State v. Dyous ( 2014 )


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    STATE OF CONNECTICUT v. ANTHONY DYOUS
    (AC 35670)
    Lavine, Prescott and West, Js.
    Argued May 19—officially released September 30, 2014
    (Appeal from Superior Court, judicial district of
    Windham, Boland, J.)
    Robert E. Byron, assigned counsel, for the appel-
    lant (defendant).
    Michele C. Lukban, senior assistant state’s attorney,
    with whom, on the brief, were Patricia M. Froehlich,
    state’s attorney, and Roger R. Caridad, senior assistant
    state’s attorney, for the appellee (state).
    Opinion
    LAVINE, J. The defendant, Anthony Dyous, appeals
    from the judgment of the trial court granting the state’s
    second petition for an order of continued commitment
    filed pursuant to General Statutes § 17a-593 (c).1 On
    appeal, the defendant claims that (1) the order of contin-
    ued commitment to the Psychiatric Security Review
    Board (board) violates his right to equal protection as
    against mentally disordered prison inmates,2 and (2) his
    April 8, 2011 criminal conviction constitutes a finding
    by the trial court that he is sane and, therefore, ‘‘the
    state no longer has a rationale for his commitment.’’
    We affirm the judgment of the trial court.
    The criminal activity that led to the defendant’s initial
    commitment occurred on December 28, 1983, and was
    described in detail in State v. Dyous, 
    307 Conn. 299
    ,
    302, 
    53 A.3d 153
    (2012) (Dyous I). We briefly recount
    those facts and the procedural history that inform the
    present appeal. The defendant had been hospitalized
    in a psychiatric facility three times prior to December
    28, 1983, when he hijacked a bus carrying forty-seven
    people and threatened the driver with a bomb and nerve
    gas. 
    Id., 304. At
    the time, the defendant stated that God
    had asked him to deliver a message. 
    Id. On March
    22,
    1985, he was found not guilty by reason of mental dis-
    ease or defect of two counts of kidnapping in the first
    degree, two counts of threatening in the second degree,
    and one count of carrying a dangerous weapon. The
    defendant was committed to the custody of the Com-
    missioner of Mental Health for a period not to exceed
    twenty-five years. 
    Id., 302. In
    March, 1985, the defendant
    was transferred to the custody of the board pursuant
    to General Statutes § 17a-582. 
    Id. Initially, the
    defendant was confined to Whiting
    Forensic Institute (Whiting), but later was transferred
    to Norwich State Hospital (Norwich). 
    Id., 304. He
    escaped from Norwich in 1986. 
    Id. Nine months
    later,
    he was located in Mexico, returned to Connecticut,
    and readmitted to Whiting. 
    Id. Upon readmission,
    the
    defendant was grossly psychotic and experiencing audi-
    tory and visual hallucinations, as well as grandiose and
    persecutory delusions. 
    Id. While he
    was at Whiting, he
    was involved in a violent incident during which he,
    other patients, and staff members sustained injuries. 
    Id. Between 1989
    and 2005, the defendant moved
    between Whiting, Norwich, and Connecticut Valley Hos-
    pital. 
    Id., 304–305. Between
    1990 and 1992, he was
    granted a number of temporary leaves that were termi-
    nated when he tested positive for cocaine. 
    Id., 305. In
    1996, the defendant exhibited signs of psychosis and
    admitted that he had not been taking his antipsychotic
    medication. 
    Id. He was
    admitted to Connecticut Valley
    Hospital, but he refused to take his medication. He
    later escaped. When he was found, he was returned to
    Whiting, where he exhibited psychotic and paranoid
    symptoms, and delusional thinking. 
    Id. He was
    violent
    and had to be placed in restraints. 
    Id. The defendant’s
    behavior ‘‘was characterized by chronic refusal to take
    medication, irritability, mood lability, grandiosity, para-
    noid ideation, rule breaking, physical altercations with
    peers and refusal to engage meaningfully in treatment.’’
    (Internal quotation marks omitted.) 
