In Re The Detention Of N.G. And C.M. ( 2022 )


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  •                                                                                            Filed
    Washington State
    Court of Appeals
    Division Two
    January 25, 2022
    IN THE COURT OF APPEALS OF THE STATE OF WASHINGTON
    DIVISION II
    In the Matter of the Detention of                                  No. 54362-1-II
    consol. with
    No. 54949-2-II
    N.G. and C.M.,
    PUBLISHED OPINION
    Appellant.
    MAXA, P.J. – This consolidated case involves two people, NG and CM, who remained
    involuntarily committed at Western State Hospital (WSH) for over 30 days after their 180-day
    involuntary commitment period had expired. When WSH discovered what had happened, WSH
    had NG and CM evaluated for 72-hour detentions and filed new petitions for 14 days of
    involuntary treatment under new cause numbers. Both NG and CM filed motions to dismiss the
    14-day petitions. The trial courts denied NG’s motion to dismiss and granted CM’s motion to
    dismiss.
    The parties agree that WSH violated provisions of the Involuntary Treatment Act (ITA),
    chapter 71.05 RCW, in both cases by continuing to detain NG and CM without filing new
    petitions for an additional 180 days of involuntary commitment or releasing them. However,
    RCW 71.05.010(2) provides that courts must focus on the merits of the petition when construing
    the requirements of the ITA “except where requirements have been totally disregarded.” The
    legislature and courts have not defined the term “totally disregarded.”
    No. 54362-1-II / 54949-2-II
    We hold that dismissal of a new 14-day petition for involuntary treatment under a new
    cause number is an available remedy when a committed person is detained improperly beyond
    the end date of an involuntary commitment order, but only if the petitioner has totally
    disregarded ITA requirements. In addition, we hold that in determining whether a petitioner has
    totally disregarded ITA requirements, a trial court must consider the totality of the
    circumstances. These circumstances include (1) whether the violation of the statutory
    requirements occurred knowingly, willfully or through gross negligence; (2) the extent of the
    deprivation of the committed person’s liberty; (3) the extent to which the petitioner’s conduct
    and the committed person’s requested remedy are protective of the committed person’s health
    and safety and reflect appropriate treatment for the committed person; and (4) the extent to
    which the petitioner’s conduct and the committed person’s requested remedy are protective of
    the safety of the public.
    Because it is unclear what standard the trial courts applied in these cases, we remand both
    NG’s and CM’s cases for proceedings consistent with this opinion.
    FACTS
    NG – Background
    NG suffered from schizophrenia and had been a patient at WSH since 2014 pursuant to
    various involuntary commitment orders. In June 2019, the trial court granted a petition for 180
    days of involuntary commitment under the 2014 cause number on the grounds that NG was
    gravely disabled. NG’s 180-day commitment expired on December 24. However, NG was not
    discharged on that date and no additional petition for further detention had been filed at that
    time.
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    No. 54362-1-II / 54949-2-II
    On January 23, 2020, WSH discovered that NG’s 180-day involuntary commitment had
    expired without a new 180-day petition being filed. However, WSH did not release NG.
    Instead, a designated crisis responder (DCR) was contacted to evaluate NG for a 72-hour
    emergency detention for evaluation and treatment as allowed in former RCW 71.05.150(1)
    (2019). The DCR evaluated NG and petitioned the trial court for a 72-hour detention under a
    new 2020 cause number.
    On January 27, Dr. Peter Bingcang and Dr. Jeff Crinean filed a petition for 14-days of
    involuntary treatment under the 2020 cause number. NG filed a motion to dismiss the 14-day
    petition on the grounds that WSH had totally disregarded the ITA’s requirements.
    The trial court heard oral argument on the motion to dismiss and also heard testimony
    from Dr. Crinean. Dr. Crinean explained that the error had occurred because of a computer
    problem. He stated that WSH’s database for the petitions had not been maintained for five years
    and that WSH’s normal protocol had broken down due to an unreliable computer system. Dr.
    Crinean admitted that he partially was at fault and that he was not as diligent as he should have
    been in monitoring NG’s case. The trial court denied the motion to dismiss the 14-day petition.
    The court noted that the doctors and people working with NG had not engaged in any intentional
    conduct.
    The trial court proceeded with a probable cause hearing regarding the 14-day petition for
    involuntary treatment. The court found that NG was gravely disabled and entered an order to
    involuntarily treat NG for up to 14 days.
