In the Matter of the Hospitalization of April S.
Annotate this CaseA minor in the custody of the Alaska Office of Children’s Services (OCS) was brought to a hospital for mental health treatment. A hospital social worker then petitioned the superior court to have the minor involuntarily hospitalized at a psychiatric facility for a mental health evaluation. The court held a brief ex parte telephonic inquiry at which it took the social worker’s sworn testimony. The court concluded that the minor was a danger to herself and granted the petition. Under the statute governing involuntary commitments, the court was required to hold an evidentiary hearing within 72 hours if the psychiatric facility intended to continue providing treatment beyond that time. Before any hearing, however, OCS informed the court that it consented to the minor’s 30-day commitment for treatment; it contended that its consent made the 30-day commitment “voluntary” and, under the statute governing parental admissions, no hearing was required. The court eventually held an evidentiary hearing nearly 30 days after the minor’s initial hospitalization for evaluation. The court decided that the standards for a 30-day commitment were met because there was clear and convincing evidence that the minor had a mental illness, that she posed a risk of harm to herself, and that there were no less restrictive means of treatment available. The court also concluded that OCS had the statutory authority to admit a child in its care under the parental admissions statute. The first 30 days of the minor’s commitment were therefore considered voluntary, and her continued hospitalization would be considered under the involuntary commitment framework only after those 30 days expired. The court further determined that, because the 30-day limit under the parental admission statute was separate from the 30-day limit before a jury trial was required under the involuntary commitment statute, the minor could be held for an additional 30 days — 60 days total — before there was any need for a trial. The minor appealed, arguing the superior court violated her due process rights by not allowing her to be heard at the initial inquiry, when the petitioner testified under oath, and by treating her initial 30-day commitment as voluntary. The Alaska Supreme Court concluded the minor’s hospitalization for evaluation complied with due process; a hearing was not required at the ex parte review stage, and a judge’s decision to hold a brief inquiry with the petitioner did not give the respondent a right to be heard. But the Supreme Court further concluded that it was error to treat the initial 30-day commitment as voluntary, because OCS was not a parent or guardian statutorily authorized to use the voluntary parental admission framework. Because the 30-day commitment should have been considered involuntary, any further hospitalization could not be ordered absent a full hearing or jury trial. The Supreme Court therefore reversed the superior court order characterizing the first 30-day commitment as voluntary and authorizing an additional 30 days of commitment.
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