In the Interest of J.K., Minor Child, J.K., Minor Child ( 2015 )


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  •                    IN THE COURT OF APPEALS OF IOWA
    No. 14-0852
    Filed October 14, 2015
    IN THE INTEREST OF J.K.,
    Minor Child,
    J.K., Minor Child,
    Appellant.
    ________________________________________________________________
    Appeal from the Iowa District Court for Polk County, Colin Witt, District
    Associate Judge.
    A teenager appeals a juvenile court determination that he is competent to
    participate in delinquency proceedings. AFFIRMED.
    Brent Pattison of Drake Legal Clinic, Des Moines, for appellant.
    Thomas J. Miller, Attorney General, Bruce Kempkes, Assistant Attorney
    General, and John P. Sarcone, County Attorney, for appellee.
    Considered by Tabor, P.J., and Bower and McDonald, JJ.
    2
    TABOR, Presiding Judge.
    Teenager J.K. challenges a juvenile court order finding he did not
    overcome the presumption that he was competent to stand trial on several
    delinquency charges. J.K. contends the court erred in rejecting an expert opinion
    that he did not “appear able to assist counsel” in his defense. J.K. further argues
    the competency ruling violated his right to procedural due process by presuming
    children in his position are competent and requiring them to rebut that
    presumption.
    Initially, we do not conclude that allocating the burden of proving
    incompetency to J.K. violated his right to procedural due process. Although the
    legislative branch could extend greater protections to children in competency
    proceedings, the juvenile court here afforded the basic procedural safeguards to
    J.K.—especially   considering    its   application   of   the   specialized   juvenile
    competency definition from In re A.B., No. 05-0868, 
    2006 WL 469945
    , at *3 (Iowa
    Ct. App. Mar. 1, 2006).
    Further, like the juvenile court, we conclude J.K. failed to overcome the
    presumption of competency and establish he was incompetent by a
    preponderance of the evidence. Like the juvenile court, we are not convinced by
    the opinion of the psychological evaluator offered to rebut the presumption that
    J.K. was competent to participate in the delinquency proceedings. The evaluator
    was inexperienced; in her report she advocated for a presumption of
    incompetency at odds with the existing Iowa standard; she did not review
    pertinent parts of J.K.’s juvenile court and counseling history; she acknowledged
    3
    the results of her report should be viewed with caution given J.K.’s poor
    cooperation during the interview; and she acknowledged J.K. had “the capacity to
    learn the basic concepts necessary for competency” with help from his attorney.
    Considering these factors, as well as the countervailing evidence offered by the
    State, we reach the same conclusion as the juvenile court—J.K. could appreciate
    his charges, understand the proceedings, and assist effectively in his defense.
    Accordingly, we affirm the ruling on interlocutory review and remand for further
    proceedings.
    I.     Background facts and proceedings
    A decade ago at the age of five, J.K.—the youngest of nine children—left
    New Orleans with his parents to escape the toll of Hurricane Katrina. His family
    suffered loss and trauma as a result of the storm.        When asked about his
    memories of Louisiana, J.K. recalled he “used to hear a lot of shootings and see
    a lot of fights.” Beyond that statement, our record is thin on specific examples of
    what adversity J.K. faced in his early years.
    J.K.’s middle school years have been difficult. According to a report by his
    juvenile court officer (JCO), J.K. had twenty delinquency referrals between
    August 2011 and August 2014. When J.K. was just ten years old, he joined three
    other juveniles in harassing and assaulting a disabled man at a farmer’s market
    near Drake University.    The boys, who were riding bicycles, surrounded the
    man’s motorized wheelchair and slapped him in the head while he pleaded with
    them to stop. The boys rode off when onlookers called police. Charged with the
    delinquent act of third-degree harassment, J.K. entered an informal adjustment
    4
    agreement on August 29, 2011. As part of that agreement, J.K. wrote a letter
    apologizing to his victim; J.K. said he felt bad for what he did and was “now
    working on how to change [his] ways.”
    Despite expressing those sentiments, J.K. continued to engage in
    disruptive behaviors in school and had numerous run-ins with police in the
    community. School records reveal J.K. leveled threats and physical aggression
    against classmates and teachers. For instance, in October 2012 he pointed his
    finger at a teacher and “made noises and motions as if he were shooting.” His
    individualized education plan (IEP) dated January 2013 indicated he exhibited
    “significant behavioral concerns in the school setting.”
