P. v. Collier CA6 ( 2013 )


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  • Filed 7/11/13 P. v. Collier CA6
    NOT TO BE PUBLISHED IN OFFICIAL REPORTS
    California Rules of Court, rule 8.1115(a), prohibits courts and parties from citing or relying on opinions not certified for
    publication or ordered published, except as specified by rule 8.1115(b). This opinion has not been certified for publication
    or ordered published for purposes of rule 8.1115.
    IN THE COURT OF APPEAL OF THE STATE OF CALIFORNIA
    SIXTH APPELLATE DISTRICT
    THE PEOPLE,                                                          H038124
    (Santa Clara County
    Plaintiff and Respondent,                                   Super. Ct. No. 162764)
    v.
    BRENT MELTON COLLIER,
    Defendant and Appellant.
    Defendant Brent Melton Collier appeals from a trial court order extending his
    involuntary commitment as a mentally disordered offender (MDO). He argues the order
    must be reversed because an expert witness testified regarding the content of inadmissible
    hearsay documents when opining that defendant was unsuitable for release from Patton
    State Hospital (Patton). Defendant alternatively argues the trial court erred in refusing
    placement in an outpatient treatment program. We will affirm.
    FACTUAL AND PROCEDURAL HISTORY
    In 1992, defendant threw a rock at a bus driver, causing her bodily injury. As a
    result of this incident, he was convicted of violating Penal Code section 245.21 and
    sentenced to four years in prison.
    1
    Subsequent unspecified statutory references are to the Penal Code.
    In 1995, defendant was deemed an MDO and civilly committed. He was released
    on outpatient status, under the supervision of the South Bay Conditional Release Program
    (CONREP), in 1997. That same year, he stole a CONREP van, and his outpatient status
    was revoked. He was accordingly committed to Atascadero State Hospital.
    Defendant was administratively transferred to Patton in 1999. Over the next
    12 years, the trial court periodically extended defendant’s commitment to Patton.
    On October 12, 2011, the Santa Clara County District Attorney filed a petition,
    pursuant to section 2970, seeking to extend defendant’s commitment for an additional
    year. A court trial on the petition commenced on March 20, 2012.
    Dr. Gregory Leong provided expert testimony at the trial. Dr. Leong was a Patton
    psychiatrist, and he interviewed defendant for 45 minutes on August 16, 2011. During
    the interview, defendant admitted that he experienced delusions and heard voices. He
    explained that he had suffered from a mental disorder in the past, but he claimed that he
    no longer suffered from any sort of mental disorder.
    During the interview with Dr. Leong, defendant talked about the 1992 assault on
    the bus driver. Defendant stated that the bus driver, who was female, reminded him of
    his father. He explained that the bus driver deserved to be assaulted because she had not
    treated him with adequate respect. Based on defendant’s statements, Dr. Leong
    determined that defendant experienced a delusional misidentification when he committed
    the assault on the bus driver.
    Later in the interview, defendant told Dr. Leong that other people and entities
    were responsible for all his failings in life. Defendant stated that CONREP was one of
    the entities that had wronged him. He complained that, when he participated in CONREP
    in 1997, he was forced to submit to frequent drug testing. He also complained that
    CONREP prohibited him from having any money. He explained that the conditions
    2
    imposed by CONREP were unduly restrictive, and that he was therefore justified in
    fleeing from CONREP.
    Near the end of the interview, defendant began speaking about a fellow patient
    who had been accepted into CONREP. Defendant explained that the patient was a
    murderer, and that it would therefore be unfair if defendant were not also accepted into
    CONREP. Defendant explained that he needed to go to CONREP because individuals at
    Patton were out to get him. He believed he was in danger at Patton. He refused to
    answer a hypothetical question regarding CONREP, explaining that answering the
    question would further endanger him. Defendant was upset, and he terminated the
    interview. Dr. Leong testified that defendant’s fearful statements and behavior showed
    that he was delusional and hearing voices.
    Before trial, Dr. Leong reviewed defendant’s Patton file. The records in the file
    showed that defendant had recently experienced illogical thinking, paranoia, irritability,
    and mood disturbance. Notes made by defendant’s treating psychologist stated that
    defendant’s symptoms were in partial remission, but that defendant was still experiencing
    thought distortion and internal preoccupation that were indicative of delusions or
    hallucinations. The records showed that defendant had recently experienced a delusion
    that caused him to believe that Patton staff members were imposters.