    Id. In October,
    2003, the defendant filed an application
    for discharge from the custody of the board that was
    denied by the court, Foley, J. The defendant filed a
    second application for discharge from the custody of
    the board in March, 2007, that was denied by the court,
    Swords, J. On April 27, 2009, the state filed a petition
    for an order of the defendant’s continued commitment
    to the board. The defendant filed a motion to dismiss
    the petition and a supplemental motion to dismiss the
    petition in February, 2010. Judge Swords held a hearing
    on the second petition and the defendant’s motions to
    dismiss on February 24, 2010. The court granted the
    state’s petition for an order of continued commitment
    and denied the defendant’s motions to dismiss. The
    defendant appealed from the judgment of continued
    commitment. Our Supreme Court affirmed that judg-
    ment in Dyous I.
    On April 24, 2012, the state filed a second petition
    for an order of continued commitment on the ground
    that the defendant ‘‘remains mentally ill to the extent
    that his discharge [from the board’s jurisdiction] would
    constitute a danger to himself or others.’’ The case was
    tried to the court, Boland, J., on February 28, 2013, and
    March 15, 2013.3 The court granted the state’s second
    petition and recommitted the defendant to the custody
    of the board until March 18, 2018.
    In ruling on the second petition for continued com-
    mitment, Judge Boland found that since July, 2004, the
    defendant has refused to provide a DNA sample as
    required by General Statutes § 54-102g. For eighteen
    months, he consistently refused to take his medication.
    He remained symptomatic, but not to a degree that
    required the involuntary administration of medication.
    Nonetheless, the defendant’s cooperation improved and
    his aggressive behavior diminished so that in July, 2006,
    he was transferred to Dutcher Hall at Connecticut Val-
    ley Hospital and was permitted to move about the cam-
    pus without an escort. In January, 2009, the defendant’s
    anger and resentment about his ongoing hospitalization,
    however, resulted in a notable deterioration in his con-
    dition despite therapeutic intervention. The court found
    that the defendant insisted that he ‘‘could make it on
    his own without medication and without the oversight
    of the medical profession.’’
    Although he noted the defendant’s prior history,
    Judge Boland gave greater weight to events that have
    occurred since the 2010 extension of the defendant’s
    commitment. In March, 2010, the defendant described
    himself as a ‘‘P.O.W.,’’ who was being held in violation of
    human rights standards. On April 26, 2010, he assaulted
    another patient by hitting the patient with a radio, lead-
    ing to his conviction on April 8, 2011, of assault in the
    third degree. Chemical tests administered at about that
    time revealed that for more than two years, the defen-
    dant falsely had indicated that he was taking his medica-
    tion; he surreptitiously was spitting out the pills.
    The court found the following events outlined in the
    board’s report. On December 29, 2010, the defendant
    pushed another patient to the floor and grabbed the
    patient by the throat. The incident ended only when
    hospital police intervened. In March, 2011, a female
    patient complained of the defendant’s behavior, which
    was ‘‘characterized as sexual harassment and unwel-
    come (but not, apparently, criminal) touching.’’
    Between March, 2010, and June, 2012, the defendant’s
    posture toward the medical staff was influenced by his
    belief that his commitment was illegal. He refused to
    engage in therapy or to take his medication. The staff
    determined that the defendant continued to be mentally
    ill and in need of medical attention. In June, 2012, the
    defendant exhibited greater cooperation and self-con-
    trol, but he continued to refuse to take his medication.
    The results of the defendant’s September 15, 2012 psy-
    chological assessment revealed that he had no current
    acute symptoms of bipolar disorder, and that, within an
    institutional setting he has refrained from using alcohol
    and illegal drugs.
    At the hearing on the second petition to extend the
    defendant’s commitment, the board’s report to the court
    was placed into evidence, and Mahboob Aslam, the
    defendant’s treating psychiatrist, testified. The court
    noted Aslam’s expert testimony that ‘‘interepisodal
    recovery while a patient remains in a highly structured
    environment is common; equally common . . . is the
    predictability of a relapse when a person leaves that
    structure,’’ as the person lacks insight into his malady,
    and resists taking medication and continuing in therapy.
    In its memorandum of decision, the court found that
    a clinical consensus existed that the defendant remains
    mentally ill and, despite his present state of relative
    lucidity, needs medication, which he refuses to take,
    and support, which he rejects. The court also found
    that if the defendant is to become a person who is not
    a danger to himself or others, he needs to take his
    medication and accept support. The court found by
    clear and convincing evidence that, at the time of the
    hearing, the defendant presented a danger to himself
    or to others such that he would be a risk of imminent
    physical injury to others or to himself if he were
    released.4 The court granted the petition and extended
    the defendant’s commitment to the board until March
    18, 2018. The defendant appealed.