    In late 2013, the State filed a series of delinquency petitions against J.K.
    On November 20, 2013, the State filed a petition alleging J.K. committed three
    counts of carrying weapons, in violation of Iowa Code section 724.4(1) (2013).
    The allegations involved neighbors calling police on October 27, after seeing
    juveniles threatening each other with guns in a city park; when police caught up
    with J.K., he allegedly had three CO2 BB guns concealed in his backpack.
    On December 26, 2013, the State filed another delinquency petition
    alleging J.K. committed interference with official acts, in violation of Iowa Code
    section 719.1(1), and criminal trespass, in violation of Iowa Code sections
    713.7(2)(a) and 716.8(1). These charges stemmed from a police investigation of
    a bicycle theft from a resident’s front porch; J.K. allegedly ran from the
    responding officer and hid inside a stranger’s vehicle.
    5
    On December 31, 2013, the State filed a delinquency petition alleging J.K.
    committed burglary in the third degree, in violation of Iowa Code sections 713.1
    and 713.6A(1). The petition alleged that J.K. was one of several juveniles who
    broke into a house on December 30, 2013.
    On January 6, 2014, the child’s attorney filed a motion to continue the
    adjudication hearing set for January 17 and sought a competency evaluation by
    Dr. Stephanie Bruss. The motion noted the child’s JCO had planned to request
    court approval for Dr. Bruss to conduct a psychological evaluation of J.K. The
    juvenile court granted the request for a competency evaluation.
    On January 21, 2014, J.K. met with Dr. Bruss. She issued a fifteen-page,
    single-spaced psychological assessment of J.K.       She concluded he was not
    competent to stand trial, summarizing her opinion as follows:
    At present, he does appear to have the capacity for a factual
    understanding of the court system and his charges, with sufficient
    education and assistance. However, he does not appear to have a
    rational understanding of the legal system or his charges, and does
    not appear able to assist counsel with a reasonable degree of
    rational understanding.
    Two days before the competency hearing scheduled for April 11, 2014,
    the State filed yet another delinquency petition.     This petition alleged J.K.
    committed theft in the fourth degree, in violation of Iowa Code sections 714.1(1)
    and 714.2(4), and harassment in the third degree, in violation of Iowa Code
    section 708.7(1). The charges arose from a shoplifting incident on March 24,
    2014 during which J.K. and another juvenile allegedly took $325 in merchandise
    from a department store and gave false information to a police officer. According
    6
    to the police report, J.K. lied about his identity and told the investigating officer he
    currently lived in New Orleans and had taken a bus to visit his cousin in Iowa.
    At the April 11 competency hearing, J.K.’s attorney objected to the State
    calling a psychiatrist to testify, alleging late notice of the witness. The State
    countered that it was not obliged to provide a witness list for the competency
    hearing but did so “to be fair.” The juvenile court ruled: “I’m in agreement with
    the child’s objection and am not going to allow a late-named psychiatrist to give
    an opinion on due process grounds.”            Accordingly, Dr. Bruss was the only
    witness to express a specific opinion on J.K.’s competency at the hearing. The
    State called two witnesses: Brian Ellis, a counselor for the Behavior Health
    Intervention Services (BHIS) who worked with J.K., and Amanda Proctor, who
    supervised J.K. through the Early Services Project (ESP) at Orchard Place.
    The juvenile court entered its competency ruling on April 23, 2014. The
    court concluded J.K.’s evidence did not overcome the presumption of
    competency, reasoning:
    The Court is not confident from the evaluation report and from the
    testimony of Dr. Bruss that [J.K.] cannot, due to his immaturity or
    his trauma history, consult with his lawyer with a reasonable degree
    of rational understanding. [J.K.’s] responses during the evaluation
    evince sufficient rational and factual understanding of the
    proceedings against him. [J.K.’s] uncooperative behavior during
    the Evaluation significantly lessens the weight the Undersigned is
    able to give to the report and its recommendations. The Evaluation
    does not and the Child has not overcome the presumption of
    competency especially as applied to this Child and considering all
    circumstances and findings noted herein.
    The child’s attorney sought interlocutory review on May 22. The State
    filed a resistance. On June 27, 2014, the supreme court granted the child’s
    7
    interlocutory appeal and stayed the juvenile court proceedings. After the parties
    filed their briefs, the supreme court transferred the case to our court on June 9,
    2015.