    Dr. Bingcang and Dr. Crinean subsequently filed a petition for 90-day involuntary
    treatment at WSH. At the beginning of the hearing on the 90-day petition, NG referenced the
    earlier motion to dismiss the 14-day petition and stated that she took exception to the ruling on
    3
    No. 54362-1-II / 54949-2-II
    that motion. The trial court again found that NG was gravely disabled and entered an order to
    involuntarily commit NG for up to 90 days.
    NG appeals the trial court’s two orders committing her to 14 days and an additional 90
    days of involuntary treatment at WSH.
    CM – Background
    CM was diagnosed with schizoaffective bipolar disorder and had been a patient at WSH
    since being involuntarily committed in January 2018 under a 2017 cause number. On December
    26, 2019, the trial court granted a petition for 180 days of involuntary treatment under the 2017
    cause number on the grounds that CM was gravely disabled. CM’s 180-day petition expired on
    June 23, 2020. However, CM was not discharged on that date and no additional petition for
    further detention had been successfully filed at that point.
    At some point, WSH discovered that CM’s 180-day involuntary commitment had expired
    without a new 180-day petition being filed. However, WSH did not release CM. Instead, on
    July 27, WSH had a DCR evaluate CM for a 72-hour detention. The DCR petitioned the trial
    court for a 72-hour detention for evaluation and treatment under a new 2020 cause number. The
    next day, Dr. Mary Zesiewicz and Dr. Tiffany Mohr filed a petition for 14 days of involuntary
    treatment at WSH.
    CM filed a motion to dismiss the 14-day petition on the grounds that WSH had totally
    disregarded the ITA’s requirements. The petitioners’ response provided no explanation as to
    why CM was detained after his 180-day involuntary commitment had expired. They argued only
    that dismissal of the 14-day petition was an inappropriate remedy for the violation.
    The trial court heard oral argument on the motion to dismiss. The court noted that CM
    and the petitioners had submitted argument on the motion to dismiss and instructed the parties to
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    No. 54362-1-II / 54949-2-II
    provide a very brief oral argument. The petitioners did not offer to call witnesses to explain why
    CM was detained after the expiration of CM’s 180-day involuntary commitment or otherwise
    make any request to explain the situation.
    The trial court granted CM’s motion to dismiss the 14-day petition. The court found that
    the unlawful detention under the expired involuntary commitment was a total disregard of the
    statutory requirements and rights set forth in the ITA. The petitioners then requested to
    supplement the record with declarations so there would be a complete factual record for any
    appeal, which the court granted.
    The petitioners subsequently filed three declarations to supplement the record. Dr.
    Wendi Wachsmuth stated in her declaration that she completed a mental status examination with
    CM on June 1 for purposes of filing a new 180-day petition for involuntary treatment. She stated
    that she completed the new 180-day commitment petition on June 2 and then emailed the petition
    to the court scheduler that same day. Katelyn Carroll, a social worker at WSH, stated in her
    declaration that she served CM in person with the 180-day petition on June 4.
    Dr. Faye Turley, the director of psychology at WSH, stated that she investigated why
    CM’s additional 180-day petition for involuntary treatment was not filed with the court. She
    attached a copy of an email that was sent by the WSH hearings scheduler to the court clerk,
    defense counsel, and the office of the attorney general on June 4. The email referenced petitions
    that were to be filed on that date and included CM’s name in the body of the email. Dr. Turley
    stated, “It is apparent that this email did not reach a number of its intended recipients, possibly
    due to an email system glitch.” Clerk’s Papers at 193.
    5
    No. 54362-1-II / 54949-2-II
    After these declarations were filed, the trial court did not take any action regarding the
    court’s dismissal of the 14-day petition. And the petitioners did not file a motion for
    reconsideration on the court’s order granting the motion to dismiss.
    Dr. Zesiewicz and Dr. Mohr appeal the trial court’s order dismissing the 14-day petition
    regarding CM.
    ANALYSIS
    A.     INVOLUNTARY TREATMENT ACT
    The ITA governs the temporary detention for evaluation and treatment of persons with
    mental disorders and establishes procedures for 72-hour, 14-day, 90-day, and 180-day
    involuntary commitments. The legislature provided a statement of legislative intent for the ITA,
    including:
    (a) To protect the health and safety of persons suffering from behavioral health
    disorders and to protect public safety through use of the parens patriae and police
    powers of the state;
    (b) To prevent inappropriate, indefinite commitment of persons living with
    behavioral health disorders . . . ;
    (c) To provide prompt evaluation and timely and appropriate treatment of persons
    with serious behavioral health disorders;
    (d) To safeguard individual rights;
    (e) To provide continuity of care for persons with serious behavioral health
    disorders.