    I
    The defendant claims that, by granting the state’s
    second petition for his continued commitment, the
    court violated ‘‘his equal protection rights as against
    mentally disordered prison inmates who are not subject
    to unwilling continued confinement.’’5 The defendant’s
    claim fails, as the record is inadequate for our review.
    At the hearing on the second petition to extend the
    defendant’s commitment, following the state’s presen-
    tation of evidence, the defendant presented no evi-
    dence, despite the fact that the court had continued
    the hearing to enable him to do so. See footnote 3 of
    this opinion. During his final argument, counsel for
    the defendant stated in part that the defendant’s case
    presented an equitable issue, but he was not ‘‘going to
    phrase it in terms of equal protection because [Dyous
    I] pretty much put paid to that.6 But there is an issue
    of fundamental fairness as [the defendant] stands in
    relation to people similarly situated in a prison system.
    Now, as Your Honor well knows, mental disorder is a
    big problem with inmates. The office of personnel and
    management put out a recidivism report in 2010. And
    one of the focuses of that report was a cohort of men-
    tally disordered patients . . . inmates who had been
    released during the year 2005.
    ‘‘Now, there were 1500 . . . inmates diagnosed as
    severely mentally disordered who were released. Now,
    [the] Department of Correction doesn’t give diagnoses.
    They give what they call MPH levels, and those go to
    the severity of the mental disorder. Now, of those
    1500—those 1500 were rated MPH-4 and MPH-5. MPH-4
    describes inmates who . . . have intensive psychiatric
    problems and who are probably on psychotropic medi-
    cation. MPH-5 describes inmates who are in crises
    states and who require twenty-four hour nursing care.
    [The defendant] is neither of those. [He] doesn’t take
    psychotropic medication. He’s certainly not in any kind
    of crisis state. He doesn’t take twenty-four hour nursing
    care. [The defendant’s] problem, insofar as the system
    is concerned, is not mental, it’s behavioral.
    ‘‘When considering whether to release [the defen-
    dant] . . . one of the factors to consider is whether it
    is fair to keep [him] confined when the system will
    release 1500 mentally disordered inmates in one year
    who are profoundly more psychiatrically disordered
    than [he is].’’ (Footnote added.)
    Counsel for the defendant later stated: ‘‘I think the
    court can and probably should consider what happens
    with people released from the correction system. And
    now those 1500 inmates, probably half of whom . . .
    had a very high recidivism rate. In fact, the recidivism
    rate for that cohort, that the recidivism study for 2010
    . . . was 67 percent, and the rate for people with mental
    disorders was higher than that. Now, that’s in contrast
    to the recidivism rate for people going through Connect-
    icut Valley Hospital under the jurisdiction of the
    [board]. Now, the [board] in its report of 2009–2010
    . . . indicates that its recidivism rate for acquittees on
    conditional release for that year was zero.’’
    Counsel for the defendant continued: ‘‘The point of all
    that is that, that kind of macro consideration, combined
    with [the defendant’s] record of nonoffending when he’s
    been out in the community, establish[es] a reasonable
    probability that he won’t reoffend. Even if he relapses,
    given what happened to him on his escapes, he still
    won’t reoffend.’’
    In its memorandum of decision, the court stated, in
    part, ‘‘[i]n closing argument, counsel for [the defendant]
    made a spirited case that [the defendant] ought to be
    released on equitable grounds, citing claimed practices
    of the Department of Correction applicable to prisoners
    under its jurisdiction with mental illness diagnoses. The
    factual basis of that claim was not established, but
    even if true, what policies inhere in that situation are not
    those which govern resolution of the instant question.’’
    (Emphasis added.) Moreover, the court found that
    defense counsel’s argument that the defendant ‘‘has
    done well at times during his years of confinement, and
    even at times of temporary release into the community,
    are inadequate to offset the voluminous evidence that
    such releases have led to further problems, and that
    those problems have repeatedly been serious and pro-
    bative of the need to continue his commitment to the
    board.’’
