# Petition — PENNHURST PARENTS-STAFF ASSOCIATION v. TERRI LEE HALDERMAN (Nos. 79-1489, 79-1404, 80-738)

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## Record

- **Collection:** Supreme Court brief
- **Document type:** Petition
- **Published:** January 1, 1980

## Text

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No. 79-1404

IN THE

Supreme Court of the United States

OCTOBER TERM, 1979

PENNHURST PARENTS-STAFF ASSOCIATION,
Petitioner,
V.

TERRI LEE HALDERMAN, ET AL.,
Respondents,

PETITION FOR A WRIT OF CERTIORARI TO THE
UNITED STATES COURT OF APPEALS FOR
THE THIRD CIRCUIT

JOEL I. KLEIN
H. BARTOW Farg, III
SUSAN L. CARNEY
ROGOVIN, STERN & HUGE
1730 Rhode Island Avenue, N.W.

Suite 1100
Washington, D.C. 20036,
(202) 466-6464
; Attorneys for Petitioner
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INDEX
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Statutory provisions involved .......
Questions presented .......00............-
IIIT: ©. t federal funds under the
Act. As to those states, this spending clause analysis would not ap-
ply. For the reasons elaborated at p. 25, supra, and p. 27 n.21 infra,
we doubt that the concerns for state autonomy—indicated in Na-
tional League of Cities—would prevail over a congressional an-
nouncement of fourteenth amendment policy. But we need not
address that issue here. It is sufficient for our purposes to note that
Pennsylvania has accepted federal funds and has thus consented to
federally mandated standards for the treatment and habilitation of
the developmentally disabled.

21 Cf. Developments in the Law—Zoning, 91 Harv. L. Rev. 1427,
1617 (1978) (“nothing in National League of Cities or in related
principles of federalism would prevent Congress from using the
spending power to require that states receiving federal funds for
the development and administration of land use programs abide by
federal specifications”). For these same reasons we would reject,
were it made, any contention that §§ 6001-6081 are unconstitu-
tional under National League of Cities. Fitzpatrick v. Bitzer, 427
U.S. 445 (1976), recognizes that National League of Cities is inap-
plicable to legislation promulgated pursuant to § 5 of the fourteenth
amendment. 427 U.S. at 453-56. This court reached the same
conclusion with respect to the Equal Pay Act. Usery v. Allegheny
County Inst. Dist., 544 F.2d 148 (3d Cir. 1976) cert. denied, 430
U.S. 946 (1977). Moreover, we note that the Supreme Court itself
has chosen to read the state reserved powers language in National
League of Cities narrowly. In City of Lafayette v. Louisiana Power
& Light Co., 435 U.S. 389 (1978), the Court held that cities and
subdivisions of a state that engage in anticompetitive practices with-
out authorization are subject to federal antitrust liability. The
Lafayette Court paid scant attention to National League of Cities,
thus suggesting that even under the commerce clause federal stat-
utes may be enforced against the states. See 435 U.S. at 423-24
(Burger, C.J., concurring in Part I of the opinion and in the judg-
ment) (“[t]he National League of Cities opinion focused its deline-
ation of the ‘attributes of sovereignty’. . . on a determination as to
whether the State’s interest involved ‘ “functions essential to sepa-
rate and independent existence.” ’. . . It should be evident, I would
think, that the running of a business enterprise is not an integral
operation in the area of traditional government functions.”). (Quot-

28a

Finally, we have recently decided that a private right
of action exists for the enforcement of section 504 of the
Rehabilitation Act of 1973, 29 U.S.C. § 794 (1976)—
another statute designed to improve the lives of handi-
capped persons. National Association for the Advance-
ment of Colored People v. The Medical Center, Inc., 599
F.2d 1247, 1258-59 (3d Cir. 1979).2* We did not feel,
in that case, that the traditional police power duties of
the states foreclosed a private right of action. In view
of these considerations, then, we hold that appellees have
standing to sue to enforce the Bill of Rights provisions of
the Act.