    RCW 71.05.010(1).1
    “Involuntary commitment for mental disorders constitutes a significant deprivation of
    liberty that requires due process protections.” In re Det. of C.W., 
    147 Wn.2d 259
    , 277, 
    53 P.3d 979
     (2002). Because the ITA impacts liberty interests, it must be strictly construed. In re Det. of
    D.W., 
    181 Wn.2d 201
    , 207, 
    332 P.3d 423
     (2014).
    1
    RCW 71.05.010(1) was amended in 2020. LAWS OF 2020, ch. 302, § 1. Because the
    amendments are not material in this case, we cite to the current version of the statute.
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    No. 54362-1-II / 54949-2-II
    1.   Petitions for Involuntary Commitment
    A DCR can file a petition for initial detention when they receive information that the
    person, because of a mental disorder, “presents a likelihood of serious harm or is gravely
    disabled.” Former RCW 71.05.150(1). The trial court may enter an order for a 72-hour
    commitment period for evaluation and treatment when the petition has alleged sufficient
    probable cause and the person subject to the petition has refused to accept appropriate evaluation
    and treatment. Former RCW 71.05.150(2)(a).2
    In addition, a DCR can cause a person to be taken into emergency custody for up to 72
    hours when they receive information that the person, because of a mental disorder, “presents an
    imminent likelihood of serious harm, or is in imminent danger because of being gravely
    disabled.” Former RCW 71.05.153(1) (2019).
    A person detained for 72 hours for evaluation and treatment may be committed for 14
    additional days of involuntary treatment. Former RCW 71.05.230 (2018). If a 14-day petition is
    filed, the trial court must hold a probable cause hearing within 72 hours of the initial detention.
    Former RCW 71.05.240(1) (2019). At the probable cause hearing, the court may order that the
    person be detained for involuntary treatment if it determines by a preponderance of the evidence
    that the person has a mental disorder that presents a likelihood of serious harm or the person is
    gravely disabled. Former RCW 71.05.240(4)(a). There is no right to a jury trial for a probable
    cause hearing on a 14-day petition. In re Det. of S.E., 
    199 Wn. App. 609
    , 612-13, 
    400 P.3d 1271
    (2017).
    2
    This statute was amended in 2021 and the 72-hour detention was extended to 120-hours. RCW
    71.05.150(2)(a) (2021).
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    No. 54362-1-II / 54949-2-II
    An evaluating professional may file for a petition for an additional period of involuntary
    treatment at any time during a person’s 14 day involuntary treatment period. Former RCW
    71.05.290(1) (2017). The petition must be based on one of several grounds, including that the
    person subject to the petition is gravely disabled. Former RCW 71.05.280(4) (2018). The
    petition for 90 days of additional involuntary treatment must be filed at least three days before
    the expiration of the 14-day period. Former RCW 71.05.300(1) (2019). The court must
    schedule a hearing, where the petitioner bears the burden of showing by clear, cogent, and
    convincing evidence the grounds for continued commitment. Former RCW 71.05.310 (2012).
    The committed person has a right to a jury trial. Former RCW 71.05.310.
    If an evaluating professional believes that it is necessary to involuntarily commit a person
    beyond the 90-day period, they may file for a petition seeking an additional 180-day involuntary
    commitment. Former RCW 71.05.320(4), (6) (2018). This petition must be filed at least three
    days before the end of the commitment period. In re Det. of Dydasco, 
    135 Wn.2d 943
    , 952, 
    959 P.2d 1111
     (1998). At a hearing, the petitioner must show by clear, cogent, and convincing
    evidence that further detention is required pursuant to one of several grounds, including that the
    person continues to be gravely disabled. Former RCW 71.05.310; former RCW 71.05.320(4)(d).
    Successive 180-day petitions for further involuntary treatment may be filed based on the same
    grounds. Former RCW 71.05.320(6)(b).