    In his brief on appeal, the defendant states that the
    present ‘‘case revisits the continuing commitment of
    the defendant . . . recently the subject of [Dyous I],’’
    which upheld the 2010 judgment continuing his commit-
    ment to 2013.7 The present appeal, he states, ‘‘argues
    issues not presented to the court in’’ Dyous I. He con-
    tends that the present issue is whether the order contin-
    uing his commitment violated his equal protection
    rights as against mentally disordered prison inmates
    who are not subject to unwilling continued confine-
    ment. The defendant also contends that that issue
    requires ‘‘a determination as to whether recommitting
    acquittees, who tend not to reoffend, serves to ‘protect
    society,’ as expressed in General Statutes § 17a-593,
    when the state releases disordered prison inmates who
    reoffend at rates not only higher than acquittees, but
    higher than inmates without disorder. Attention as well
    should be given to how this disparate treatment ‘pro-
    tects society’ when it works to discredit the process of
    treatment obtained through the criminal justice system
    by way of claiming the defense of mental disease or
    defect, such that the offenders who need treatment
    forgo it so as not to be confined indefinitely, even
    though forgoing treatment raises the likelihood they
    will reoffend.’’8 It appears to us that the defendant is
    challenging the factual premise on which § 17a-593 (c)
    is predicated, i.e., to protect society from acquittees,
    and our Supreme Court’s finding that the statute with-
    stands intermediate scrutiny with regard to the defen-
    dant’s constitutional right to equal protection. See State
    v. 
    Dyous, supra
    , 
    307 Conn. 303
    .
    On appeal, the defendant recognizes that he may not
    have raised the equal protection claim clearly at the
    hearing on the second petition for his continued com-
    mitment, and he seeks reversal of his commitment pur-
    suant to State v. Golding, 
    213 Conn. 233
    , 239–40, 
    567 A.2d 823
    (1989). We construe the defendant’s statement
    as a concession that the equal protection claim was
    not raised at trial. We are unable to review the claim,
    however, because the record is inadequate.
    ‘‘In Golding, our Supreme Court held that a defendant
    can prevail on a claim of constitutional error not pre-
    served at trial only if all of the following conditions are
    met: (1) the record is adequate to review the alleged
    claim of error; (2) the claim is of constitutional magni-
    tude alleging the violation of a fundamental right; (3)
    the alleged constitutional violation clearly exists and
    clearly deprived the defendant of a fair trial; and (4) if
    subject to harmless error analysis, the state has failed to
    demonstrate harmlessness of the alleged constitutional
    violation beyond a reasonable doubt. In the absence of
    any one of these conditions, the defendant’s claim will
    fail.’’ (Emphasis added; internal quotation marks omit-
    ted.) State v. Daniel G., 
    147 Conn. App. 523
    , 539, 
    84 A.3d 9
    , cert. denied, 
    311 Conn. 931
    , 
    87 A.3d 579
    (2014).
    ‘‘[U]nless the defendant has satisfied the first Golding
    prong, that is, unless the defendant has demonstrated
    that the record is adequate for appellate review, the
    appellate tribunal will not consider the merits of the
    defendant’s claim. . . . [I]n the absence of a sufficient
    record, there is no way to know whether a violation of
    constitutional magnitude in fact has occurred. . . .
    Thus, as [our Supreme Court] stated in Golding, we
    will not address an unpreserved constitutional claim
    [i]f the facts revealed by the record are insufficient,
    unclear or ambiguous as to whether a constitutional
    violation has occurred . . . .’’ (Citation omitted; inter-
    nal quotation marks omitted.) State v. Joseph, 150 Conn.
    App. 867, 869–70, 
    93 A.3d 1174
    (2014).
    As the trial court found, the defendant presented no
    evidence at the trial. Nonetheless, the defendant argued
    to the trial court that the recidivism rate of persons
    who have been found not guilty of crimes on the ground
    of mental disease and defect is lower than that of
    inmates who are mentally disordered and released. It
    is well known that the arguments of counsel are not
    evidence. See State v. Begley, 
    122 Conn. App. 546
    , 552
    n.10, 
    2 A.3d 1
    (2010). In its memorandum of decision,
    the court acknowledged the defendant’s argument but
    found that there was no evidentiary basis to support
    it.9 We conclude that not only did the defendant fail to
    clearly articulate his claim during his argument, he also
    did not litigate it.10 To permit a party to raise a claim
    on appeal that was not properly presented at trial is
    unfair to both the trial court and the parties, and
    amounts to trial by ambuscade. See, e.g., State v. Hol-
    loway, 
    117 Conn. App. 798
    , 814, 
    982 A.2d 231
    (2009),
    cert. denied, 
    297 Conn. 925
    , 
    998 A.2d 1194
    (2010).
