The Colorado Court of Appeals issued its opinion in People in Interest of R.K.L. on Thursday, May 19, 2016.
Involuntary Administration of Medication—Due Process—Clear and Convincing Evidence.
On request of the People, R.K.L., a/k/a A.J.J., was found to be mentally ill and a danger to others and gravely disabled, and was certified to Colorado Mental Health Institute at Fort Logan for short-term treatment for a period not to exceed three months. The probate court also authorized involuntary administration for 11 requested antipsychotic medications. Before the expiration of that order, the People filed a notice extending the certification for treatment for an additional three months and a motion to extend the involuntary medication order. The probate court, following a hearing, extended the certification for short-term treatment and granted the motion for continued involuntary administration authority for the requested medications.
A.J.J. appealed both orders. He conceded that the People had established by clear and convincing evidence that he has a mental illness and that he has not voluntarily accepted treatment. He argued that the court erred in finding that the People proved by clear and convincing evidence that he is a danger to others or gravely disabled. The Court of Appeals held that the probate court’s finding that A.J.J. is a danger to others was supported by evidence in the record. Alternatively, the Court found sufficient evidence in the record to support the probate court’s findings by clear and convincing evidence that A.J.J was gravely disabled as a result of his mental illness. Sufficient evidence supports the probate court’s orders upholding the certification and extended certification of A.J.J. for short-term treatment.
To involuntarily administer antipsychotic medication without violating a patient’s due process rights, all four elements set forth in People v. Medina, 705 P.2d 961, 973 (Colo. 1985), must be proven by clear and convincing evidence. The Court found that the evidence did not support the probate court’s findings as to two of these elements regarding involuntary administration of 10 of the medications, but the evidence was sufficient to support the administration of one medication. The Court agreed with A.J.J. that the evidence did not support the court’s findings that (1) the People had established by clear and convincing evidence that there was no less intrusive alternative than administering the 10 antipsychotics and (2) A.J.J.’s need for treatment with the 10 antipsychotic medications overrode his bona fide and legitimate interest in refusing this treatment.
The orders were reversed to the extent that they authorized involuntary administration of 10 antipsychotics and affirmed in all other respects.
Summary provided courtesy of The Colorado Lawyer.