    II.     Scope of Review
    Delinquency proceedings serve as an alternative to the criminal
    prosecution of a child. In re A.K., 
    825 N.W.2d 46
    , 49 (Iowa 2013). The objective
    of the juvenile court, and the appellate court on review, is to ensure an outcome
    that is in the child’s best interests. 
    Id. We review
    delinquency proceedings de
    novo, but give weight to the factual findings of the juvenile court. In re D.S., 
    856 N.W.2d 348
    , 351 (Iowa 2014). We also review de novo decisions implicating a
    juvenile’s constitutional rights. Cf. State v. Lyman, 
    776 N.W.2d 865
    , 873 (Iowa
    2010) (applying de novo review to competency determination in criminal case).
    III.    Competency to Stand Trial in Delinquency Proceedings
    J.K. contends because of his immaturity, borderline cognitive abilities,
    traumatic history, and impulsivity he is not competent to stand trial on his
    delinquency charges. He argues, first, that the juvenile court erred in rejecting
    his expert’s opinion, and second, he alleges his right to procedural due process
    was violated by the court presuming he was competent and saddling him with the
    burden to overcome that presumption. We will address his arguments in reverse
    order, starting with the due process claim.
    To frame both issues, it is helpful to consider the existing standards for
    competency to stand trial. The United States Supreme Court has long held a
    criminal defendant may not be required to stand trial unless he has “sufficient
    8
    present ability to consult with his lawyer with a reasonable degree of rational
    understanding” and has “a rational as well as factual understanding of the
    proceedings against him.” Dusky v. United States, 
    362 U.S. 402
    , 402 (1960) (per
    curiam); accord Drope v. Missouri, 
    420 U.S. 162
    , 171 (1975) (“[A] person whose
    mental condition is such that he lacks the capacity to understand the nature and
    object of the proceedings against him, to consult with counsel, and to assist in
    preparing his defense may not be subjected to a trial”). The criminal trial of an
    incompetent defendant violates due process. Medina v. California, 
    505 U.S. 437
    ,
    453 (1994).
    In Iowa, the test for competency in the criminal context is whether “the
    defendant is suffering from a mental disorder which prevents the defendant from
    appreciating the charge, understanding the proceedings, or assisting effectively
    in the defense.” Iowa Code § 812.3(1); accord State v. Lyman, 
    776 N.W.2d 865
    ,
    874 (Iowa 2010).    We presume a defendant is competent to stand trial; the
    defendant bears the burden of proving his or her incompetency by a
    preponderance of the evidence. 
    Lyman, 776 N.W.2d at 874
    ; State v. Pederson,
    
    309 N.W.2d 490
    , 496 (Iowa 1981) (explaining under prior statute burden of
    proving competency was on defendant and holding rule was the same under
    chapter 812 “notwithstanding absence of an express statutory provision”). If the
    evidence is perfectly balanced, the presumption of competency prevails. 
    Lyman, 776 N.W.2d at 874
    . In the criminal sphere, it does not violate due process to
    allocate to the burden of proving incompetency by a preponderance of the
    evidence to the defendant.     
    Medina, 505 U.S. at 452
    ; see also Cooper v.
    9
    Oklahoma, 
    517 U.S. 348
    , 369 (1996) (finding requirement that defendant prove
    incompetency by the heightened standard of clear and convincing evidence did
    violate due process).
    Like an adult in a criminal proceeding, a juvenile facing the possible loss
    of liberty pending the outcome of delinquency proceedings is entitled to the
    “essentials of due process and fair treatment.” In re Gault, 
    387 U.S. 1
    , 30 (1967)
    (holding juveniles were not guaranteed full spectrum of due process rights
    afforded in criminal court, but did enjoy right to notice of charges, to counsel, to
    confront and cross-examine witnesses and the privilege               against self-
    incrimination). The United States Supreme Court has not expressly stated that
    juveniles have the due process right not to be adjudicated delinquent unless they
    are competent. But many state courts have done so. See SWM v. State, 
    299 P.3d 673
    , 676 (Wyo. 2013) (collecting cases).
    In the only Iowa appellate case addressing competency to stand trial in a
    delinquency proceeding, our court interpreted due process to require the
    suspension of delinquency proceedings whenever a juvenile cannot appreciate
    the charge, understand the proceedings, or assist effectively in responding to the
    allegations.   In re A.B., 
    2006 WL 469945
    at *3.          We also recognized a
    presumption of competency and placed the burden on the juvenile to establish
    incompetency by a preponderance of the evidence. 