    Because the record is inadequate for review, the defen-
    dant’s claim fails.
    II
    The defendant’s second claim is that his April 8, 2011
    conviction of assault in the third degree in violation of
    General Statutes § 53a-61 constitutes a finding by the
    trial court that he is sane and, that being so, ‘‘the state
    has lost its rationale to keep him committed.’’ We
    disagree.
    In its memorandum of decision issued with respect
    to the second petition to extend the defendant’s com-
    mitment to the board, the court stated that the question
    before it was whether the defendant ‘‘is at present a
    danger to himself or others.’’ In its memorandum of
    decision, the court concluded by stating that it had
    found by clear and convincing evidence that the defen-
    dant, ‘‘at the time of this hearing, presents a danger to
    himself or to others such that to release him at this
    time would risk imminent physical injury to others or
    to himself, or the risk of loss or destruction of the
    property of others.’’ The court therefore granted the
    petition and extended the defendant’s commitment to
    the board until March 18, 2018.
    Counsel for the defendant began his final argument
    to the trial court by stating: ‘‘Your Honor, I obviously
    cannot argue that [the defendant] does not have a men-
    tal disorder. But neither the [board’s] report to the
    court, nor . . . Aslam’s testimony, demonstrate that
    he’s insane.’’ Here on appeal, the defendant claims that
    because he was convicted of assault in the third degree
    in April, 2011, he is sane. Again, the defendant has raised
    a claim for which he presented no evidence at trial.
    ‘‘It is well established that this court can take judicial
    notice of facts contained in the files of the Superior
    Court.’’ (Internal quotation marks omitted.) State v.
    Santiago, 
    142 Conn. App. 582
    , 592 n.12, 
    64 A.3d 832
    ,
    cert. denied, 
    309 Conn. 911
    , 
    69 A.3d 307
    (2013). We
    have taken judicial notice of the file in the defendant’s
    April 8, 2011 conviction of assault in the third degree.
    See State v. Dyous, Superior Court, judicial district of
    Middlesex, Docket No. CR-10-0192091-S (April 8, 2011).
    On April 26, 2010, the defendant was charged with
    assault in the second degree and disorderly conduct
    for attacking another patient at Connecticut Valley Hos-
    pital. He did not assert the affirmative defense of not
    guilty by reason of mental disease or defect pursuant
    to General Statutes § 53a-13. Consequently, there was
    no adjudication of the defendant’s mental state at the
    time he was convicted.11
    Moreover, the defendant’s claim that he is sane and
    therefore should be released from the custody of the
    board is logically flawed. The court found that the evi-
    dence presented at the hearing demonstrates that the
    defendant is mentally ill to the extent that he poses
    a danger to himself or to society if discharged. The
    defendant has not challenged that finding; in fact, he
    concedes that he has a mental illness.
    Moreover, the defendant’s April 8, 2011 conviction
    of having assaulted another patient is further evidence
    that, even within the structure provided by Connecticut
    Valley Hospital, he presents a danger to others. ‘‘The
    fact that a person has been found, beyond a reasonable
    doubt, to have committed a criminal act certainly indi-
    cates dangerousness. See Lynch v. Overholser, 
    369 U.S. 705
    , 714 [
    82 S. Ct. 1063
    , 
    8 L. Ed. 2d 211
    ] (1962) (The
    fact that the accused was found to have committed a
    criminal act is strong evidence that his continued liberty
    could imperil the preservation of public peace). Indeed,
    this concrete evidence generally may be at least as
    persuasive as any predictions about dangerousness that
    might be made in a civil commitment-proceeding.’’
    (Footnote omitted; internal quotation marks omitted.)
    Jones v. United States, 
    463 U.S. 354
    , 364, 
    103 S. Ct. 3043
    , 
    77 L. Ed. 2d 694
    (1962).
    In the present case, the defendant does not claim,
    nor has he demonstrated, that the court’s finding that
    he presents a danger to himself or to others such that
    to release him at this time would risk imminent physical
    injury to others or to himself, or the risk of loss or
    destruction of the property of others, is clearly errone-
    ous, recidivism rates notwithstanding. We therefore
    conclude that the court properly granted the second
    petition to extend the defendant’s commitment to the
    board.
