Opinion

Zane v. Friends Hospital

  • 575 Pa. 236
  • 836 A.2d 25
  • 2003 Pa. LEXIS 2149
Court
Supreme Court of Pennsylvania
Filed
Nov 19, 2003
Status
Published
Author
Newman
On the bench
Zappala, Cappy, Castille, Nigro, Newman, Saylor, Eakin, Former
Cited by
197 cases
Authority
More cited than 10.2%

finding that the “coordinate jurisdiction rule [which] serves to protect the expectations of the parties, insure uniformity of decisions, [and] to maintain consistency in proceedings” by preventing one court from overruling the prior decision of a judge from the same court, may be departed from for "exceptional circumstances” which include "a change in the controlling law.”

How later courts described this case

  • finding that the “coordinate jurisdiction rule [which] serves to protect the expectations of the parties, insure uniformity of decisions, [and] to maintain consistency in proceedings” by preventing one court from overruling the prior decision of a judge from the same court, may be departed from for "exceptional circumstances” which include "a change in the controlling law.”
  • holding that section 7111 sets forth a bright line bar to the disclosure of mental health records, even to the court, thereby depriving the alleged victim of a brutal physical and sexual assault by a mental health patient from potentially relevant information in her personal injury claim against her assailant and the hospital where he was an inpatient
  • upholding the clearly erroneous/manifest injustice exception to the law of the case doctrine in those circumscribed cases in which the prior court’s ruling was so clearly erroneous that it would create a manifest injustice that would be, in essence, plainly intolerable, if followed
  • explaining that the coordinate jurisdiction rule “provides that judges of coordinate jurisdiction should not overrule each other’s decisions.”

Written by the judges who cited it.

The opinion

*253 Justice NEWMAN,

concurring.

I write separately to emphasize the inequity of the statutory scheme concerning the release of psychiatric records as applied to the present situation. Jerilyn Zane (Zane) was kidnapped and, thereafter, physically and sexually assaulted over a period of three days by Ronald Anderson (Anderson); as a result, Zane sustained severe physical injuries. 1 Appellee and Anderson met while both were undergoing treatment at Friends Hospital. Presently, Zane maintains that Friends Hospital had failed to warn her about Anderson’s violent disposition.

The case brought forth by Zane is consistent -with Emerich v. Philadelphia Center for Human Development, 554 Pa. 209 , 720 A.2d 1032, 1036 (1999), where this Court recognized that “a mental health care professional, under certain limited circumstances, owes a duty to warn a third party of threats of harm against that third party.” We further clarified our holding as follows:

[W]e find that in Pennsylvania, based upon the special relationship between a mental health professional and his patient, when the patient has communicated to the professional a specific and immediate threat of serious bodily injury against a specifically identified or readily identifiable third party and when the professional, determines, or should determine under the standards of the mental health profession, that his patient presents a serious danger of violence to the third party, then the professional bears a duty to exercise reasonable care to protect by warning the third party against such danger.

Id. at 1043. In reaching our conclusion, this Court observed that “the societal interests in the protection of this Commonwealth’s citizens from harm” outweigh, inter alia, “the impor *254 tance of confidential communication between therapist and patient.” Id. at 1039, 1042-43.

It troubles me that the case brought by Zane, though it alleges a cause of action explicitly adopted by this Court, crumbles because Section 7111 of the Mental Health Procedures Act (MHPA), 50 P.S. § 7111, precluded access to Anderson’s mental health records that contain evidence as to whether Friends Hospital in fact breached its duty as set forth in Emerich . Unfortunately, because Anderson’s records are unreachable, we are left to accept the patently self-serving position of Friends Hospital that it did not violate its obligations to Zane.

This Court has long recognized that the state is obliged to protect its citizens from the mentally ill. See Emerich, 720 A.2d at 1039 ; In re J.S., 526 Pa. 418 , 586 A.2d 909, 913 (1991); In re Hutchinson, 500 Pa. 152 , 454 A.2d 1008, 1011 (1982). Further, as explained in my concurring and dissenting opinion in Emerich , I believe that once a specific threat of immediate and serious bodily harm to a particular person is articulated, “the public concern for notice of dangerous behavior to the person imperiled outweighs the patient’s privacy concerns. 720 A.2d at 1048 (Newman, J., concurring and dissenting). Section 7111 does not take into account these matters and sets forth a bright line rule that protects only the interests of the patient. I do not believe that this should be the exclusive goal of the MHPA. This oversight in the statutory scheme is especially troubling as applied to the present circumstance, where the protection of the patient is no longer at issue and the privilege is asserted by the treating facility in an attempt to avoid a legitimate inquiry into its conduct. While I recognize the importance of the protections afforded by Section 7111,1 do not believe that the Legislature intended for Section 7111 to shield a hospital from liability for the tortious conduct of one its own patients.

Ultimately, however, Section 7111 does not provide an exception that would allow Zane or the trial judge to review Anderson’s mental records and I am, therefore, constrained by the unambiguous language of the statute. Accordingly, I am *255 forced to agree that the Order issued by Judge Nitza Quinones-Alejandro fell within the “clearly erroneous” exception to the coordinate jurisdiction doctrine. Nevertheless, I feel compelled to voice my opposition to what I perceive is an unjust resolution of this matter.

. I recognize that these facts have not been proven by Zane. However, given the present procedural circumstances, we must accept them as alleged. See, e.g., Atcovitz v. Gulph Mills Tennis Club, Inc., 571 Pa. 580 , 812 A.2d 1218, 1221 (2002) (reiterating that when considering an order granting summary judgment, ''[tjhe reviewing court must view the record in the light most favorable to the nonmoving party”).

This is a copy of a public record, reproduced as it was published. It is not legal advice, and it may not be the version a court would rely on. Check the official source before you cite it.

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