    Id. at *2.
    We determined in A.B. that Iowa Code section 812.3 “can and should be
    applied to delinquency proceedings.” 
    Id. at *3.
    The decision explained:
    For example, if it is proved that a juvenile is suffering from a
    “mental disorder” which prevents him or her from appreciating the
    10
    charge, understanding the proceedings, or assisting effectively in
    the defense, as provided in the statute, the court would be correct
    in finding the juvenile incompetent to stand trial.
    But the A.B. decision did not limit competency determinations in
    delinquency cases to situations where the juvenile suffered from a mental
    disorder. 
    Id. We held
    “that as a matter of due process of law the provisions of
    chapter 812 should not be applied to the exclusion of other relevant and
    applicable principles in determining competency in a delinquency proceeding.”
    
    Id. We recognized
    “a juvenile’s inability to appreciate the charge, understand the
    proceedings, or assist effectively in the defense may be the result of immaturity,
    lack of intellectual capacity, or both.” 
    Id. A. Presumption
    of Competency and Procedural Due Process
    J.K. argues on appeal that applying a presumption of competency to a
    thirteen-year-old child violated his right to procedural due process.1         Before
    addressing the merits of this argument, we turn to the State’s threshold
    contention that the child’s attorney did not preserve a constitutional argument in
    the juvenile court. At the end of its order, the court noted that the child’s attorney
    had “asked rather perfunctorily” for a ruling on the constitutionality of the
    competency standards, but the court declined to find the presumption of
    competency to be a due process violation, opining that a trial-level judge was not
    in the position to create “new law.” The juvenile court expressly acknowledged
    the issue was before it and then decided that issue adversely to the child;
    1
    J.K.’s constitutional argument is premised on the fact he was thirteen years old when
    his competency was evaluated by Dr. Bruss. J.K. is now fourteen years old, and will be
    just a few months shy of his fifteenth birthday when the delinquency proceedings
    resume.
    11
    accordingly, we conclude the child preserved error on the due process issue.
    See Lamasters v. State, 
    821 N.W.2d 856
    , 864 (Iowa 2012).
    Right out of the gate, the child’s brief acknowledges “[t]here are no
    published state or federal cases discussing the constitutionality of applying a
    presumption of competency to a child.”2 But J.K. nevertheless contends the
    juvenile court’s application of the existing presumption violated his right to due
    process.3 J.K. argues Medina’s analytical approach to due process applied to
    the burden-of-proof question for adult competency decisions is not a good fit for
    juvenile delinquency cases.4 See 
    Medina, 505 U.S. at 445
    –48 (applying two part
    test: 1) does presumption offend principle “so rooted in the traditions and
    conscience of our people as to be ranked as fundamental" and 2) does
    presumption violate fundamental fairness).                J.K. contends applying a
    presumption of competency to a child who is under the age of fourteen offends
    the tradition of presuming a lack of criminal capacity for young children.
    The California Supreme Court recently rejected a similar argument,
    reasoning: “although some of the same considerations may be relevant to both
    2
    An expert in juvenile law recently wrote: “The legal presumption used in virtually all
    juvenile delinquency cases in the U.S. is that all juveniles are competent to stand trial.”
    David R. Katner, Eliminating the Competency Presumption in Juvenile Delinquency
    Cases, 24 Cornell J.L. & Pub. Policy 403 (2015) [subsequently cited as Katner].
    3
    We read J.K.’s due process claim to be an as-applied challenge, rather than a facial
    attack on the presumption of competency as derived from chapter 812 and case law
    interpreting that provision. See State v. Hernandez-Lopez, 
    639 N.W.2d 226
    , 235 (Iowa
    2002) (discussing difference between facial and as-applied due process claims).
    4
    J.K. advocates for analyzing the constitutionality of the presumption under the
    balancing test from Mathews v. Eldridge, 
    424 U.S. 319
    (1976). We decline to do so.
    The Mathews balancing test is generally used to determine whether a person has been
    afforded procedural due process in civil cases and is rarely applied in criminal or quasi-
    criminal contexts. When it comes to criminal procedure, the due process question is
    more narrowly framed in terms of fundamental fairness. See State v. Becker, 
    818 N.W.2d 135
    , 152 (Iowa 2012).
