In the Matter of the Civil Commitment of: B.J. v. Health & Hospital Corporation of Marion County d/b/a Eskenazi Health Midtown Community Mental Health (mem. dec.)

MEMORANDUM DECISION
Pursuant to Ind. Appellate Rule 65(D),
this Memorandum Decision shall not be FILED
regarded as precedent or cited before any Apr 29 2020, 11:17 am

court except for the purpose of establishing CLERK
Indiana Supreme Court
the defense of res judicata, collateral Court of Appeals
and Tax Court
estoppel, or the law of the case.

ATTORNEY FOR APPELLANT ATTORNEYS FOR APPELLEE
Deborah Markisohn Bryan H. Babb
Marion County Public Defender Agency Sarah T. Parks
Indianapolis, Indiana Bose McKinney & Evans LLP
Indianapolis, Indiana

IN THE
COURT OF APPEALS OF INDIANA

In the Matter of the Civil April 29, 2020
Commitment of: Court of Appeals Case No.
B.J., 19A-MH-2523
Appellant-Respondent, Appeal from the Marion Superior
Court
v. The Honorable Amy Jones,
Special Judge
Health & Hospital Corporation Trial Court Cause No.
of Marion County d/b/a 49D08-1909-MH-39411
Eskenazi Health Midtown
Community Mental Health,
Appellee-Petitioner,

Robb, Judge.

Court of Appeals of Indiana | Memorandum Decision 19A-MH-2523 | April 29, 2020 Page 1 of 9
 Case Summary and Issue
[1] B.J. appeals the trial court’s order of involuntary regular commitment at

Eskenazi Health Midtown Community Mental Health (“Eskenazi”). He raises

one issue which we restate as whether there was sufficient evidence to support a

special condition to his order of commitment. Concluding that the evidence is

insufficient to support such a special condition, we affirm in part, reverse in

part, and remand with instructions.

Facts and Procedural History
[2] B.J. is thirty-nine years old, has a history of mental illness, and lives with his

parents. In early 2019, B.J. was released from a one-year commitment during

which he took his prescribed medication and had therapy monthly. Upon being

discharged, he stopped taking his medication and his behavior became

increasingly worse to a point where his parents were “fearful that he would

harm [them].” [Transcript], Volume II at 17. Multiple times each day, B.J.

would walk to a neighborhood playground where he would curse, use vulgar

language, and yell; this concerned his neighbors, and some had considered

calling the police. In September 2019, B.J.’s father filed an Application for

Emergency Detention of Mentally Ill and Dangerous Person (“Application”)

with Eskenazi alleging B.J. was suffering from a psychiatric disorder. See

Appellant’s Appendix, Volume II at 13. Dr. Gregory Singleton, a doctor with

Eskenazi, filed a Physician’s Emergency Statement in support of the

Application. After reviewing the Application and the Physician Statement, the

Court of Appeals of Indiana | Memorandum Decision 19A-MH-2523 | April 29, 2020 Page 2 of 9
 trial court issued an order for B.J. to be admitted to Eskenazi on an emergency

detention and set the matter for a commitment hearing on September 26, 2019.

[3] At the commitment hearing, the trial court heard testimony from Dr. Carley

Niehaus, Dr. Kenneth Smith, B.J.’s father, and B.J. Dr. Niehaus testified that

B.J. suffered from Schizoaffective Disorder. Dr. Smith testified that B.J. made

multiple threats to physically harm Dr. Smith and members of Dr. Smith’s

family. Drs. Niehaus and Smith both believed that B.J. was gravely disabled

and dangerous to others as a result of his mental illness. B.J. testified,

I am sober. I am drug free. And I am clear headed and not sick. I
. . . was affiliated with this guy who was in the [Alcoholics
Anonymous] program and I do not really appreciate their antics
to be honest. But anyway, I think you are going to do the right
thing today, judge.

Tr., Vol. II at 22. After hearing the evidence, the trial court found that B.J.

suffers from Schizoaffective Disorder, is dangerous to himself or others, is

gravely disabled, and is in need of custody, care and treatment at Eskenazi. The

trial court ordered the regular commitment of B.J., involuntarily committing

him to Eskenazi. The trial court also imposed five special conditions made part

of the regular commitment, which included a mandate prohibiting B.J. from

consuming “alcohol or drugs, other than those prescribed by a certified medical

Court of Appeals of Indiana | Memorandum Decision 19A-MH-2523 | April 29, 2020 Page 3 of 9
 doctor[,]” when he attains outpatient status.1 Appealed Order at 2. B.J. now

appeals.

