In re R.H., 2016 MT 329
Dec 13, 2016OUTCOME: Affirmed in Part And Reversed In Part
This is an appeal from a basic-needs commitment and authorization of involuntary medication. R.H. is elderly and has various physical health problems. She also suffers from bipolar and anxiety disord ... ers, for which she takes medications. After R.H. was evicted from her senior living facility due to altercations with other residents, she was at risk of being homeless and made a suicidal comment. The mental health evaluator opined that R.H. was unable to care for herself. R.H. was unable to secure other housing either because no one would take her or because of her own uncooperativeness. R.H. argued her inability to find shelter was not because of her mental illness (as required for DI commitment). The Court, however, affirmed the district court’s finding that R.H.’s bipolar condition and disorganized thinking were making her unable to provide for her own basic needs. More interestingly, the Court reversed the district court’s order authorizing involuntary medication. The mental health evaluator testified that “we usually do recommend [involuntary medication], and I would in this case, too.” However, the evaluator also testified that R.H. had no history of refusing meds. The district court found that involuntary medication “may be necessary to facilitate treatment” because R.H.’s mental disorder could cause her to abruptly decide not to take her medication. The Court agreed with the district court’s finding that involuntary medication “may be necessary” in the future, but statutorily to order involuntary medication a district court must find that involuntary medication “is necessary.” The Court reversed the order authorizing involuntary medication here because “is necessary” is not satisfied by a finding of “may be necessary.” The Court reiterated that the evidence here was the R.H. had been taking her meds.