    12
    the question of competency to stand trial and the question of capacity to commit
    crime, these inquiries differ in their purpose and scope.” In re R.V., 
    349 P.3d 68
    ,
    79   (Cal.    2015)   (holding   policy   arguments       concerning   presumption   of
    incompetency were resolved by legislature).              The R.V. decision found the
    presumption of competency for juveniles was not inconsistent with a presumption
    of incapacity that had been rebutted by the prosecution. 
    Id. We agree
    with that
    reasoning.
    Moreover, we find J.K.’s contention blurs the line between the prospect of
    punishing juveniles for their actions in criminal court and the unique purpose of
    juvenile delinquency proceedings recognized by the Iowa Supreme Court—“not
    to punish but instead to help and educate the child.” 
    A.K., 825 N.W.2d at 51
    .
    Given the ameliorative aim of delinquency proceedings, we are not persuaded
    that imposing a presumption of competency on J.K. was fundamentally unfair.
    Our determination that the presumption of juvenile competency was not
    fundamentally unfair to J.K. is bolstered by our court’s previous recognition that
    developmental maturity and intellectual abilities should be considered in the
    juvenile     competency   determination.         A.B.,   
    2006 WL 469945
      at   *3.
    Developmental maturity has been identified as a critical factor in evaluating a
    juvenile’s competency to stand trial.           See Katner at 418, 431 (discussing
    longitudinal study by the MacArthur Foundation on juvenile competence). In this
    case, the juvenile court considered Dr. Bruss’s opinions concerning J.K.’s
    immaturity and impulsivity when reaching its competency decision.
    13
    We find no fundamental unfairness flowing from the presumption of
    competency in this case. The child’s policy position is better addressed to the
    legislature. “Traditionally, due process has required that only the most basic
    procedural safeguards be observed; more subtle balancing of society’s interests
    against those of the accused ha[s] been left to the legislative branch.”5 
    Medina, 505 U.S. at 453
    .
    B. Juvenile’s Psychological Evaluation
    Having decided the presumption of competency was not fundamentally
    unfair, we now address J.K.’s contention that he met his burden of proving
    incompetency by a preponderance of the evidence.             J.K. asserts Dr. Bruss’s
    evaluation and “unrebutted expert testimony” sufficiently established his inability
    to “assist counsel with a reasonable degree of rational understanding.”
    The juvenile court rejected Dr. Bruss’s opinion that J.K. was not
    competent to stand trial “due to his immaturity or his trauma history.”            The
    juvenile court surmised that J.K.’s responses during the evaluation exhibited
    “sufficient rational and factual understanding of the proceedings against him.”
    The court also gave less weight to the evaluation because of J.K.’s
    uncooperative behavior.
    While we consider the evidence that was before the juvenile court anew,
    we nevertheless recognize that court’s favorable vantage point for observing the
    testimony of the witnesses, as well as the demeanor of J.K. himself as the
    5
    Indeed J.K. points to a national “trend toward developing juvenile specific competency
    statutes”—citing provisions from Maine and South Dakota which, in the case of a
    thirteen-year-old child, would place the burden of proving incompetency on the State.
    See ME. Rev. Stat. tit. 15 § 3318-A(8) (2014); S.D. Codified Laws § 26.7A 32.8 (2014).
    14
    juvenile interacted with his lawyer in the courtroom. See 
    A.K., 825 N.W.2d at 49
    (noting deference to delinquency court on credibility issues). Under that structure
    of decision-making roles, we agree with the juvenile court’s rejection of Dr.
    Bruss’s recommendation. See 
    R.V., 349 P.2d at 911
    (dismissing argument that
    juvenile courts should defer to court-appointed expert on competency unless
    there was clear reason not to do so, but also noting that opinion holds “special
    significance” in juvenile competency setting).
    As an initial consideration, we look to Dr. Bruss’s credentials.6 Dr. Bruss
    received a doctorate in clinical psychology from Argosy University in August 2013
    and had a post-doctoral fellowship with Innovative Learning Professionals L.C.
    and Polk County Juvenile Court Services at the time of the evaluation. She was
    not yet licensed as a psychologist in Iowa, so she worked under the supervision
    of Dr. David Beeman, who “reviewed and approved” her report.                Dr. Bruss
    testified that during her fellowship she had performed approximately fifty juvenile
    psychological assessments, seven of which were competency evaluations. In
    only three of the seven competency evaluations did she find the juvenile was
    capable of standing trial. While Dr. Bruss’s inexperience does not disqualify her
    as an expert, we do consider her newness to the practice in deciding the weight
    to give her conclusions. Cf. State v. Belken, 
    633 N.W.2d 786
    , 800 (Iowa 2001)
    (holding ability of an expert to perform accepted testing method affects weight of
    the evidence).
