Falco v. Institute of Living , 50 Conn. App. 654 ( 1998 )

Opinion

LANDAU, J.

The defendant, the Institute of Living, appeals from the trial court’s granting of the bill of discovery filed by the plaintiff, Joseph Falco, as to the name, last known address and social security number of one of the defendant’s patients (John Doe). On appeal, the defendant claims that the trial court improperly ordered it to disclose John Doe’s name, last known address and social security number (1) in violation of General Statutes § 52-146e,¹ (2) in violation of John Doe’s constitutional right of privacy and (3) without affording John Doe notice or an opportunity to be heard. We affirm the judgment of the trial court.

The following facts and procedural history are relevant to the disposition of this appeal. On or about March 10, 1995, the plaintiff was admitted as an inpatient at the defendant psychiatric hospital in Hartford. Shortly thereafter, while attending a group meeting at the hospital, the plaintiff was allegedly attacked without provocation by John Doe.

Following the denial of the plaintiffs insurance claim, the plaintiff filed a bill of discovery against the defendant to obtain identifying information from the defendant that would enable the plaintiff to bring suit against John Doe. The trial court granted the plaintiffs bill of discovery and ordered the defendant to disclose John Doe’s name, last known address and social security number.² This appeal followed.

I

The defendant first claims that the trial court improperly ordered the defendant to disclose data on John Doe in violation of § 52-146e.³ We disagree.

In addressing this issue of first impression and determining whether the information sought by the plaintiff was protected by § 52-146e, we are initially guided by well defined principles of statutory interpretation. The court’s “fundamental objective is to ascertain and give effect to the apparent intent of the legislature. ... In seeking to discern that intent, we look to the words of the statute itself, to the legislative history and circumstances surrounding its enactment, to the legislative policy it was designed to implement, and to its relationship to existing legislation and common law principles governing the same general subject matter.” (Internal quotation marks omitted.) Edelstein v. Dept. of Public Health & Addiction Services, 240 Conn. 658, 664, 692 A.2d 803 (1997), quoting State v. Metz, 230 Conn. 400, 409, 645 A.2d 965 (1994). Moreover, principles of statutory construction require the court to construe a statute in a manner that will not frustrate its intended purpose or lead to an absurd result. Turner v. Turner, 219 Conn. 703, 712, 595 A.2d 297 (1991). The court “must avoid a construction that fails to attain a rational and sensible result that bears directly on the purpose the legislature sought to achieve.” Id., 713.

While individuals enjoy a “ ‘broad privilege in the confidentiality of their psychiatric communications and records’ Home Ins. Co. v. Aetna Life & Casualty Co., 235 Conn. 185, 195, 663 A.2d 1001 (1995), quoting State v. D'Ambrosio, 212 Conn. 50, 55, 561 A.2d 422 (1989), cert. denied, 493 U.S. 1063, 110 S. Ct. 880, 107 L. Ed. 2d 963 (1990); the purpose of the statutory privilege is to protect the therapeutic relationship that exists between the psychiatrist and the patient. Bieluch v. Bieluch, 190 Conn. 813, 819, 462 A.2d 1060 (1983). Specifically, the purpose of the psychiatrist-patient privilege is to “ ‘give the patient an incentive to make full disclosure to a physician in order to obtain effective treatment free from the embarrassment and invasion of privacy which could result from a doctor’s testimony.’ ” Home Ins. Co. v. Aetna Life & Casualty Co., supra, 195, quoting State v. White, 169 Conn. 223, 234-35, 363 A.2d 143, cert. denied, 423 U.S. 1025, 96 S. Ct. 469, 46 L. Ed. 2d 399 (1975). This statutory privilege ensures the patient that confidential communications that are necessary for effective treatment or diagnosis may be safely disclosed to a psychiatrist. Bieluch v. Bieluch, supra, 819. However, “[communications that bear no relationship to the purpose for which the privilege was enacted do not obtain shelter under the statute and are admissible subject to the normal rules of evidence.” Id.