    If after a period of involuntary commitment has expired and no petition for additional
    involuntary treatment has been filed, former RCW 71.05.320(4) states that “[t]he person shall be
    released from involuntary treatment at the expiration of the period of commitment.” Former
    RCW 71.05.320(6)(b) also states that “[a]t the end of the one hundred eighty day period of
    commitment . . . the committed person shall be released unless a petition for an additional one
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    No. 54362-1-II / 54949-2-II
    hundred eighty day period of continued treatment is filed and heard in the same manner as
    provided in this section.” Former RCW 71.05.320(8) further provides that “[n]o person
    committed as provided in this section may be detained unless a valid order of commitment is in
    effect.”
    RCW 71.05.510 states: “Any individual who knowingly, willfully or through gross
    negligence violates the provisions of this chapter by detaining a person for more than the
    allowable number of days shall be liable to the person detained in civil damages.”
    2.   Presumption in Favor of Deciding Cases on the Merits
    RCW 71.05.010(2) states:
    When construing the requirements of this chapter the court must focus on the merits
    of the petition, except where requirements have been totally disregarded, as
    provided in In re C.W., 
    147 Wn.2d 259
    , 281 (2002). A presumption in favor of
    deciding petitions on their merits furthers both public and private interests because
    the mental and physical well-being of individuals as well as public safety may be
    implicated by the decision to release an individual and discontinue his or her
    treatment.
    (Emphasis added.) In C.W., the Supreme Court suggested that “in determining whether a case is
    to be dismissed, courts should focus on the merits of the petition, the intent of the statute, and
    whether the State ‘totally disregarded the requirements of the statute.’ ” 
    147 Wn.2d at 281
    (quoting In re Det. of Swanson, 
    115 Wn.2d 21
    , 31, 
    804 P.2d 1
     (1990)).
    RCW 71.05.010(2) reflects the principle that “[d]ismissal of an involuntary treatment
    petition and release of the person subject to the petition is not often the proper remedy because of
    the importance of providing treatment to those requiring it.” In re Det. of C.V., 5 Wn. App. 2d
    814, 822, 
    428 P.3d 407
     (2018).
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    No. 54362-1-II / 54949-2-II
    B.        DISMISSAL AS AN AVAILABLE REMEDY FOR ITA VIOLATIONS
    The State argues that dismissal of a 14-day or 90-day petition filed under a new cause
    number is not an available remedy for ITA violations regarding the failure to release a
    committed person when a 180-day involuntary commitment ordered under a previous petition
    has ended. We disagree.
    Neither the ITA nor any cases address whether or not dismissal of a new 14-day or 90-
    day petition under a new cause number is an available remedy for ITA violations regarding an
    involuntary commitment under a previous petition. No ITA provision addresses the situation
    where a committed person’s involuntary commitment has expired and is not properly renewed,
    but the petitioners want to continue to detain them. And all the cases addressing ITA violations
    involve motions to dismiss for violations under the same cause number. E.g., C.W., 
    147 Wn.2d at 263
    .
    We conclude that dismissal of the new 14-day petitions for NG and CM (and the 90-day
    petition for NG) was an available remedy for WSH’s ITA violations for several reasons.
    First, the 2020 petitions filed regarding NG and CM were not really “new” cases. At the
    time of the 2020 petitions, NG and CM continued to be detained under the previous cause
    numbers and they remained at WSH the entire time. And the new petitions did not seek
    involuntary commitments on any different basis. Regardless of the new cause numbers, WSH
    actually sought to extend the existing unlawful detentions. Therefore, the new cases were a
    direct continuation of the previous cases.
    Second, the ITA does not provide support for the procedure WSH used once it discovered
    the unlawful detentions. Nothing in the ITA allows for a 180-day commitment to be followed
    immediately, without a break, by a 72-hour detention and a 14-day commitment. Instead, former
    10
    No. 54362-1-II / 54949-2-II
    RCW 71.05.320(6)(b) states that a committed person “shall be released” at the end of the 180
    day commitment period and former RCW 71.05.320(8) states that “[n]o person committed as
    provided in this section may be detained unless a valid order of commitment is in effect.”
    Third, precluding dismissal of a new petition as a remedy for ITA violations would leave
    committed persons with little protection against even deliberate violations. A facility could
    completely ignore ITA requirements for continued detention of involuntarily committed persons
    without any meaningful repercussions, knowing that the detention could be extended simply by
    obtaining a new 72-hour detention and filing a new 14-day petition. This result would be
    inconsistent with two of the statements of legislative intent for the ITA: “[t]o prevent
    inappropriate, indefinite commitment of persons living with behavioral health disorders” and
    “[t]o safeguard individual rights.” RCW 71.05.010(1)(b), (d).