    Based on his interview with defendant, as well as the symptoms and behaviors
    documented in defendant’s Patton file, Dr. Leong opined at trial that defendant was
    currently suffering from paranoid schizophrenia. Dr. Leong also opined that defendant
    would pose a substantial risk of harm to others if released into the community. Dr. Leong
    believed that defendant posed a substantial risk of harm because defendant was currently
    exhibiting symptoms of a severe mental illness and defendant’s failure to recognize the
    existence of his mental illness rendered him unlikely to comply with a treatment program.
    3
    Defendant testified at the trial. He explained that he was currently suffering from
    paranoid schizophrenia. He testified that his disease caused him to experience “[t]hought
    disorders, delusions, believing people are out to get you, inferiority complexes, worries
    about things that aren’t real.” He explained that he currently experienced delusions
    involving the devil, hell, and heaven. He currently believed that Patton staff members
    were out to get him.
    Defendant testified that his act of stealing the van and fleeing from CONREP in
    1997 was “[n]ot that big of a deal.” He explained that his actions were justified because
    CONREP had violated his constitutional rights. Despite his belief that CONREP had
    violated his constitutional rights, defendant testified that he would like the court to send
    him to CONREP if outright release were denied.
    At the conclusion of the trial, the court found that defendant suffered from a
    severe mental disorder that was not in remission, and that defendant would pose a
    substantial danger of physical harm to others if he were released into the community.
    The court accordingly granted the petition to extend defendant’s involuntary commitment
    for an additional year. The court denied defendant’s request to be placed with CONREP,
    finding that defendant had failed to satisfy the burden of proof required for an outpatient
    placement.
    On March 29, 2012, defendant filed a timely notice of appeal. This appeal
    followed.
    DISCUSSION
    Defendant argues the order extending his involuntary commitment must be
    reversed because Dr. Leong testified regarding the content of several inadmissible
    hearsay documents included in defendant’s Patton file. We conclude that Dr. Leong
    properly relied on the hearsay in forming his opinion regarding defendant’s mental
    disorder and dangerousness, and that Dr. Leong properly testified regarding facts
    4
    contained in the Patton file at the court trial. We accordingly find no abuse of discretion
    in the trial court’s admission of the hearsay.
    In the alternative, defendant argues the trial court’s denial of CONREP placement
    should be reversed because defendant’s trial testimony established his suitability for
    treatment at CONREP. We conclude that defendant’s testimony, which evinced a
    hostility toward CONREP and its policies, constituted substantial evidence that defendant
    could not be safely and effectively treated at CONREP. We therefore conclude that the
    trial court did not err in refusing to place defendant with CONREP.
    I. Admission of the Hearsay was Not an Abuse of Discretion
    Section 2972, subdivision (c) describes the elements that must be established to
    extend an MDO’s involuntary commitment: “If the court or jury finds that the patient has
    a severe mental disorder, that the patient’s severe mental disorder is not in remission or
    cannot be kept in remission without treatment, and that by reason of his or her severe
    mental disorder, the patient represents a substantial danger of physical harm to others, the
    court shall order the patient recommitted . . . .” A qualified expert witness “is entitled to
    render an opinion on the criteria necessary for an MDO commitment.” (People v.
    Dodd (2005) 
    133 Cal. App. 4th 1564
    , 1569.)
    Matter that is ordinarily inadmissible “can form the proper basis for an expert’s
    opinion testimony.” (People v. Gardeley (1996) 
    14 Cal. 4th 605
    , 618; see also Evid.
    Code, § 801, subd. (b) [an expert’s opinion may be based on matters known to the expert
    “whether or not admissible”].) Thus, an expert may generally base his or her opinion on
    reliable hearsay “not otherwise admissible.” (People v. Montiel (1993) 
    5 Cal. 4th 877
    ,
    918.) “[A]n expert witness whose opinion is based on such inadmissible matter can,
    when testifying, describe the material that forms the basis of the opinion.” 
    (Gardeley, supra
    , 14 Cal.4th at p. 618.)
    5
    An expert witness’s ability to testify regarding inadmissible hearsay, however, is
    not unlimited. People v. Coleman explained: “While an expert may state on direct
    examination the matters on which he relied in forming his opinion, he may not testify as
    to the details of such matters if they are otherwise inadmissible.” (People v.
