IN RE: the Application of Donald SAWYER

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IN RE: the Application of Donald SAWYER, Ph.D., Executive Director of Central New York Psychiatric Center, Petitioner-Respondent, For an Order Authorizing the Involuntary Treatment of R.G., A Patient at Central New York Psychiatric Center, Respondent-Appellant.

Decided: December 30, 2009

PRESENT: SCUDDER, P.J., FAHEY, CARNI, AND GORSKI, JJ. Emmett J. Creahan, Director, Mental Hygiene Legal Service, Utica (Jason D. Flemma of Counsel), for Respondent-Appellant. Andrew M. Cuomo, Attorney General, Albany (Julie S. Mereson of Counsel), for Petitioner-Respondent.

Petitioner commenced this proceeding seeking, inter alia, to administer antipsychotic medication to respondent over his objection pursuant to the parens patriae power of the State of New York (see Matter of William S., 31 A.D.3d 567, 568, 817 N.Y.S.2d 674; see generally Rivers v. Katz, 67 N.Y.2d 485, 496-498, 504 N.Y.S.2d 74, 495 N.E.2d 337, rearg. denied 68 N.Y.2d 808, 506 N.Y.S.2d 1039, 498 N.E.2d 438). We conclude that Supreme Court properly granted the petition. Contrary to respondent's contention, petitioner met his burden of establishing by clear and convincing evidence that respondent lacked “the capacity to make a reasoned decision with respect to proposed treatment” (Rivers, 67 N.Y.2d at 497, 504 N.Y.S.2d 74, 495 N.E.2d 337; cf. Matter of Joseph O., 245 A.D.2d 856, 857-858, 666 N.Y.S.2d 322). Here, “[t]he uncontroverted expert testimony [established] that respondent suffers from a debilitating mental illness which he himself fails to perceive, a conclusion borne out by respondent's own testimony” (Matter of McConnell, 147 A.D.2d 881, 882, 538 N.Y.S.2d 101, appeal dismissed and lv. denied 74 N.Y.2d 759, 545 N.Y.S.2d 99, 543 N.E.2d 742; see Matter of Eleanor R. v. South Oaks Hosp., 123 A.D.2d 460, 506 N.Y.S.2d 763, lv denied 69 N.Y.2d 602, 512 N.Y.S.2d 1025, 504 N.E.2d 395). Even assuming, arguendo, that the reports of respondent's behavior while in prison that were contained in respondent's medical file constituted impermissible hearsay, we conclude that petitioner's expert witness properly considered them in forming her opinion inasmuch as the reports included information “of a kind accepted in the profession as reliable in forming a professional opinion” (People v. Sugden, 35 N.Y.2d 453, 460, 363 N.Y.S.2d 923, 323 N.E.2d 169; see People v. Angelo, 88 N.Y.2d 217, 222, 644 N.Y.S.2d 460, 666 N.E.2d 1333). Further, under the circumstances of this case, the court did not abuse its discretion in limiting respondent's cross-examination of petitioner's expert witness (see generally Matter of Simone D., 9 N.Y.3d 828, 842 N.Y.S.2d 758, 874 N.E.2d 722).

Contrary to the further contention of respondent, the proposed treatment was “narrowly tailored to give substantive effect to [his] liberty interest” (Rivers, 67 N.Y.2d at 497, 504 N.Y.S.2d 74, 495 N.E.2d 337). The order provides that petitioner's authority to administer medication to respondent over his objection is limited to the single course of treatment proposed by petitioner, i.e., antipsychotic medication, and is conditioned upon the continued incapacity of respondent to make a reasoned decision concerning his treatment. In any event, petitioner's authority to administer the medication will terminate one year after respondent returns to a correctional facility. Further, the record establishes that the court considered “all relevant circumstances, including [respondent's] best interests, the benefits to be gained from the [proposed] treatment, the adverse side effects associated with the treatment and any less intrusive alternative treatments” (id. at 497-498, 504 N.Y.S.2d 74, 495 N.E.2d 337).

It is hereby ORDERED that the order so appealed from is unanimously affirmed without costs.