    The judgment is affirmed.
    In this opinion the other judges concurred.
    1
    General Statutes § 17a-593 (c) provides in relevant part: ‘‘If reasonable
    cause exists to believe that the acquittee remains a person with psychiatric
    disabilities . . . to the extent that his discharge at the expiration of his
    maximum term of commitment [from the jurisdiction of the board] would
    constitute a danger to himself or others, the state’s attorney, at least one
    hundred thirty-five days prior to such expiration, may petition the court for
    an order of continued commitment of the acquittee.’’
    2
    Pursuant to General Statutes § 17a-515, mentally disordered inmates are
    subject to the commitment proceedings as set forth in General Statutes
    § 17a-498 (c), which provides in relevant part: ‘‘If, on such hearing, the court
    finds by clear and convincing evidence that the person complained of has
    psychiatric disabilities and is dangerous to himself or herself or others or
    gravely disabled, it shall make an order for his or her commitment, consider-
    ing whether or not a less restrictive placement is available, to a hospital
    for psychiatric disabilities to be named in such order, there to be confined
    for the period of the duration of such psychiatric disabilities or until he or
    she is discharged or converted to voluntary status pursuant to section 17a-
    506 in due course of law. . . .’’
    3
    The state presented evidence on February 28, 2013, and the court contin-
    ued the matter until March 15, 2013, to permit the defendant to present
    expert testimony. On March 15, 2013, counsel for the defendant informed
    the court and the state that the defendant would present no evidence.
    4
    The court found that the defendant has a compound mental health diagno-
    sis: in Axis I, bipolar I disorder, cannabis abuse in remission, alcohol abuse
    in remission, and in Axis Il, personality disorder not otherwise specified
    with antisocial and narcissistic traits.
    5
    The state claims that the defendant’s equal protection claim is res judicata
    by virtue of our Supreme Court’s decision in Dyous I. We need not reach
    the state’s argument, as the defendant seeks review of his claim pursuant
    to State v. Golding, 
    213 Conn. 233
    , 239–40, 
    567 A.2d 823
    (1989), and we
    conclude that the record is inadequate for our review.
    6
    The words ‘‘pretty much put paid to that’’ accurately reflect the transcript
    of the defense counsel’s argument.
    7
    To summarize substantially, in Dyous I, our Supreme Court concluded
    that the defendant’s right to equal protection was not violated when com-
    pared with the rights of inmates who are civilly committed. State v. 
    Dyous, supra
    , 
    307 Conn. 299
    . The court acknowledged that the system devised by
    the legislature ‘‘tilts’’ more strongly toward confinement for acquittees than
    civilly committed inmates. 
    Id., 325. This
    is so because the legislature directed
    the Superior Court and the board to consider its primary concern to be ‘‘ ‘the
    protection of society . . . .’ ’’ 
    Id., 323. In
    civil commitment proceedings, the
    legislature ‘‘has directed physicians providing opinions to the Probate Court
    to consider whether or not less restrictive placement is recommended and
    available . . . .’’ (Citations omitted; internal quotation marks omitted.) 
    Id. The court
    stated that ‘‘[i]t is undisputed that the continued commitment
    procedure that is applicable to insanity acquittees serves the important
    governmental interests of protecting society and affording acquittees proper
    psychiatric treatment.’’ 
    Id., 326. The
    court did not ‘‘examine the various
    restrictions that the system imposes on insanity acquittees once they have
    been recommitted’’; id.; but focused ‘‘instead on the fact that the system
    applicable to insanity acquittees renders their recommitment easier for the
    state to obtain in the first place. If that fundamental disparity withstands
    intermediate scrutiny, so must the lesser disparities that accompany it.’’ 
    Id. The issue
    was ‘‘whether subjecting no one but acquittees to a recommitment
    procedure that operates in a way that its primary concern is to protect society
    . . . substantially relates to the achievement of either of the aforementioned
    governmental interests.’’ 
    Id., 326–27. The
    state bears the burden of establish-
    ing the relationship between the nature of the problem and the legislative
    remedy, but not to a scientific certainty. 