    Coleman (1985) 
    38 Cal. 3d 69
    , 92 (Coleman), disapproved on another point in People v.
    Riccardi (2012) 
    54 Cal. 4th 758
    , 824, fn. 32, internal quotation mark removed.) “The rule
    rests on the rationale that while an expert may give reasons on direct examination for his
    opinions, including the matters he considered in forming them, he may not under the
    guise of reasons bring before the jury incompetent hearsay evidence.” (Ibid.)
    A trial court must therefore balance competing interests when determining the
    extent to which an expert witness may testify regarding hearsay documents. The
    desirability of permitting an expert to explain the basis for an opinion must be balanced
    against the need to prevent the trier of fact from considering inadmissible matter for an
    improper purpose. (See People v. Martin (2005) 
    127 Cal. App. 4th 970
    , 977 (Martin),
    disapproved on another point in People v. Achrem (2013) 
    213 Cal. App. 4th 153
    , 156.)
    “Because an expert’s need to consider extrajudicial matters, and a jury’s need for
    information sufficient to evaluate an expert opinion, may conflict with an accused’s
    interest in avoiding substantive use of unreliable hearsay, disputes in this area must
    generally be left to the trial court’s sound judgment.” 
    (Montiel, supra
    , 5 Cal.4th at
    p. 919.) A trial court’s ruling regarding the admissibility of this hearsay is accordingly
    reviewed for abuse of discretion. (People v. Valdez (1997) 
    58 Cal. App. 4th 494
    , 511; see
    also People v. Waidla (2000) 
    22 Cal. 4th 690
    , 723 [“an appellate court applies the abuse
    of discretion standard of review to any ruling by a trial court on the admissibility of
    evidence”].)
    The following principles must guide a reviewing court’s abuse of discretion
    analysis: “ ‘The discretion of a trial judge is not a whimsical, uncontrolled power, but a
    6
    legal discretion, which is subject to the limitations of legal principles governing the
    subject of its action, and to reversal on appeal where no reasonable basis for the action is
    shown.’ (9 Witkin, Cal. Procedure (5th ed. 2008) Appeal, § 364, p. 420; see Westside
    Community for Independent Living, Inc. v. Obledo (1983) 
    33 Cal. 3d 348
    , 355.) ‘The
    scope of discretion always resides in the particular law being applied, i.e., in the “legal
    principles governing the subject of [the] action . . . .” Action that transgresses the
    confines of the applicable principles of law is outside the scope of discretion and we call
    such action an “abuse” of discretion. [Citation.] . . . [¶] The legal principles that govern
    the subject of discretionary action vary greatly with context. [Citation.] They are derived
    from the common law or statutes under which discretion is conferred.’ (City of
    Sacramento v. Drew (1989) 
    207 Cal. App. 3d 1287
    , 1297-1298.) To determine if a court
    abused its discretion, we must thus consider ‘the legal principles and policies that should
    have guided the court’s actions.’ (People v. Carmony (2004) 
    33 Cal. 4th 367
    , 377.)”
    (Sargon Enterprises, Inc. v. University of Southern California (2012) 
    55 Cal. 4th 747
    ,
    773).)
    People v. Campos (1995) 
    32 Cal. App. 4th 304
    (Campos) found such an abuse of
    discretion in a trial court’s admission of the hearsay basis of an expert’s opinion. In
    Campos, a jury determined the appellant qualified as an MDO. (Id. at p. 306.) Campos
    held that the trial court erred in permitting a psychiatrist to testify that nontestifying
    experts concurred in the psychiatrist’s opinion regarding the appellant’s MDO status. (Id.
    at pp. 306-307.) Campos reasoned: “[D]octors can testify as to the basis for their
    opinion [citation], but this is not intended to be a channel by which testifying doctors can
    place the opinion of innumerable out-of-court doctors before the jury.” (Id. at p. 308,
    internal quotation marks omitted.)
