FRANK NEFF, A PATIENT, APPELLANT,
v.
STATE OF FLORIDA, APPELLEE

Fla. 1st DCA | 1978-03-23
No. HH-440
MILLS, Acting C. J., and SMITH, J., concur.
356 So. 2d 901 Florida District Court of Appeal, First District (1978) Caution
Cited by 10 cases

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Synopsis

Frank Neff appeals an involuntary hospitalization order, arguing that absent a finding of dangerousness and with evidence he could survive safely in freedom, hospitalization was improper. The court reversed, holding that involuntary hospitalization requires not only mental illness and inability to make treatment decisions, but also demonstrated incapacity to care for oneself in freedom.


Holding

The court held that involuntary hospitalization requires: (1) finding of mental illness; (2) if dangerous, likelihood of injury to self or others; or if non-dangerous, (3) need for care or treatment, (4) lack of capacity to make responsible application for treatment, (5) manifest neglect or refusal to care for self posing real and present threat to well-being, AND (6) incapacity to survive safely in freedom. Here, since Neff could survive safely in freedom despite his illness, involuntary hospitalization was improper.


Headnotes

[1] Involuntary hospitalization requires a finding that a person is mentally ill and, because of that illness, is either likely to injure himself or others, or is in need of…

[2] A non-dangerous, mentally ill individual may be involuntarily hospitalized only if they are in need of care and treatment, lack sufficient capacity to make a responsible…

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Key Quotes

“even though the other criteria are met, a non-dangerous individual who is capable of surviving safely in freedom by himself or with the help of willing and responsible family members or friends should never be hospitalized involuntarily.”

Establishes the critical requirement that even mentally ill persons capable of safe independent living cannot be involuntarily hospitalized.

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Facts & Procedural History

Frank Neff, age 27, ordered breakfast at a restaurant and told the manager that God would pay the bill. Police took him to a psychiatric center where …

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Opinion of the Court
MELVIN, Judge.

MELVIN, Judge.

Appellant Neff brings this appeal for review of an order of involuntary hospitalization finding that he was mentally ill, in need of care or treatment, and that he lacked the sufficient capacity to make a responsible application in his own behalf.

On October 11, 1977, the administrator of the Tallahassee Psychiatric Centre, Inc., filed a petition for the involuntary hospitalization of Neff. A hearing on the matter was held October 13, 1977, and the trial court entered its order requiring Neff’s involuntary hospitalization the following day pursuant to Section 394.467(l)(b), Florida Statutes (1975).

Neff argues that, since he was found not to be dangerous to himself or others, there was no clear and convincing evidence to support the court’s finding that he lacked sufficient capacity to make a responsible application on his own behalf or that hospitalization was, in fact, necessary. The State, on the other hand, argues that there was clear and convincing evidence to support the involuntary hospitalization.

The facts gleaned from this record are that Neff, who is 27 years of age, ordered breakfast at a Jerry’s Restaurant and, upon finishing his meal, informed the manager of Jerry’s that God would pay his bill. The police were called and Neff was taken to the Psychiatric Centre, Inc., where he was subsequently examined by two psychiatrists.

One of the psychiatrists, Dr. Head, testified that he and another doctor diagnosed Neff as a paranoid schizophrenic but that such description didn’t . . really adequately describe Mr. Neff. Mr. Neff is a very — -his intellect is intact; he is extremely intelligent — .” The doctor stated that Neff had withdrawn from the world and that he was not living up to his intellectual capabilities. Dr. Head continued, stating:

“. . . what I’m trying to say is the reason Dr. Moore and I think he should be hospitalized is that because we would hope that he would get adequate treatment with the possibility that he might be able to come back into the world with his capabilities. . . .”

This case is controlled by In re Beverly, 342 So. 2d 481 (Fla.1977). Beverly was involuntarily hospitalized pursuant to Section 394.467(l)(b), Florida Statutes (1973). Section 394.467(1), Florida Statutes (1973) and Section 394.467(1), Florida Statutes (1975) are identical, and provide:

“394.467 Involuntary hospitalization.— “(1) CRITERIA — A person may be involuntarily hospitalized if he is mentally ill and because of his illness is:
“(a) Likely to injure himself or others if allowed to remain at liberty, or

“(b) In need of care or treatment and lacks sufficient capacity to make a responsible application on his own behalf.”

In holding that Section 394.467, Florida Statutes (1973) was constitutional, the Supreme Court stated the following test to be used prior to the entering of an order requiring the involuntary hospitalization of an individual:

First, the judge must conclude that the person is mentally ill. Second, if the person is found to be mentally ill, the court must then conclude that, because of the mental illness, the person is likely to injure himself or others if allowed to remain at liberty. In making this determination, the court must conclude “. . . that there is such a threat of harm as to comprehend the positive infliction of injury. . . . ” The term “injury” contemplates emotional injury to another, as well as physical injury to one’s self or others. Thus, if a person is found to be mentally ill and dangerous to himself or others, he may be involuntarily hospitalized.