The legislature drafted exceptions to the general rule of nondisclosure of psychiatrist-patient communications.⁴ These exceptions were drafted narrowly to protect the confidentiality of communications “unless important countervailing considerations require their disclosure.” Home Ins. Co. v. Aetna Life & Casualty Co., supra, 235 Com. 195. Furthermore, the exceptions to the privilege “are not limited to those found in General Statutes § 52-146Í.” (Internal quotation marks omitted.) Lieb v. Dept. of Health Services, 14 Com. App. 552, 559, 542 A.2d 741 (1988). Section 52-146e “defines the protected relationship carefully and at the same time recognizes the legitimate interest of society in intruding upon the relationship in certain limited situations . . . .” (Emphasis in original; internal quotation marks omitted.) Home Ins. Co. v. Aetna Life & Casualty Co., supra, 195-96, quoting 9 H.R. Proc., Pt. 8, 1961 Sess., p. 3945, remarks of Representative Nicholas B. Eddy.

The defendant cites Connecticut State Medical Society v. Commission on Hospitals & Health Care, 223 Com. 450, 612 A.2d 1217 (1992), in support of its argument that the information sought by the plaintiff identifies John Doe and, as such, should be protected from disclosure under § 52-146e. In that case, our Supreme Court withheld the disclosure of certain information under § 52-146e. The defendant’s reliance on Connecticut State Medical Society, however, is misplaced. In that case, the court held that a four digit zip code suffix should be excluded from the submission of data to a state agency disclosed pursuant to agency regulations because it was possible to ascertain a patient’s identity from that suffix and thus violated the confidentiality provisions of existing law, including § 52-146e. Id., 458-60. Connecticut State Medical Society, however, involved agency regulations that required the submission of patient data from “all of Comecticut’s general hospitals” at the agency’s discretion to enable the agency to develop and implement a payment system. Id., 453. That authorization to obtain information from all of Connecticut’s general hospitals could inhibit an individual from seeking assistance from a hospital. In this case, the plaintiff is seeking access to a single limited disclosure for the sole purpose of pursuing his constitutional right⁵ to seek redress for his injuries.

The defendant also cites Lieb v. Dept. of Health Services, supra, 14 Conn. App. 552, in support of its argument. In Lieb, this court held that despite the strong interests involved in the case, the court had no basis to establish an exception to § 52-146e. Id., 561. In that case, the defendant sought access to complete patient records. We held that the defendant did not provide the trial court with good cause for access to the complete patient records. Id., 560-61. In the present case, the plaintiff requests access only to limited information, not John Doe’s complete medical records. In addition, the plaintiff has provided a sufficient showing of good cause because he requires the information to institute a legal action against John Doe.⁶

Interpreting the statute to preclude the plaintiff from having access to the information when his sole purpose is to bring an action against John Doe would lead to an absurd result that was not intended by the legislature. The plaintiffs need for the information to institute a claim against John Doe creates a compelling countervailing interest that requires disclosure. Because the exceptions are not limited to those found in § 52-146e and the compelling countervailing interest provides a basis on which to intrude upon the psychiatrist-patient relationship, we hold that under the narrow facts of this case, § 52-146e does not protect this type of information from disclosure. We therefore conclude that the trial court’s order of disclosure did not violate § 52-146e.

II

The defendant next claims that the trial court improperly ordered it to disclose the information in violation of John Doe’s constitutional right of privacy. We disagree.

The defendant argues that John Doe has federal and state constitutional rights to privacy.⁷ The defendant further argues that the trial court improperly concluded that if a constitutional right to privacy exists, it was outweighed by the plaintiffs economic interest to pursue a tort claim. Specifically, the defendant argues that the plaintiff would be reasonably restricted rather than denied access to the court.⁸

We begin with an analysis of John Doe’s right to privacy as protected by our state constitution. “[A]ll rights derived by statute and the common law extant at the time of the adoption of article first, § 10, [of the Connecticut constitution of 1818]⁹ are incorporated in that provision by virtue of being established by law as rights the breach of which precipitates a recognized injury . . . .” Gentile v. Altermatt, 169 Conn. 267, 286, 363 A.2d 1 (1975), appeal dismissed, 423 U.S. 1041, 96 S. Ct. 763, 46 L. Ed. 2d 631 (1976). These rights are referred to as “constitutionally incorporated common-law right[s].” (Internal quotation marks omitted.) Id. Nearly every state recognizes the right to privacy in the context of the tort of invasion of privacy. Perkins v. Freedom of Information Commission, 228 Conn. 158, 170 n.14, 635 A.2d 783 (1993) (discussing development of right to privacy).¹⁰ In Connecticut, the tort of invasion of privacy was first recognized in 1959. Id., 171-72 n.16, citing Korn v. Rennison, 21 Conn. Sup. 400, 156 A.2d 476 (1959). As such, the tort of invasion of privacy is not a constitutionally incorporated common-law right.