    The dismissal remedy involves two caveats. First, RCW 71.05.010(2) makes it clear that
    a new involuntary commitment petition can be dismissed as a remedy only if the petitioner has
    “totally disregarded” ITA requirements in improperly detaining a committed person. That
    requirement is discussed below.
    Second, dismissal of a new involuntary commitment petition does not mean that the
    committed person cannot be committed again at some future time. As the court stated in C.W.,
    “a question as to whether the professional staff may have detained a person in violation of the
    statute should not affect whether the person meets the statutory requirements for further
    detention.” 
    147 Wn.2d at 283
     (emphasis added). NG and CM argue only that if another 180-day
    petition is not filed in a timely manner, the committed person must be released as the ITA
    provides. After the release from detention has occurred, if appropriate, a new 72-hour detention
    can be ordered and a new 14-day petition can be filed.
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    No. 54362-1-II / 54949-2-II
    The State argues that allowing dismissal of a new 14-day petition as a remedy for ITA
    violations could interfere with a primary goal of the ITA – to provide treatment for and to protect
    gravely disabled people. As noted above, the first provision of the ITA’s statement of legislative
    intent is “[t]o protect the health and safety of persons suffering from behavioral health disorders
    and to protect public safety.” RCW 71.05.010(1)(a). Another statement of intent is “[t]o provide
    continuity of care for persons with serious behavioral health disorders.” RCW 71.05.010(1)(e).
    Requiring that severely disabled people be released because of past ITA violations even though
    continued commitment is necessary and appropriate could place the health and safety of gravely
    disabled persons and public safety at risk.
    The State’s argument has some merit. However, the requirement that a petition can be
    dismissed only if the petitioner has totally disregarded ITA requirements mitigates this concern.
    As discussed below, the health and safety of the committed person and public safety are two
    factors that must be considered in determining whether a petitioner had totally disregarded ITA
    requirements.
    The State also emphasizes that unlawfully detained patients have an express statutory
    remedy under the ITA: an action for civil damages under RCW 71.05.510. However, nothing in
    the ITA suggests that this remedy is exclusive.
    Finally, the State points to practical considerations. Is a facility required to release a
    gravely disabled person who needs treatment and is completely unable to provide for their own
    health and safety needs in the community? If a patient must be released before a new petition
    can be filed, how long must the release last? Can a DCR be waiting across the street? These are
    legitimate questions. But because these issues are not presented in these cases, we will not
    address them in the abstract.
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    No. 54362-1-II / 54949-2-II
    We hold that dismissal of a 14-day or 90-day petition under a new cause number is an
    available remedy for a violation of the ITA regarding an involuntary commitment under a
    previous petition, but only if the petitioner has totally disregarded ITA requirements.3
    C.     TOTAL DISREGARD OF ITA REQUIREMENTS
    The parties disagree regarding the meaning of the phrase “totally disregarded” in RCW
    71.05.010(2). We hold that in determining whether a petitioner has totally disregarded ITA
    requirements, a trial court must consider the totality of the circumstances in light of the factor we
    discuss below.
    1.    Statutory Interpretation
    Questions of statutory interpretation are reviewed de novo. PeaceHealth St. Joseph Med.
    Ctr. v. Dep’t of Revenue, 
    196 Wn.2d 1
    , 7, 
    468 P.3d 1056
     (2020). The primary goal of statutory
    interpretation is to ascertain and give effect to the legislature’s intent. 
    Id.
     This requires looking
    at the plain language of the statute, the context of the statute, any related statutory provisions,
    and the statutory scheme as a whole. Id. at 7-8. “[A]n enacted statement of legislative purpose
    is included in a plain reading of the statute.” G-P Gypsum Corp. v. Dep’t of Revenue, 
    169 Wn.2d 304
    , 310, 
    237 P.3d 256
     (2010).
    If the legislature has not defined a statutory term, we apply the term’s plain and ordinary
    meaning. Clark County v. Portland Vancouver Junction R.R., LLC, 17 Wn. App. 2d 289, 295,
    
    485 P.3d 985
     (2021). We may consider dictionary definitions to determine the ordinary meaning
    of undefined terms. 
    Id.