    Id., 327. ‘‘[I]n
    judging the closeness
    of the relationship between the means chosen . . . and the government’s
    interest, three interrelated concepts must be considered: the factual prem-
    ises which prompted the legislative enactment, the logical connection
    between the remedy and those factual premises, and the breadth of the
    remedy chosen.’’ (Internal quotation marks omitted.) 
    Id., citing Ramos
    v.
    Vernon, 
    353 F.3d 171
    , 183 (2d Cir. 2003).
    Our Supreme Court rejected the defendant’s claim that § 17a-593 (c) is
    unconstitutional as applied to him because it agreed with the state that
    ‘‘subjecting the defendant to a recommitment procedure that tilts more
    strongly in favor of commitment than does its civil counterpart substantially
    relates to the achievement of the important governmental interest of pro-
    tecting society.’’ 
    Id., 327. ‘‘The
    factual premise undergirding § 17a-593 is that
    the defendant’s prospective release raises a special concern for public safety.
    This concern arises because of two key facts; first, the defendant suffers from
    a long-standing mental illness that has persisted despite years of intensive
    treatment; and, second, the defendant previously was adjudicated to have
    committed a crime—indeed, a dangerous crime—as a result of his mental
    illness.’’ 
    Id., 328. 8
         In his appellate brief and appendix, the defendant relies on a wide variety
    of policy arguments, purported studies, government statistics, psychiatric
    journals, unproven assertions, and the like, to support his argument, includ-
    ing his claim that acquittees are being unfairly subjected to longer periods
    of confinement than inmates not civilly committed. In its brief, the state
    requests that we not consider the information in the defendant’s footnotes
    and appendix, as it is not part of the record. Many of the defendant’s
    assertions require factual findings, which were not made by the trial court,
    as the defendant presented no evidence.
    9
    The defendant does not claim that the court’s finding that he presented
    no evidence is clearly erroneous.
    10
    In the appendix to his appellate brief, the defendant has submitted
    photocopies of recidivism studies, portions of the Diagnostic and Statistical
    Manual of Mental Disorders (2013), and other reports and articles. Docu-
    ments and reports not admitted as evidence at trial are not properly before
    this court, as they are not part of the trial court record. A reviewing court
    cannot go beyond the proper record before it in the determination of issues
    presented on appeal. See Grunschlag v. Ethel Walker School, Inc., 
    189 Conn. 316
    , 320, 
    455 A.2d 1332
    (1983). ‘‘It is axiomatic that this court does not take
    evidence and does not make factual determinations.’’ Argentinis v. Fortuna,
    
    134 Conn. App. 538
    , 544, 
    39 A.3d 1207
    (2012). The state argues that because
    the documents are not part of the record, this court should not consider
    them, citing State v. Enrique F., 
    146 Conn. App. 820
    , 833 n.7, 
    79 A.3d 141
    (2013), cert. denied, 
    311 Conn. 903
    , 
    83 A.3d 350
    (2014). We agree with the
    state and have not considered the materials in the defendant’s appendix.
    11
    The trial court, Handy, J., ordered a competency evaluation of the
    defendant. Thereafter, the defendant and the state stipulated to the content
    of the evaluation report and waived a competency hearing for the defendant.
    The court found that the defendant was competent to assist in his defense.
    Thereafter, the defendant pleaded guilty to assault in the third degree under
    the Alford doctrine. See North Carolina v. Alford, 
    400 U.S. 25
    , 
    91 S. Ct. 160
    ,
    
    27 L. Ed. 2d 162
    (1970). The court granted an order of conditional discharge.
    Our Supreme Court has stated that ‘‘[c]ompetence to stand trial . . . is
    not defined in terms of mental illness. An accused may be suffering from
    a mental illness and nonetheless be able to understand the charges against
    him and to assist in his own defense . . . and the fact that [a] defendant
    was receiving medication and would require medication during the course
    of the trial does not render him incompetent. . . . A fortiori, a finding of
    mental illness is not required for a court to find a defendant incompetent
    to stand trial.’’ (Citations omitted; internal quotation marks omitted.) State
    v. Bigelow, 
    120 Conn. App. 632
    , 642–43, 
    994 A.2d 204
    , cert. denied, 
    297 Conn. 916
    , 
    996 A.2d 278
    (2010); see State v. DeAngelis, 
    200 Conn. 224
    , 230, 
    511 A.2d 310
    (1986). Conversely, a defendant who suffers from mental illness
    is not necessarily incompetent to stand trial.