    In contrast, 
    Martin, supra
    , 
    127 Cal. App. 4th 970
    found no abuse of discretion in
    the admission of the hearsay basis of expert opinion. In Martin, the appellant’s MDO
    7
    status was determined at a court trial. (Id. at p. 973.) At the court trial, three doctors
    testified that specific facts in the probation report established the appellant’s status as an
    MDO. (Id. at p. 976.) On appeal, the appellant argued the experts “should not have been
    allowed to testify to the details of the report.” (Id. at p. 977.) Martin held that “there was
    no error in allowing the experts to describe the probation report in stating the basis for
    their opinions.” (Ibid.) Martin reasoned that a probation report is a reliable hearsay
    document upon which an expert may base an opinion. (Ibid.) Martin also reasoned that
    the Coleman rule, which proscribes an expert’s testimony regarding the details included
    in hearsay documents, is inapplicable in a court trial. (Ibid.) Martin explained: “The
    court in Coleman was attempting to balance the desirability of allowing an expert to
    explain the basis for an opinion and the need to prevent the jury from considering
    inadmissible matter for an improper purpose. In this case, however, appellant was tried
    before the court. A judge is presumed to know and follow the law. [Citations.] We must
    assume that the court in this case considered the testimony about the probation report’s
    contents solely for the proper purpose of assessing the experts’ credibility, and not as
    independent proof of the facts contained therein.” (Ibid., italics in original.)
    At defendant’s court trial, Dr. Leong’s opinion regarding defendant’s mental
    disorder and unsuitability for release from Patton was based, in part, on medical records
    in defendant’s Patton file. Specifically, Dr. Leong utilized the following hearsay in
    defendant’s Patton file: the treating psychiatrist’s diagnosis of paranoid schizophrenia,
    polysubstance dependence, and water intoxication; the facts of the 1992 assault on the
    bus driver; defendant’s symptoms as described by Patton staff members; Patton staff
    members’ descriptions of defendant’s participation in group treatment; Patton staff
    members’ statements regarding the viability of defendant’s release plan; notes indicating
    that defendant’s substance abuse problem was in institutional remission; Patton staff
    8
    members’ statements that defendant denied having a substance abuse problem; and
    Patton staff members’ notes regarding defendant’s recent delusions.
    Defendant’s case is analogous to Martin. The medical records in defendant’s
    Patton file, like the probation report at issue in Martin, constituted reliable hearsay upon
    which Dr. Leong was permitted to base his opinion. (Garibay v. Hemmat (2008) 
    161 Cal. App. 4th 735
    , 743 [“although hospital records are hearsay, they can be used as a basis
    for an expert medical opinion”]; see also People v. Nelson (2012) 
    209 Cal. App. 4th 698
    ,
    707 [mental health experts “routinely rely on interview reports and observations of
    nontestifying experts”].) Also like Martin, defendant’s MDO status was determined by
    the trial court, not by a jury. Thus, just as the Martin court did, we must presume that the
    trial court did not improperly consider the Patton medical records for their truth. (See
    
    Martin, supra
    , 127 Cal.App.4th at p. 977.) Indeed, the trial court specifically stated that
    it considered the hearsay in defendant’s Patton file only for the purpose of assessing the
    credibility of Dr. Leong’s opinion. The Martin holding therefore authorized Dr. Leong’s
    testimony regarding the content of the hearsay documents in defendant’s Patton file.
    Accordingly, because the admission of the hearsay in defendant’s case comports with the
    legal principles and policies articulated in Martin, we find no abuse of discretion.
    Defendant contends the Campos holding prohibited Dr. Leong from testifying
    regarding the content of the hearsay documents in the Patton file. Campos, however, is
    easily harmonized with our analysis. Campos held that the trial court erred in admitting,
    in a jury trial, an expert’s testimony regarding the medical opinions of multiple
    nontestifying doctors. 
    (Campos, supra
    , 32 Cal.App.4th at p. 308.) In defendant’s case,
    Dr. Leong described only one nontestifying doctor’s opinion: the treating psychiatrist’s
    diagnosis regarding defendant’s mental disorder. The remainder of the hearsay utilized
    by Dr. Leong largely pertained to Patton staff members’ direct observations of
    defendant’s behavior, not the personal opinions of those Patton staff members.
    9
    Moreover, unlike the jury trial in Campos, defendant had a court trial. In light of the
    Campos court’s concern with placing “the opinion of innumerable out-of-court doctors
    before the jury,” defendant’s case does not fall within the ambit of the Campos holding.
    (Id. at p. 308, internal quotation marks omitted; see also People v. Bordelon (2008) 
    162 Cal. App. 4th 1311
    , 1326 [Campos was “concerned with preventing the introduction of
    multiple opinions, insulated from cross-examination, into evidence”].)