One court, we note, has held that claims under the
Act must be brought in state court. United States v.
Solomon, 563 F.2d at 1125. The Solomon court acknowl-
edged that the Conference Report on the Act stated that
the right to treatment “should be protected and assured

ing National League of Cities v. Usery, 426 U.S. at 845, quoting
Coyle v. Oklahoma, 221 U.S. 559, 580 (1911)).

The author of this opinion notes that even assuming, arguendo,
that the provision of habilitation is within the sphere of the states’
autonomy, that does not end the matter; “[t]o determine whether
the federal action is unconstitutional requires a balancing of the
federal interests, on the one hand, against the degree of federal
intrusion upon state autonomy on the other.” Developments in the
Law—Zoning, 91 Harv. L. Rev. 1427, 1613 n.159 (1978). See Na-
tional League of Cities, 426 U.S. at 852-53 (distinguishing Fry v.
United States, 421 U.S. 542 (1975), which upheld a temporary
freeze on wages of state and municipal employees, in part on the
ground that “[t]he enactment at issue there was occasioned by an
extremely serious problem. .. .”); id. at 856 (Blackmun, J.,
concurring). Here, Congress has found that certain rights must be
recognized in order that disabled persons realize their basic con-
stitutional liberties. The balance, in my view, plainly favors the
legislation.

22In Southeastern Community College v. Davis, 47 U.S.L.W.
4689, 4691 n.5 (June 11, 1979), the Supreme Court expressly
avoided deciding whether there exists a private right of action
under section 504. The Court went on, however, to reach the merits
of the plaintiff’s cause of action.

29a

by the Congress and the courts.” 563 F.2d at 1124. It
held, however, that this language “manifestly refers to a
state judicial forum and not to a federal judicial forum
where the United States customarily sues.” Jd. at 1125.

With deference to the Fourth Circuit, we see nothing
manifest in the Conference Report supporting that
court’s interpretation. If anything, the legisiative history
reflects a Congressional belief that States were not
spending funds for the disabled effectively. The Devel-
opmentally Disabled Assistance and Bill of Rights Act
sought to change the traditional spending habits of the
states. It is most unlikely that Congress intended those
changes to be enforceable only in state courts.** We
would find it quite anomolous in the absence of a clear
congressional expression to hold that a federal statute
created a cause of action arising under federal law, but
enforceable only in the state courts and not under 28
U.S.C. § 18381 (1976).

Accordingly, we hold that appellees have a federal
statutory vight to habilitation, that they may sue to en-
force that right, and that such suit is properly lodged in
federal court.

3. State Law ‘

As an alternative ground for a right to adequate
habilitation, appellees point to sections 101-704 of Penn-
sylvania’s Mental Health and Mental Retardation Act of
1966 [hereinafter MH/MR Act of 1966], Pa. Stat. Anr.
tit. 50, $$ 4101-4704 (Purdon 1969). The trial court ac-
cepted this contention, relying principally upon section
201 of the Act. That section, which establishes the re-

23 In Part II, p. 18 supra, we rejected the Solomon court’s posi-
tion that the United States was precluded from judicial enforce-
ment of the Developmentally Disabled Assistance and Bill of Rights
Act.

30a

sponsibilities of the Department of Public Welfare, pro-
vides in pertinent part:

The department shall have power, and its duty shall
be:

(1) To assure within the State the availability
and equitable provision of adequate menta! health
and menta! retardation services for all persons who
need them...

Pa. Stat. Ann. tit. 50, § 4201. The court held that this
section grants retarded persons an affirmative right to
minimally adequate habilitation. 446 F. Supp. at 1322.
Moreover, it noted, the County defendants share in this
statutory duty to supply adequate treatment. Jd. at
1322-23.