However, if the person is mentally ill but not dangerous to himself or others, additional questions must be asked.

First, the court must determine that the mentally ill person is in need of care and treatment. Next, the court must conclude that the person lacks sufficient capacity to make a responsible application for such treatment on his own behalf.

Further, the court must conclude that the mental illness manifests itself in neglect or refusal to care for himself and that such neglect or refusal poses a real and present threat of substantial harm to his well being. If these three conditions are met, the non-dangerous, mentally ill person may be involuntarily hospitalized. Stressing the necessity that all of these criteria be met, the Supreme Court added this caveat:

even though the other criteria are met, a non-dangerous individual who is capable of surviving safely in freedom by himself or with the help of willing and responsible family members or friends should never be hospitalized involuntarily.” 342 So. 2d at 487

Neff ordered breakfast and after consuming it, directed the manager to, in essence, bill it to God. Neff was examined by two psychiatrists, as required by statute, who found him to be mentally ill, i. e., a paranoid schizophrenic. There was absolutely no evidence that Neff was potentially dangerous to himself or others, either physically or emotionally. The testifying psychiatrist stated that Neff should receive treatment so that he might more fully recognize his capabilities. The court also heard testimony that Neff did not recognize that he was mentally ill and that if he was released he would not seek treatment on his own.

Thus far, Neffs situation had met all but one of the criteria for involuntary hospitalization, the absent condition being whether Neff was “. . . capable of surviving safely in freedom by himself. . . . ” In addressing this issue, the Public Defender initiated the following colloquy:

Public Defender: “Do you think that without institutionalization he could not adequately take care of himself?

Psychiatrist: “I think he has been taking care of himself. I can’t say he is not taking care of himself.

Public Defender: “Do you believe that he could actually survive safely in freedom?

Psychiatrist: “Yes, yeah, I would say that. He has done it for several years. He, however, is not aware of his need for treatment.”

There was no testimony that Neff was incapable of caring for himself in freedom. That the primary desire of the psychiatrists in hospitalizing Neff was to make him a better person upon his release is evidenced by the psychiatrist’s statement that:

The Legislature has not authorized deprivation of liberty or the expenditure of public funds for such laudatory purpose. In the case here reviewed, there was no showing that Neff, despite his illness, could not safely care for himself in freedom.

Accordingly, the order for the involuntary hospitalization of Neff is

REVERSED.

MILLS, Acting C. J., and SMITH, J., concur.


Cases With Similar Vibessemantic neighbors from the corpus


Citator

Cited By

  • Hill v. State, 358 So. 2d 190 (Fla. 1st DCA 1978)
    …such dosages would likely result in a relapse into a psychotic state.” For present purposes we may assume that is so, and it may be so, but Dr. Rodriguez did not so testify. . State ex rel. Boyd v. Green, supra, 355 So. 2d p. 792. . Neff v. State, 356 So. 2d 901, 903 (Fla. 1st DCA 1978). . There is no basis in this record for supposing that Hill is likely to lose remission suddenly and without warning. In reference to Hill’s 1965 admission, the staff conference report indicates that Hill’s hallucinations a…
  • Lyon v. State, 724 So. 2d 1241 (Fla. 1st DCA 1999)
    …e, 611 So. 2d 577 (Fla. 1st DCA 1992); Braden v. State, 575 So. 2d 756 (Fla. 1st DCA 1991); Welk v. State, 542 So. 2d 1343 (Fla. 1st DCA 1989); Williams v. State, 522 So. 2d at 983; Smith v. State, 508 So. 2d 1292 (Fla. 1st DCA 1987); Neff v. State, 356 So. 2d 901 (Fla. 1st DCA 1978). Reversed. BENTON, VAN NORTWICK, and PADOVANO, JJ„ CONCUR. . Mr. Lyon explained further: As soon as I get her in the car she puts the windows down and starts ranting at me about different things that I have done and I’m respo…
  • Williams v. State, 522 So. 2d 983 (Fla. 1st DCA 1988)
    …apable of surviving safely in freedom by herself or with the help of others, should never be involuntarily committed. In re Beverly, 342 So. 2d 481 (Fla.1977). The mere need for treatment alone is insufficient to commit an individual. Neff v. State, 356 So. 2d 901 (Fla. 1st DCA 1978). The trial court, however, retains continuing jurisdiction to order placement upon a sufficient showing by the state that the statutory criteria are met. Therefore, the order of involuntary placement is REVERSED. MILLS and WE…

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