There appears to be no Connecticut case law that expressly states that there is a constitutional right to privacy in terms of a psychiatrist-patient relationship. Furthermore, in Connecticut, there is no common-law physician-patient privilege. Lieb v. Dept. of Health Services, supra, 14 Conn. App. 557, citing Zeiner v. Zeiner, 120 Conn. 161, 167, 179 A. 644 (1935). Under the narrow facts of this case, we conclude that John Doe does not possess a right to privacy protected by the state constitution.

We now turn to John Doe’s right to privacy as protected by the federal constitution.¹¹ “While there is no ‘right of privacy’ found in any specific guarantee of the Constitution, the Court has recognized that ‘zones of privacy’ may be created by more specific constitutional guarantees and thereby impose limits upon government power. . . . [Aside from the unreasonable search and seizure privacy cases, the] other ‘right of privacy’ cases, while defying categorical description, deal generally with substantive aspects of the Fourteenth Amendment. In [Roe v. Wade, 410 U.S. 113, 93 S. Ct. 705, 35 L. Ed. 2d 147 (1973)], the Court pointed out that the personal rights found in this guarantee of personal privacy must be limited to those which are ‘fundamental’ or ‘implicit in the concept of ordered liberty’ as described in Palko v. Connecticut, 302 U.S. 319, 325 [58 S. Ct. 149, 82 L. Ed. 288] (1937). The activities detailed as being within this definition . . . [include] matters relating to marriage, procreation, contraception, family relationships, and child rearing and education. In these areas it has been held that there are limitations on the States’ power to substantively regulate conduct.” (Citations omitted.) Paul v. Davis, 424 U.S. 693, 712-13, 96 S. Ct. 1155, 47 L. Ed. 2d 405 (1976). “[T]he Supreme Court has extended their protection only to the most basic personal decisions. . . . Nor has the Supreme Court been quick to expand these rights to new fields.” (Citation omitted.) East Hartford Education Assn. v. Board of Education, 562 F.2d 838, 861 (2d Cir. 1977).

Although in Whalen v. Roe, 429 U.S. 589, 97 S. Ct. 869, 51 L. Ed. 2d 64 (1977), the Supreme Court implicitly addressed the issue of whether certain medical information was protected by the right to privacy, there is no federal authority that expressly indicates that the psychiatrist-patient privilege is protected by the right to privacy. In Whalen, the Supreme Court failed to state explicitly that information in physician-patient records is within the zone of privacy. The Whalen court upheld a New York statutory scheme that required recording in a centralized computer file the names and addresses of all persons who had obtained with physicians’ prescriptions certain drugs for which there was also an illegal market. Id., 591. In response to a concern that certain drugs had legitimate and illegitimate uses, and that such drugs were being diverted into the unlawful market, the New York legislature created a special commission. Id. The commission drafted the statute in response to a finding that there were defects in the administration of drug prescriptions. Id., 592.

The Whalen court never addressed the issue of whether the right to privacy protected the information required by the statute. Instead, the court proceeded to balance the interests in upholding the statute, relying on the state’s “vital interest in controlling the distribution of dangerous drugs”; id., 598; and the insufficiency of any showing of an increased threat of public disclosure of the stored information. Id., 600-601. Whalen did not specifically address the issue of whether the right to privacy protects the type of information that the plaintiff seeks and is therefore not persuasive that John Doe has a constitutional right to privacy to protect that information.