Section 201 refers to the State’s “duty” to “assure”
the “availability . . . of adequate mental health and men-
tal retardation services for all persons who need them
...” Pa. Stat. Ann. tit. 50, § 4201(1). That language is
broad and determined: The obligation to provide services
to the mentally handicapped on the basis of need [sic].
Had the Commonwealth intended to offer only confinement
without more, it would hardly have spoken in terms of
“adequate .. . services.” Id.

Our reading of the statutory language is amply sup-
ported by the legislative history of the MH/MR Act of
1966. Speaking on behalf of the Act in the Pennsylvania
Senate, Senator Pechan elaborated its fundamental habi-
litative purposes.

The object of this legislation is to make it possi-
ble for every mentally disabled person to receive the
kind of treatment he needs, when and where he
needs it. It will make those services available to
every citizen in every community which are now
available only to a lucky few, in the more progres-

3la

sive communities. It will open more beds in the
local general hospitals. It will make available the
services of psychiatrists and psychologists, of psy-
chiatric nurses and social workers, of specially
trained occupational therapists, of speech and hear-
ing therapists, of activities directors and of child
care workers. It will supplement the benefits of
therapy with daytime and evening programs of
activity which will call back to reality the erring
mind, which will re-create and strengthen the ties
which bind one human being to another and make
us comfortable in each others’ company. It will pro-
vide productive activity for those who can work
only in a sheltered situation, and for those who are
able, it will prepare them to go back to the cus-
tomary world of business and industry, or to go
forth into it for the first time, as the case may be.
For those in acute distress, service will be avail-
able twenty-four hours a day, and the violent will
find protective care instead of the harsh custody of
jail.

1966 Pa. Legis. J., 3d Spec. Sess. No. 33, 76 (Sept. 27,
1966). The Act, Senator Pechan declared “will [make] it
... easy for a mentally disabled person to find the treat-

ment he needs .. .” /d. Senator Sesler concurred, id. at
77, and added:

Id.

When you realize that practically one out of ten
of every Pennsylvanian has some problem in mental
health, you will realize how vast the scope of this
problem is. However, I think, we now have
sketched in broad, general terms the framework of
a program which can provide a continuum of
services—out-patient, in-patient, diagnostic treat-
ment, evaluation and research, a _ procedure of
commitment under almost all conceivable types of
circumstances.

32a

Those few courts which have previously considered
the MH/MR Act of 1966 have also gleaned from it a
right to treatment for the mentally handicapped. In in
re Joyce Z., 123 Pitt. L. J. 181 (1975), the Common
Pleas Court for Allegheny County held that a profoundly
retarded child had, under section 201 of the Act, a right
to treatment. 123 Pitt. L. J. at 187. The court quoted the
relevant language of section 201 and declared, “These
are brave words. We mean to see that the State, acting
through the Department of Public Welfare, abides by
them.” Jd. In view of the statutory right to treatment,
the court held that Pennsylvania was obliged to provide
casework services to the child, her parents, and her fos-
ter parents, together with financial assistance to meet
the child’s physical needs. Jd. at 190. Joyce Z. estab-
lishes, as well, that the statutory right to treatment is un-
der Pennsylvania law judicially enforceable in a private
action.

To like effect was Chief Judge Lord’s decision in Eu-
banks v. Clarke, 434 F. Supp. 1022 (E.D. Pa. 1977).
There, relying in part on section 201 of the MH/MR
Act of 1966, Judge Lord held that the plaintiff, an in-
voluntarily committed schizophrenic, had a “state law
right to treatment or release.” 434 F. Supp. at 1027.
Similarly, in Hoolick v. Retreat State Hospital, 24 Pa.
Commw. Ct. 218, 354 A.2d 609 (1976), aff'd 476 Pa.
317, 382 A.2d 739 (1978), a Pennsylvania court de-
scribed the MH/MR Act of 1966 as envisioning a “com-
prehensive program for the care, treatment and rehabili-
tation of mentally disabled and mentally retarded per-
sons...” 24 Pa. Commw. Ct. at 220, 354 A.2d at 611.4

