. So I don‟t know what it means if somebody says I can‟t—I‟m choosing not to show
    up.” He also testified, “I‟m not a physician, but if a physician asked [sic] could he be
    given medications to control his level of anxiety, I would not be surprised that the
    response would be yes. His level of anxiety could [interfere] with his, I guess, ability to
    cooperate . . . .” (Italics added.)
    Even though Dr. Leeb believed that defendant was making a choice, his testimony
    strongly suggests otherwise, i.e., that defendant‟s “flat out panic response” was
    sufficiently severe to prevent him from exercising his ability to choose to enter the
    courtroom and that anti-anxiety medication might be necessary to enable him to make
    15
    that choice. Taken all together, this evidence is clearly sufficient to raise a doubt as to
    whether defendant was able, as a result of his mental condition, to rationally assist in his
    defense. Accordingly, the court erred in not ordering a full competency hearing.8
    (
    Stankewitz, supra
    , 32 Cal.3d at pp. 93-94.)
    Although it could be argued that defendant was effectively given a full hearing on
    the question of competency, in which his attorney was allowed to cross-examine
    Dr. Leeb and to argue on defendant‟s behalf, and that reversal and remand for further
    proceedings is therefore not necessary in order to protect defendant‟s due process rights,
    we note that the California Supreme Court rejected this argument in 
    Pennington, supra
    ,
    
    66 Cal. 2d 508
    . In that case, the court addressed the argument “that the proceedings
    conducted by the judge when he took evidence to aid him in deciding if a doubt of
    defendant‟s [competence] existed constitute the „hearing‟ on the issue of competence to
    stand trial which Pate v. 
    Robinson[, supra
    , 383 U.S. at p. 385] requires.” (Pennington, at
    p. 520.) The court stated, “We disagree. In [Pate v.] Robinson, where the United States
    Supreme Court found a violation of due process of law in failure to conduct a hearing on
    present sanity, the Illinois trial judge had also taken certain evidence the only purpose of
    which could have been to guide him in determining if a doubt of Robinson‟s competence
    to stand trial existed. [Fn. omitted.] The distinction between a complete hearing to
    8  We emphasize that the evidence is sufficient only to show that defendant might
    not be able to assist his attorney because of his mental condition. Not all paranoid
    delusions render a defendant incompetent (see, e.g., People v. Halvorsen (2007) 
    42 Cal. 4th 379
    , 401-403), and it is arguable that defendant‟s inability to be in the courtroom
    did not render him unable to assist in his defense in a meaningful way. Those are issues
    that should have been explored in a competency hearing.
    16
    decide if an accused is competent to stand trial and special proceedings conducted by a
    judge to determine whether he should declare that a doubt of the accused‟s present sanity
    exists is well recognized in this state. [Citations.] The decision of the United States
    Supreme Court in Pate v. Robinson demonstrates that the type of „hearing‟ which due
    process requires when the accused has come forward with substantial evidence of present
    insanity has not been accorded the accused when the judge merely takes evidence to
    guide him in determining if he should declare the existence of a „doubt.‟ A „hearing‟ is
    generally understood to be a proceeding where evidence is taken to the end of
    determining an issue of fact and a decision made on the basis of that evidence. [Citation.]
    Such a full hearing on the present sanity issue, manifestly the type of hearing the United
    States Supreme Court was referring to, is provided for by section 1368 of the Penal Code
    and was erroneously denied to defendant Pennington in the instant case.” (Pennington, at
    pp. 520-521.)
    The hearing in this case also did not afford defendant due process, as discussed in
    Pennington, because the issue the court actually adjudicated was not the stated subject of
    the hearing, i.e., whether there was sufficient evidence to warrant a hearing on
    competence to stand trial. 