We now address whether the plaintiff possesses a constitutionally incorporated common-law right to sue in tort for assault and battery. When article first, § 10, of the constitution of Connecticut was adopted in 1818, the common-law rights that existed were incorporated into that provision. See Gentile v. Altermatt, supra, 169 Conn. 286. An “action of trespass with force and arms, [is] commonly called Assault and Battery . ...” 2 Z. Swift, A System of the Laws of the State of Connecticut (1796), p. 29. The action for the plaintiffs assault and battery claim can be linked to the preconstitutional common-law action of trespass and, as such, we consider it to be a constitutionally incorporated common-law right. See Daily v. New Britain Machine Co., 200 Conn. 562, 585, 512 A.2d 893 (1986) (presenting similar argument regarding defective product injuries and their link to preconstitutional common-law action of trespass on the case).¹²

We conclude that there is no state or federal constitutional right of privacy under the narrow facts of this case that protects the type of information that the plaintiff is attempting to secure, and that the plaintiff possesses a state constitutionally incorporated common-law right to pursue a cause of action for assault and battery. As such, we conclude that the trial court correctly ordered the defendant to disclose the information on John Doe to the plaintiff.

III

The defendant finally claims that the trial court improperly ordered the disclosure of the data without affording John Doe notice and an opportunity to be heard in violation of his state and federal rights to due process. We disagree.

As we concluded previously, the information sought by the plaintiff is not protected by § 52-146e. Furthermore, John Doe does not have a state or federal constitutional right of privacy that protects the type of information that the plaintiff seeks in this case. In claiming that John Doe has not been afforded notice and opportunity, the defendant relies on Sassone v. Lepore, 226 Conn. 773, 777, 629 A.2d 357 (1993). In Sassone, the court stated that “[depriving a party of a statutory right without an antecedent hearing that addresses the validity of the applicable statute violates the principles of due process . . . .” (Citation omitted; emphasis added.) Id. Because the information sought here is not protected by either a constitutional right or a statutory right,¹³ we conclude that the trial court did not violate John Doe’s due process rights.

The order granting the bill of discovery is affirmed.

In this opinion SULLIVAN, J., concurred.

1 General Statutes § 52-146e (a) provides: “All communications and records as defined in section 52-146d shall be confidential and shall be subject to the provisions of sections 52-146d to 52-146j, inclusive. Except as provided in sections 52-146Í to 52-146Í, inclusive, no person may disclose or transmit any communications and records or the substance or any part or any resume thereof which identify a patient to any person, corporation or governmental agency without the consent of the patient or his authorized representative.”

2 The plaintiffs original request contained in the bill of discovery requested the full name, last known address, social security number and date of birth, the medical and psychiatric records of John Doe while he was an inpatient at the hospital during March, 1995, and all incident reports made by the defendant regarding the incident that occurred on or about March 15, 1995. At oral argument on the bill of discovery, the plaintiff withdrew his request for the psychiatric records of the patient in question, conceding that it was privileged information, and his request for the incident reports, as that information could be obtained through discovery. The trial court did not grant the plaintiffs request for John Doe’s date of birth.

3 Although General Statutes §§ 52-146Í through 52-146Í enumerate exceptions to § 52-146e, the plaintiffs counsel agreed with the trial court at oral argument that none of the enumerated exceptions applies to this case.

4 See footnote 3.

5 See part II A of this opinion for a discussion of the plaintiff’s constitutional right.

6 The defendant also relies on State v. Esposito, 192 Conn. 166, 471 A.2d 949 (1984). The defendant’s reliance on Esposito is, however, also misplaced. Esposito involved the defendant’s right to cross-examine a witness. While the Esposito court did indicate that the broad sweep of § 52-146e “covers not only disclosure to a defendant or his counsel, but also disclosure to a court even for the limited purpose of an in camera examination”; id., 178; this veil of secrecy is not absolute. Our Supreme Court noted that the trial court does have discretion in the material to be discovered if it is sought for impeachment purposes. Id., 179. The court discussed the procedure to be used to determine whether the claimed information is relevant for impeachment purposes. Id., 179-80. In the present case, the information is not only relevant, but necessary for the plaintiff to be able to file a claim against John Doe for the injuries that he alleges were sustained as a result of the assault.