24 See County of Allegheny v. Commw. Dept. of Pub. Welfare,
33 Pa. Commw. Ct. 267, 269, 381 A.2d 1014, 1016 (1978) (squaring
its own holding with the mandate of Joyce Z. and Hoolick which, in
the court’s view, required the availability of adequate mental re-
tardation facilities). Cf. Doe v. Colautti, 592 F.2d 704, 711-12 (3d

33a

Despite the apparent meaning of section 201, and the
plain intentions of the state legislature,?> several of the
appellants object to the trial court’s reliance on the MH/
MR Act of 1966. The Commonwealth and the Counties
contend that section 509(5) of the Act belies any duty
on their part to provide treatment. Section 509(5) em-
powers the Department of Public Welfare to distribute
grant monies to the Counties where sufficient funds have
not been appropriated by the State.

In the event that sufficient funds to pay the full
amount of the grants to which the counties may be
entitled under the provisions of this section have
not been appropriated, to distribute State funds
among the counties by a formula reasonably de-
signed to achieve the objectives of this act, provided
however, that in such event the counties’ financial
obligations under this act shall be reduced in ac-
cordance with the same formula and the counties
shall be required to provide only those services for
which sufficient funds are available.

Cir. 1979) (citing the MH/MR Act of 1966, and Pennsylvania’s “al-
location of an extraordinary large portion of its budget to the treat-
ment of the mentally ill,” as reasons to eschew creating new suspect
classification for protection of mentally handicapped).

25 While not expressly covering persons who are mentally re-
tarded but not mentally ill, Pennsylvania’s Mental Health Proce-
dures Act, Pa. Stat. Ann. tit. 50, §§ 7101-7503 (Purdon) (Supp.
1979) promulgated in 1976, also refiects the state’s recognition of a
need for treatment. Section 102 of the Act provides, in pertinent
part:

§ 7102. Statement of policy

It is the policy of the Commonwealth of Pennsylvania to
seek to assure the availability of adequate treatment to persons
who are mentally ill, and it is the purpose of this act to estab-
lish procedures whereby this policy can be effected. . . . Treat-
ment on a voluntary basis shall be preferred to involuntary
treatment; and in every case, the least restrictions consistent
with adequate treatment shall be employed.

Pa. Stat. Ann. tit. 50, § 7102.

34a

Pa. Stat. Ann. tit. 50, § 4509(5). The Commonwealth
contends that since services to the retarded can be re-
duced in light of insufficient funding, there cannot be
“an unconditional right to those services.” Brief for
Commonwealth Appellants at 31. The Counties, on the
other hand, rely on this section in making their argu-
ment that any duty to provide treatment rests solely
on the state, and not them. Brief for Suburban County
Appellants at 24-25.

We reject these contentions. Section 509(5) hardly
relieves the Commonwealth of its statutory duties under
section 201. Section 509(5) delineates nothing more
than the method by which insufficient funds are to be
distributed. It states the apparent truism that where the
state has failed to provide Counties with full funding,
the Counties need not supply a constant level of services.
This may, to be sure, imply that the right to treatment
is not “unconditional.” But no right is without some
limitations. All that section 201 promises, and all that
we hold, is that to the extent Pennsylvania maintains
facilities for the mentally handicapped, those facilities
must provide adequate treatment or habilitation.

Nor do we agree with the Counties that section 509 (5)
absolves them of any duty to provide treatment. The
MH/MR Act of 1966 contemplated a joint venture be-
tween the Commonwealth and its subdivisions, the Coun-
ties, in the provision of services to the mentally handi-
capped. As Senator Sesler stated, in supporting the Act:

We want to make it clear, for the record, that
we are giving this responsibility to our County
Governments, and we are giving them a great deal
of money. One of the amendments just adopted
today has provided that the State will have to re-
imburse the counties for ninety per cent of the cost
of the program. We are giving them a certain de-
gree of freedom. However, we must remind them

35a

that the counties had a program of control for tak-
ing care of the mentally ill, prior to 1937, when
they failed to do an adequate job. It may be that
they lacked the finances at that time, and that they
lacked the public’s support. However, today, I think
that the public’s support is there. I trust that the
Commonwealth will be there with the adequate fi-
nances.