    (Pennington, supra
    , 67 Cal.2d at pp. 520-521.) The issue of
    defendant‟s actual competence was not within the scope of the hearing. The hearing also
    failed to comply with the requirements of section 1369, which sets forth the procedure for
    17
    conducting competency hearings.9 Section 1369 provides that each side is entitled to
    present rebuttal evidence. (§ 1369, subd. (d).) Defense counsel had no opportunity to do
    9    In pertinent part, section 1369 provides: “Except as stated in subdivision (g), a
    trial by court or jury of the question of mental competence shall proceed in the following
    order: [¶] (a) The court shall appoint a psychiatrist or licensed psychologist, and any
    other expert the court may deem appropriate, to examine the defendant. In any case
    where the defendant or the defendant‟s counsel informs the court that the defendant is not
    seeking a finding of mental incompetence, the court shall appoint two psychiatrists,
    licensed psychologists, or a combination thereof. One of the psychiatrists or licensed
    psychologists may be named by the defense and one may be named by the prosecution.
    The examining psychiatrists or licensed psychologists shall evaluate the nature of the
    defendant‟s mental disorder, if any, the defendant‟s ability or inability to understand the
    nature of the criminal proceedings or assist counsel in the conduct of a defense in a
    rational manner as a result of a mental disorder and, if within the scope of their licenses
    and appropriate to their opinions, whether or not treatment with antipsychotic medication
    is medically appropriate for the defendant and whether antipsychotic medication is likely
    to restore the defendant to mental competence. If an examining psychologist is of the
    opinion that antipsychotic medication may be medically appropriate for the defendant
    and that the defendant should be evaluated by a psychiatrist to determine if antipsychotic
    medication is medically appropriate, the psychologist shall inform the court of this
    opinion and his or her recommendation as to whether a psychiatrist should examine the
    defendant. The examining psychiatrists or licensed psychologists shall also address the
    issues of whether the defendant has capacity to make decisions regarding antipsychotic
    medication and whether the defendant is a danger to self or others. If the defendant is
    examined by a psychiatrist and the psychiatrist forms an opinion as to whether or not
    treatment with antipsychotic medication is medically appropriate, the psychiatrist shall
    inform the court of his or her opinions as to the likely or potential side effects of the
    medication, the expected efficacy of the medication, possible alternative treatments, and
    whether it is medically appropriate to administer antipsychotic medication in the county
    jail. . . . [¶] . . .
    “(b) (1) The counsel for the defendant shall offer evidence in support of the
    allegation of mental incompetence. [¶] (2) If the defense declines to offer any evidence
    in support of the allegation of mental incompetence, the prosecution may do so.
    “(c) The prosecution shall present its case regarding the issue of the defendant‟s
    present mental competence.
    “(d) Each party may offer rebutting testimony, unless the court, for good reason in
    furtherance of justice, also permits other evidence in support of the original contention.
    [footnote continued on next page]
    18
    so. Nor was he given the opportunity to prepare either to cross-examine Dr. Leeb or to
    rebut Dr. Leeb‟s conclusion that defendant was competent to stand trial and was making
    a volitional choice not to participate. Counsel were not given Dr. Leeb‟s report to review
    until Dr. Leeb had already taken the witness stand. Furthermore, he had no opportunity
    to consult with a physician to determine whether treatment with anti-anxiety medication
    would have permitted defendant to overcome his fear, as Dr. Leeb suggested. For all of
    these reasons, the hearing was not the equivalent of a full competency hearing, to which
    defendant was entitled. Accordingly, reversal is required. 
    (Pennington, supra
    , 66 Cal.2d
    at p. 521.)
    Because reversal is required on this ground, we need not address the remaining
    issues defendant raises.
    DISPOSITION
    The judgment is reversed.
    CERTIFIED FOR PUBLICATION
    McKINSTER
    J.
    [footnote continued from previous page]
    “(e) When the evidence is concluded, unless the case is submitted without final
    argument, the prosecution shall make its final argument and the defense shall conclude
    with its final argument to the court or jury.”
    19
    We concur:
    RAMIREZ
    P. J.
    SLOUGH
    J.
    20