    6
    For adult competency determinations, section 812.3(2) requires the defendant to
    undergo a “psychiatric” evaluation to determine whether the defendant is suffering from
    a mental disorder.
    15
    We also note the lengthy portion of Dr. Bruss’s report devoted to public
    policy considerations. She rails against the legal system’s failure to “sufficiently
    define the time period of adolescence.”           And she compares J.K’s case to
    proposals from academic researchers,7 stating J.K. “would be classified in the
    presumed incompetent, though rebuttable category.” The juvenile court found
    her “recitations . . . regarding the ‘failings’ of the legal system would seem to be
    viable information to share with legislators or perhaps a court of higher authority,”
    but “perhaps of less merit in an evaluation” prepared for the juvenile court. While
    Dr. Bruss understood the presumption of competency to be applied under Iowa
    case law, we find it significant in reviewing her recommendations that she chafed
    somewhat at doing so.
    Moreover, in reaching her conclusion on J.K.’s competency, Dr. Bruss did
    not review his entire juvenile court file, did not consult with his counselor or other
    mental health providers, and did not obtain his mental health records—despite
    admitting such information would have been beneficial to her assessment. Dr.
    Bruss acknowledged obtaining J.K.’s counseling records “could have provided
    some good information about diagnostic considerations and amenability of the
    treatment and nature of his function in the past and with a counselor.” Despite
    not having complete background information, Dr. Bruss noted J.K.’s diagnosis of
    oppositional   defiance    disorder   and      possibly   attention-deficit/hyperactivity
    disorder. She reported J.K.’s “poor effort during the evaluation made it difficult to
    7
    Dr. Bruss cites a study by Thomas Grisso, et al., Juveniles’ competence to stand trial:
    A Comparison of Adolescents’ and Adults’ Capacities as Trial Defendants, Law and
    Human Behavior, Vol. 27, no. 4, 333–363 (2003), which advocates for a multi-tiered
    system for juvenile competency determinations.
    16
    adequately assess any trauma related symptoms. However, it is likely that his
    history of trauma has impacted his functioning.”
    In addition, as highlighted by the juvenile court, Dr. Bruss’s findings were
    undermined by J.K.’s lackluster level of participation in the assessment. J.K.
    acted unenthused and irritable throughout his two-hour interview with Dr. Bruss.
    She observed him “slouched over in his chair for portions of the interview,
    despite attempts by his parents for him to sit up.” At the start of the interview,
    J.K. said the information being requested was his “personal business” and
    nobody needed to know it. Dr. Bruss opined that J.K.’s cooperation improved
    slightly as her evaluation progressed, but “overall he appeared to put forth
    suboptimal effort during the evaluation process.” In evaluating J.K., Dr. Bruss
    performed the Personality Assessment Inventory for Adolescents (PAI-A), which
    is designed to provide information relevant to clinical diagnosis, treatment
    planning, and screening for emotional difficulties. She opined: “given his poor
    cooperation throughout the evaluation along with the PAI-A validity scale results,
    [J.K.’s] resulting PAI-A profile should be considered with caution.” We share the
    juvenile court’s skepticism about Dr. Bruss’s recommendation given her report’s
    repeated caveats concerning J.K.’s lack of cooperation in the interview.
    Most significantly, we do not view Dr. Bruss’s findings regarding J.K.’s
    factual understanding and appreciation of his charges and the legal process as
    supporting her conclusion that he was not competent to stand trial. Dr. Bruss
    performed a Juvenile Adjudicative Competence Interview (JACI).         Her report
    detailed many of J.K.’s responses to JACI questions. For instance, when asked
    17
    about the roles of the trial participants, J.K. stated the role of the county attorney
    was to “tell the judge he did it.” J.K. described the role of the defense attorney as
    “finding evidence to help” him as well as “to see if police did anything they
    weren’t supposed to.”      J.K. reported the judge “tells me my consequences,”
    though he told Dr. Bruss that judges would know whether he was guilty by the
    way he walked into the courtroom and would consider the evidence only “if they
    want to.” Dr. Bruss believed J.K. had a basic understanding of the attorney-client
    privilege and that his attorney would “keep it secret” if J.K. gave information to
    him. J.K. also reported “he liked his attorney and was able to work with him.”