Discussion and Decision
I. Standard of Review
[4] Civil commitment proceedings have two purposes: to protect the public and to

ensure the rights of the person whose liberty is at stake. P.B. v. Evansville State

Hosp., 90 N.E.3d 1199, 1202 (Ind. Ct. App. 2017). When reviewing the

sufficiency of the evidence supporting a special condition in a civil commitment

case, we look only to the evidence most favorable to the judgment and any

reasonable inferences therefrom. M.L. v. Eskenazi Health/Midtown Mental Health

CMHC, 80 N.E.3d 219, 223 (Ind. Ct. App. 2017). We will not reweigh the

evidence or judge the credibility of the witnesses. Id. at 223-24. The burden rests

upon the petitioner—in this case, Eskenazi—to present sufficient evidence to

support the imposition of a special condition. Id. at 223.

II. Sufficiency of the Evidence
[5] B.J. contends there was insufficient evidence that the special condition

prohibiting him from consuming alcohol or non-prescribed drugs bore a

1
The trial court also imposed as special conditions that B.J.: 1) take all medications as prescribed, 2) attend
all clinic sessions as scheduled, 3) maintain his address and phone number with the trial court and designated
facility, and 4) not harass or assault family members or others. B.J. does not challenge any of these special
conditions and therefore, we do not address them.

Court of Appeals of Indiana | Memorandum Decision 19A-MH-2523 | April 29, 2020 Page 4 of 9
 reasonable relationship to his mental health treatment or to the protection of the

public. See Brief of the Appellant at 10. We agree.

[6] A trial court may impose special conditions on an individual who is

involuntarily committed upon release to outpatient care. Commitment of M.M. v.

Clarian Health Partners, 826 N.E.2d 90, 99 (Ind. Ct. App. 2005), trans. denied; see

also Ind. Code § 12-26-14-3(4). However, the special conditions “must be

reasonably designed to protect the individual as well as the general public.”

Golub v. Giles, 814 N.E.2d 1034, 1041 (Ind. Ct. App. 2004), trans. denied. There

must be sufficient evidence in the record for the trial court to conclude that the

special condition “bears a reasonable relationship” to the committed

individual’s treatment. Id.

[7] We first addressed the validity of special conditions of commitment in Golub v.

Giles. There, Golub suffered from a bipolar disorder with psychotic symptoms.

Golub had a well-documented history of behavior that included, inter alia,

lunging at a hotel manager, threatening his family members, discussing suicide,

and “exhibiting unpredictability that evinced a potential to strike out physically

in frustration and anger.” 814 N.E.2d at 1037. Following a commitment

hearing, the trial court issued an order of regular commitment and imposed six

special conditions, including a condition that Golub not use alcohol or drugs,

other than those prescribed by a certified medical doctor. Golub appealed and

with respect to the condition prohibiting him from consuming alcohol or drugs,

we noted the record was “devoid of any evidence showing that Golub used or

abused alcohol or drugs” nor was “the subject of alcohol and drug use . . . at

Court of Appeals of Indiana | Memorandum Decision 19A-MH-2523 | April 29, 2020 Page 5 of 9
 issue at any time during the hearing[.]” Id. at 1041. We concluded that the

condition was improperly imposed because there was no evidence in the record

suggesting the “prohibition bears any relationship at all to Golub’s treatment or

the protection of the public.” Id. at 1042.

[8] Two Indiana cases have since followed the standard set forth in Golub. In

Commitment of M.M., M.M. suffered from bi-polar mania and was admitted as

an inpatient at Methodist Hospital in their psychiatric unit. On appeal, M.M.

argued, the hospital conceded, and we agreed that the condition prohibiting

M.M. from consuming alcohol or drugs was improper because there was “no

evidence in the record to suggest that such a prohibition [bore] any relationship

to M.M.’s treatment or the protection of the public[.]” 826 N.E.2d at 99.