    Accordingly, we conclude that Dr. Leong’s testimony regarding the hearsay was
    authorized under the legal principles and policies articulated in Martin. We therefore
    hold that the trial court did not abuse its discretion in admitting the hearsay.
    II. Substantial Evidence Supports the Trial Court’s Denial of CONREP Placement
    Defendant alternatively argues the trial court erred in refusing to place him in the
    CONREP outpatient treatment program. Defendant’s contention is unpersuasive.
    Section 2972, subdivision (d) states: “A person shall be released on outpatient
    status if the committing court finds that there is reasonable cause to believe that the
    committed person can be safely and effectively treated on an outpatient basis.”
    Section 2972, subdivision (d) describes “a disposition available to the trial court at the
    conclusion of a recommitment hearing.” (People v. May (2007) 
    155 Cal. App. 4th 350
    ,
    359; see also People v. Rish (2008) 
    163 Cal. App. 4th 1370
    , 1382 [section 2972,
    subdivision (d) “describes an alternative disposition that is available to the court” upon
    sustaining a section 2970 petition].)
    The patient “shoulders the burden of showing his suitability for outpatient
    treatment.” (People v. Gregerson (2011) 
    202 Cal. App. 4th 306
    , 316 (Gregerson).) The
    standard of proof is set forth in the plain language of section 2972, subdivision (d): the
    patient must demonstrate reasonable cause to believe that he or she can be safely and
    effectively treated on an outpatient basis. (Id. at p. 317.) Under this reasonable cause
    standard, “the patient must raise a strong suspicion in a person of ordinary prudence that
    10
    outpatient treatment would be safe and effective.” (Id. at p. 319, fn. omitted.)
    A trial court’s ruling regarding placement in an outpatient program must be based
    on evidence. 
    (Gregerson, supra
    , 202 Cal.App.4th at p. 320.) “Accordingly, if the court
    grants outpatient treatment, its order will be affirmed if substantial evidence shows
    reasonable cause existed to believe outpatient treatment would be safe and effective. If
    the court denies outpatient treatment, its order will be affirmed if substantial evidence
    shows there was no such reasonable cause. In any event, if substantial evidence does not
    support the court’s order, it must be reversed.” (Ibid.)
    In the instant case, defendant testified that, during his 1997 CONREP placement,
    he stole a CONREP van and fled from the CONREP facility. He explained that stealing
    the van was justified because CONREP’s drug-testing procedures and “flea-bitten”
    facility violated his constitutional rights. He specifically testified that stealing the
    CONREP van and fleeing from CONREP was “[n]ot that big of a deal.” During his
    August 2011 interview with Dr. Leong, defendant expressed his continuing belief that
    CONREP had wronged him, and he complained that CONREP’s policies were unduly
    restrictive. At the time of trial, defendant still believed CONREP had violated his
    constitutional rights.
    Given the evidence of defendant’s negative feelings toward CONREP and the
    evidence of his non-compliance with CONREP’s policies, the trial court reasonably
    concluded that defendant could not be safely and effectively treated at CONREP.
    Although defendant testified that, if placed with CONREP, he would comply with
    CONREP’s policies, this testimony was insufficient to establish reasonable cause for a
    CONREP placement. (See 
    Rish, supra
    , 163 Cal.App.4th at p. 1385 [patient’s testimony
    regarding his willingness to comply with outpatient procedures was insufficient to
    establish reasonable cause for an outpatient placement].) Indeed, in light of defendant’s
    testimony regarding his hostility toward CONREP and its policies, defendant’s assurance
    11
    that he would comply with CONREP’s policies was suspect. Accordingly, substantial
    evidence shows there was no reasonable cause to believe that CONREP treatment would
    be safe and effective, and the trial court did not err in refusing to order CONREP
    placement. (See generally 
    ibid. [patient failed to
    meet his burden of proof where the
    “evidence does not come close to addressing how [the patient] intended to comply with
    outpatient treatment and how such treatment would be safe and effective”].)
    DISPOSITION
    The order granting the petition to extend defendant’s involuntary commitment is
    affirmed.
    ______________________________________
    RUSHING, P.J.
    WE CONCUR:
    ____________________________________
    PREMO, J.
    ____________________________________
    ELIA, J.
    12