    3
    NG and CM argue in the alternative that if dismissal of new 14-day petitions is not an available
    remedy for the violation of ITA requirements in previous cases, the statute is unconstitutional as
    applied. Because we hold that dismissal is an available remedy, we do not address this
    argument.
    13
    No. 54362-1-II / 54949-2-II
    “Because civil commitment statutes involve a deprivation of liberty, they should be
    construed strictly.” C.W., 
    147 Wn.2d at 272
    . However, we still must keep the legislature’s
    intent in mind to avoid absurd results. Id.
    2.   Meaning of “Totally Disregarded”
    Several cases have addressed whether a petitioner has totally disregarded ITA
    requirements, but none of them addressed the meaning of “totally disregarded.” See C.W., 
    147 Wn.2d at 281-83
    ; Swanson, 
    115 Wn.2d at 31-33
    ; C.V., 5 Wn. App. 2d at 826-28; In re Det. of
    K.R., 
    195 Wn. App. 843
    , 846-48, 
    381 P.3d 158
     (2016).
    In addition, the term “totally disregarded” does not have an obvious, plain meaning.
    Therefore, we rely on the language of RCW 71.05.010(2) and the statement of legislative intent
    in RCW 71.05.010(1) to develop a framework for determining when a petitioner has totally
    disregarded ITA requirements.
    a.    Petitioner’s Conduct
    RCW 71.05.010(2) focuses on whether the petitioner (or a predecessor) has totally
    disregarded ITA requirements. Therefore, the first factor a trial court must consider is the
    petitioner’s conduct.
    In determining what type of conduct may constitute a total disregard, we turn first to
    dictionary definitions. See Portland Vancouver Junction, 17 Wn. App. 2d at 295. Webster’s
    Dictionary provides three definitions for the verb “disregard”: “to treat without fitting respect or
    attention,” “to treat as unworthy of regard or notice,” and “to give no thought to: pay no
    attention.” WEBSTER’S THIRD NEW INTERNATIONAL DICTIONARY 655 (2002). The noun
    “disregard” is defined to include “intentional slight or neglect.” WEBSTER’S at 655.
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    No. 54362-1-II / 54949-2-II
    Initially, it is clear that “totally disregarded” must mean something more than a failure to
    satisfy certain statutory requirements. In other words, the mere fact that a statutory requirement
    has not been satisfied does not automatically rise to the level of total disregard. This conclusion
    is consistent with case law. See C.W., 
    147 Wn.2d at 282-83
    ; C.V., 5 Wn. App. 2d at 826, 828.
    The first two definitions of “disregard” encompass deliberate conduct; a knowing or
    willful failure to pay attention to something. But the second two definitions refer to something
    akin to gross negligence: paying no attention to something or intentionally neglecting something.
    None of the definitions suggest that mere negligence constitutes disregard. And the inclusion of
    “totally” makes it clear that some higher standard than negligence is required.
    In addition to consulting the dictionary, we consider other related ITA provisions. See
    PeaceHealth, 196 Wn.2d at 7-8. As noted above, RCW 71.05.510 states a standard for civil
    liability for unlawful detention. Civil liability is imposed on a person who “knowingly, willfully
    or through gross negligence” violates ITA provisions. RCW 71.05.510. This standard is
    consistent with the dictionary definitions of “disregarded.”
    Considering the dictionary definitions and the civil liability standard in RCW 71.05.510,
    we hold that the proper standard for evaluating a petitioner’s conduct is whether the violation of
    the statutory requirements occurred knowingly, willfully or through gross negligence.
    b.    Additional Factors
    Even if a petitioner has violated ITA requirements knowingly, willfully or through gross
    negligence, RCW 71.05.010(1) and the second sentence of RCW 71.05.010(2) indicate that such
    conduct does not automatically constitute a total disregard of those requirements. Both
    subsections relate to legislative purpose, which is included in a plain language analysis. G-P
    15
    No. 54362-1-II / 54949-2-II
    Gypsum, 169 Wn.2d at 310. Therefore, the factors identified in these subsections also must be
    considered.
    First, two of the core purposes of the ITA are to “prevent inappropriate, indefinite
    commitment of persons living with behavioral health disorders” and to “safeguard individual
    rights.” RCW 71.05.010(1)(b), (d). Therefore, the extent of the committed person’s deprivation
    of liberty as a result of an ITA violation is an important consideration. The longer the unlawful
    detention, the more likely an ITA violation will be considered a total disregard of ITA
    requirements. Conversely, a de minimis detention will be unlikely to rise to the level of total
    disregard.