Similarly, in M.L., M.L. suffered from bi-polar mania and was admitted to

Eskenazi on an emergency detention. At the evidentiary hearing, a doctor from

Eskenazi testified that he was dangerous both to himself and others. When

asked on direct examination whether M.L. used alcohol or drugs, the doctor

responded that he did not. However, the doctor still requested that the trial

court impose a special condition prohibiting M.L. from using alcohol or drugs,

other than those prescribed by a certified doctor. The trial court agreed and

imposed that special condition. On appeal, we struck the special condition

prohibiting M.L. from consuming alcohol or drugs from the order of

commitment, noting that “the record [was] barren as to M.L.’s use of alcohol or

drugs and there [was] no suggestion that the special condition [bore] any

relationship to M.L.’s treatment or the protection of the public.” 80 N.E.3d at

Court of Appeals of Indiana | Memorandum Decision 19A-MH-2523 | April 29, 2020 Page 6 of 9
 224. Eskenazi argued that “[i]t should be obvious that M.L.’s use of alcohol or

drugs would have exacerbated his conditions of grave disability and

dangerousness.” Id. But we rejected that argument, explaining that Eskenazi

did not present any evidence supporting the “obvious” statement. Id.

[9] Likewise here, the record is devoid of any evidence as to B.J.’s use of alcohol or

non-prescribed drugs and there is no evidence in the record that the special

condition bears any relationship to B.J.’s treatment or to the protection of the

public. Unlike the doctor in M.L., neither Dr. Niehaus nor Dr. Smith was asked

about B.J.’s alcohol or drug use or requested that the trial court prohibit such

activity. The subject of alcohol or drugs was never raised by Eskenazi or the

trial court, nor did the trial court make a finding that B.J. had an alcohol or

drug problem. When B.J.’s father testified, he did not mention use of alcohol or

drugs as an explanation for B.J.’s behavior. Instead, he believed that B.J.’s

behavior was a result of his psychiatric disorder. Eskenazi claims that B.J.’s

assertion at the commitment hearing that he was sober, drug free, and affiliated

with a person in the Alcoholics Anonymous program supports the inference

that he used alcohol or drugs in the past and thus, supports the special

condition. See Brief of Appellee at 5-6. But B.J.’s statements alone, without

more, cannot serve as the basis to suggest that he previously used alcohol or

drugs such that a special condition prohibiting him from consuming alcohol or

non-prescribed drugs is appropriate and we cannot speculate as to the

connection. The burden, as we have stated, is on Eskenazi to establish that

connection. See M.L., 80 N.E.3d at 223. Moreover, Eskenazi failed to present

Court of Appeals of Indiana | Memorandum Decision 19A-MH-2523 | April 29, 2020 Page 7 of 9
 evidence showing how the special condition bore any relationship to the

protection of the public. Similar to the patients in Golub, Commitment of M.M.,

and M.L., B.J. exhibited threatening and dangerous behavior to his family and

the public. But, as in those three cases, Eskenazi as the petitioner did not

present any evidence that would demonstrate a clear nexus between B.J.’s

threatening and dangerous behavior and substance use. In fact, Dr. Niehaus

testified that B.J.’s symptoms of Schizoaffective Disorder—delusions,

disorganized speech, auditory hallucinations, mania, and mood episodes—are

“not better explained by another medical condition or substance use.” Tr., Vol. II

at 8 (emphasis added).

[10] In sum, Eskenazi has failed to meet its burden of presenting evidence to support

the imposition of the special condition prohibiting B.J. from consuming alcohol

or drugs, other than those prescribed by a certified medical doctor. Eskenazi

also failed to show how the prohibition bore any relationship to B.J.’s treatment

or to the protection of the public. The trial court improperly imposed the special

condition and therefore, we reverse that part of the trial court’s judgment and

remand with instructions to strike the special condition prohibiting B.J. from

consuming alcohol or non-prescribed drugs once he attains outpatient status.

The remainder of the commitment order is affirmed.

Conclusion
[11] There is insufficient evidence to support the special condition prohibiting B.J.

from consuming alcohol or non-prescribed drugs when he attains outpatient

Court of Appeals of Indiana | Memorandum Decision 19A-MH-2523 | April 29, 2020 Page 8 of 9
 status. Accordingly, we reverse that part of the trial court’s judgment imposing

the special condition prohibiting B.J. from consuming alcohol or non-

prescribed drugs and affirm the remainder of the Order of Regular

Commitment.

[12] Affirmed in part, reversed in part, and remanded with instructions.

May, J., and Vaidik, J., concur.

Court of Appeals of Indiana | Memorandum Decision 19A-MH-2523 | April 29, 2020 Page 9 of 9