7 The defendant also argues that it has a duty to treat patients in confidence. Specifically, the defendant argues that publicizing John Doe’s identity will subject it to potential sanctions and civil liability. However, “[o]ur role is not to guess at possibilities, but to review claims based on a complete factual record developed by a trial court. . . . Without the necessary factual and legal conclusions furnished by the trial court, either on its own or in response to a proper motion for articulation, any decision made by us respecting this claim would be entirely speculative.” (Internal quotation marks omitted.) Lowe v. Lowe, 47 Conn. App. 354, 362, 704 A.2d 236 (1997). “The court shall not be bound to consider a claim unless it was distinctly raised at the trial or arose subsequent to the trial. . . . It is the responsibility of the appellant to provide an adequate record for review as provided in Section 61-10 [formerly § 4007].” Practice Book § 60-5, formerly § 4061; see also Lowe v. Lowe, supra, 362-63. The claim presented here by the defendant was not raised at trial. As such, we decline to review the merits of this claim.

8 The defendant also argues that the trial court ordered the disclosure of the information “knowing that no Connecticut court had ever before released psychiatric information without a patient’s consent in response to a claimed constitutional challenge.” The cases cited involve the defendant’s right to confront a witness and attaining access to their psychiatric records in order to impeach a witness. See State v. McMurray, 217 Conn. 243, 258-59, 585 A.2d 677 (1991); State v. Bruno, 197 Conn. 326, 331-32, 497 A.2d 758 (1985), cert. denied, 475 U.S. 1119, 106 S. Ct. 1635, 90 L. Ed. 2d 181 (1986); In re Christopher G., 20 Conn. App. 101, 112, 564 A.2d 619 (1989), cert. denied, 213 Conn. 814, 569 A.2d 549 (1990). The defendant’s reliance on the authorities cited in support, of this assertion is misplaced. In those cases, the court, in its discretion, determined that the information requested was not relevant to the impeachment of the witness.

9 Article first, § 10, of the constitution of Connecticut provides that “[a]ll courts shall be open, and every person, for an injury done to him in his person, property or reputation, shall have remedy by due course of law, and right and justice administered without sale, denial or delay.” We note that an identical provision was contained in the 1818 constitution of Connecticut in article first, § 12.

10 The Perkins court noted that the “definition [of the right to privacy in Black’s Law Dictionary (6th Ed. 1990)] clearly implicates the tort of invasion of privacy stated in the Restatement. 3 Restatement (Second), Torts § 652A (2) (1977).” Perkins v. Freedom of Information Commission, supra, 228 Conn. 171 n.15.

11 The United States Supreme Court has expressed the opinion that the right of privacy is founded in the fourteenth amendment concept of personal liberty. See Whalen v. Roe, 429 U.S. 589, 598-99 n.23, 97 S. Ct. 869, 51 L. Ed. 2d 64 (1977), citing Roe v. Wade, 410 U.S. 113, 152-53, 93 S. Ct. 705, 35 L. Ed. 2d 147 (1973).

12 A common-law trespass provides a remedy for “all forcible, direct and immediate injuries, whether to a person or to property—or in other words, for the kind of conduct likely to lead to a breach of the peace by provoking immediate retaliation.” (Internal quotation marks omitted.) Ford v. Blue Cross & Blue Shield of Connecticut, Inc., 216 Conn. 40, 52 n.2, 578 A.2d 1054 (1990). Trespass on the case provides a remedy for “obviously wrongful conduct resulting in injuries which were not forcible or not direct.” (Internal quotation marks omitted.) Id.

13 The defendant’s reliance on the additional authority cited in support of this claim is also misplaced. See Secretary of State of Maryland v. Joseph H. Munson Co., 467 U.S. 947, 954, 104 S. Ct. 2839, 81 L. Ed. 2d 786 (1984) (discussing doctrine of standing); Connecticut State Medical Society v. Commission on Hospitals & Health Care, supra, 223 Conn. 460 (discussing federal rule of jus tertii); Rockwell v. Bradshaw, 67 Conn. 8, 14, 34 A. 758 (1895) (involving action to determine construction of will and discussing what would have been claimed had trustees been made parties to action).