    Second, additional core purposes of the ITA are to “protect the health and safety,”
    “provide . . . appropriate treatment,” and to “provide continuity of care” of persons suffering
    from behavioral health disorders. RCW 71.05.010(1)(a), (c), (e). Therefore, the health and
    safety of the committed person and appropriate treatment for the person must be considered.
    Whether the petitioner’s conduct and the committed person’s requested remedy are protective of
    the committed person’s health and safety and is essential for that person’s appropriate treatment
    may mitigate an ITA violation.
    Third, another core purpose of the ITA is to “protect public safety.” RCW
    71.05.010(1)(a). Therefore, the safety of the public must be considered. Whether the
    petitioner’s conduct and the committed person’s requested remedy are protective of public safety
    may mitigate an ITA violation.
    The second and third factors are expressly referenced in RCW 71.05.010(2): “A
    presumption in favor of deciding petitions on their merits furthers both public and private
    interests because the mental and physical well-being of individuals as well as public safety may
    16
    No. 54362-1-II / 54949-2-II
    be implicated by the decision to release an individual and discontinue his or her treatment.”
    (Emphasis added.)
    c.   Summary
    We hold that in determining whether a petitioner has totally disregarded ITA
    requirements, a trial court must consider the totality of the circumstances. These circumstances
    include (1) whether the violation of the statutory requirements occurred knowingly, willfully or
    through gross negligence; (2) the extent of the deprivation of the committed person’s liberty; (3)
    the extent to which the petitioner’s conduct and the committed person’s requested remedy are
    protective of the committed person’s health and safety and reflect appropriate treatment for the
    committed person; and (4) the extent to which the petitioner’s conduct and the committed
    person’s requested remedy are protective of the safety of the public.
    The weight given to each factor necessarily will depend on the facts of each particular
    case. And we will review the trial court’s totality of the circumstances analysis and ruling
    regarding whether a petition has totally disregarded ITA requirements for an abuse of discretion.
    3.   Presentation of Evidence Regarding Total Disregard
    The State argues that the trial court erred in CM’s case by failing to allow the petitioners
    the opportunity to present evidence regarding why an improper detention occurred before ruling
    on a motion to dismiss based on a total disregard of the ITA’s requirements. CM argues that the
    trial court never prohibited the presentation of evidence on the motion to dismiss.
    The ITA does not provide any direction regarding the procedure for addressing a motion
    to dismiss a petition for involuntary commitment based on an argument that the petitioner has
    totally disregarded the ITA’s requirements. However, the total disregard determination is a
    factual one. Before a trial court can make this factual determination, it necessarily must be
    17
    No. 54362-1-II / 54949-2-II
    presented with and consider the specific facts regarding why the petitioner violated ITA
    requirements. Making the total disregard determination as a matter of law without considering
    evidence would be inconsistent with the presumption set forth in RCW 71.05.010(2).
    Given the posture of this case, we need not decide whether the trial court erred in CM’s
    case. But we emphasize that trial courts must allow both the petitioner and the committed person
    the opportunity to present evidence regarding why an improper detention occurred before ruling
    on a motion to dismiss based on a total disregard of the ITA’s requirements.
    4.   Remand for Determination
    Here, it is unclear what standard the trial courts applied in making their “totally
    disregarded” rulings.
    In NG’s case, the trial court noted that the doctors and persons working with NG did not
    engage in any intentional acts. This statement at least suggests that the court did not recognize
    that gross negligence also could constitute total disregard. And the court did not consider the
    other factors that we identify above.
    In CM’s case, the trial court did not explain the standard it was applying. However, the
    court ruled without hearing any evidence regarding the reasons for CM’s unlawful detention,
    which suggests that the court did not consider the totality of the circumstances.
    Because the record does not show what standard the trial courts applied in making their
    totally disregarded determination, we remand for the courts in both cases to determine if the
    petitioners totally disregarded the ITA requirements consistent with the standard articulated in
    this opinion.
    18
    No. 54362-1-II / 54949-2-II
    CONCLUSION
    We remand both NG’s and CM’s cases for proceedings consistent with this opinion.
    MAXA, P.J.
    We concur:
    VELJACIC, J.
    PRICE, J.
    19