    In further analyzing the JACI responses, Dr. Bruss questioned J.K.’s
    decision-making abilities based, in part, on his answer to a hypothetical question
    that he would prefer to take a plea bargain even if there was a good chance he
    would be found “not guilty” because it would mean he would be released from
    detention sooner. According to Dr. Bruss’s report: “Overall, [J.K’s] responses to
    the JACI indicated he lacks some basic knowledge about the legal system and
    his charges. However, he appeared to have the capacity to learn necessary
    information and concepts, with sufficient education and prompting.” She also
    found his performance on the JACI suggested “he is capable of working with his
    attorney.” Yet she added that—based on his plea bargain answer gravitating
    toward the immediate reward—“his capacity to participate in legal decision-
    making is questionable.”8
    8
    The State points out Dr. Bruss “offered no opinion on whether the child’s parents could
    help him overcome any deficiencies regarding his communication with his attorney and
    legal decision-making. See generally Iowa Code § 232.38 (parents have a right to
    18
    Dr. Bruss asserted J.K.’s intellectual abilities9 “appear adequate” to assist
    his counsel, but opined that his “psychosocial maturity” did not measure up to his
    cognitive development. She cited his “impulsive decision-making” as a deficit in
    his ability to “assist his attorney or to make legal decisions with a reasonable
    degree of rational understanding.”
    Dr. Bruss summarized her view on J.K.’s competency as follows:
    At present, he does appear to have the capacity for a factual
    understanding of the court system and his charges, with sufficient
    education and assistance. However, he does not appear to have a
    rational understanding of the legal system or his charges, and does
    not appear able to assist counsel with a reasonable degree of
    rational understanding.
    Like the juvenile court, we reject Dr. Bruss’s opinion that J.K. failed to
    appreciate his charges and the juvenile court process and would be unable to
    consult with his lawyer with a reasonable degree of rational understanding. The
    United States Supreme Court has described “a reasonable degree of rational
    understanding” as more than orientation “to time and place” and more than
    “functional competence.” 
    Medina, 505 U.S. at 457
    n.1. But the Dusky standard
    does not require the accused to possess legal sophistication. See United States
    v. Brown, 
    669 F.3d 10
    , 17 (1st Cir. 2012) (holding the “understanding” required
    by Dusky is “of the essentials—for example, the charges, basic procedure,
    possible defenses—but not of legal sophistication.”); State v. Powers, 
    537 P.2d 1369
    , 1378 (Idaho 1975) (explaining “standard of rational understanding
    attend hearings), § 232.43(5)(c) (juvenile court may reject plea by child if parents object
    to it).”
    9
    J.K. scored a 78 on the full scale IQ, which placed his general cognitive ability in the
    borderline range.
    19
    emphasized in Dusky must be taken to mean no more than that the defendant be
    able to confer coherently with counsel and have some appreciation of the
    significance of the proceeding and his involvement in it”). The Dusky standard is
    satisfied by J.K.’s capacity to consult lucidly with his attorney and to appreciate
    the basic concepts necessary to effectively assist in his defense.
    Dr. Bruss also expressed concerns about J.K.’s uncooperative and
    argumentative nature during the interview.     She opined “[t]his behavior could
    prove to be problematic in the courtroom.”         But the State’s witness, ESP
    supervisor Amanda Proctor, testified that in the spring of 2013, she observed J.K.
    in juvenile court and he presented himself very well—“sitting quietly and
    listening.” Proctor also testified that J.K.’s impulsivity was not unusual among the
    juveniles she supervised. Another State’s witness, BHIS counselor Brian Ellis,
    also testified to seeing J.K. in juvenile court in connection with his earlier
    delinquency case and J.K. was “paying attention and answering questions as
    they were directed to him” in front of the same judge and with the same attorney
    for the child.   The evidence at the competency hearing did not support Dr.
    Bruss’s recommendation.
    After reviewing all of the evidence, we agree with the juvenile court that
    J.K. did not meet his burden to establish incompetency by a preponderance of
    the evidence. Accordingly, we affirm the competency order and remand for the
    juvenile proceedings to resume.
    AFFIRMED.