I hope that we can focus attention on the local
level, because if there was ever an example of a co-
operative effort, which involves so many citizens
and private groups as this legislation, I do not know
what it is. We are going to give it control down on
the local level; we are giving it a flexible degree of
control. So, I am saying today—at least, I, speaking
for myself—that we are charging County Govern-
ments with this tremendous responsibility. We hope
that they will take these words to heart... .

1966 P. Legis. J., 3d Spec. Sess.—No. 33,77 (Sept. 27,
1966). Section 509(5) in no way undercuts the intended
partnership of the Counties and the Commonwealth.

The Counties contend, however, that while they may
have some responsibilities under the Act to provide ha-
bilitation to the retarded, those responsibilities are ex-
haustively specified in section 301(d), and no other duties
—such as habilitation at institutions or community liv-
ing arrangements—can be imposed upon them.*° We

26 Section 301(d) of the Act provides:

Subject to the provisions of sections 508 and 509(5) it shall
be the duty of local authorities in cooperation with the depart-
ment to insure that the following mental health and mental re-
tardation services are available:

(1) Short term inpatient services other than those provided
by the State.

[Footnote continued on page 36a]

36a

reject this suggestion. It is true that section 301(d)
sets forth specific duties for the Counties. Nevertheless,
the Counties mandate under the Act is much broader.
Section 301(a), for example, states, in pertinent part:

The local authorities of each county separately
or in concert with another county or counties, as the
secretary may approve, shall establish a county
mental health and mental retardation program for
the prevention of mental disability, and for the di-
agnosis, care, treatment, rehabilitation and deten-
tion of the mentally disabled and shall have power
to make appropriations for such purposes.

Pa. Stat. Ann. tit. 50, § 4301(a). This section directs
that local authorities establish a “mental health and
mental retardation program for the . . . treatment, re-
habilitation and detention of the mentally disabled .. .”
Id. Thus, although section 4301(d) specifies certain
facilities for which the Counties will be principally re-
sponsible, the Act as a whole contemplates County par-
ticipation in all facets of the state’s provision of services.

26 [Continued ]

(2) Outpatient services.

(3) Partial hospitalization services.

(4) Emergency services twenty-four hours per day which
shall be provided by, or available within at least one of the
types of services specified heretofore in this paragraph.

(5) Consultation and education services to professional per-
sonnel and community agencies.

(6) Aftercare services for persons released from State and
County facilities.

(7) Specialized rehabilitative and training services includ-
ing sheltered workshops.

(8) Interim care of mentally retarded persons who have
been removed from their homes and who having been accepted,
are awaiting admission to a State operated facility.

(9) Unified procedures for intake for all county services

and a central place providing referral services and information.
(Footnote omitted) Pa. Stat. Ann. tit. 50, § 4301(d).

37a

Indeed, in the case of Pennhurst itself, the Counties have
joined inextricably in the state’s provision—or lack of
provision—of treatment. As we noted in Part III above,
the Counties arrange for admission to Pennhurst through
their operation of Base Service Units. Often, the district
court found, the County Base Service Units fail to in-
vestigate alternatives to institutional placements, thereby
consigning the mentally retarded to inadequate living
conditions. 446 F. Supp. at 1313. Having thus partici-
pated for so long in the institutional practices at Penn-
hurst, the Counties cannot at this late date escape—by
pointing the finger of responsibility elsewhere—the statu-
tory duty to provide adequate habilitation.

Accordingly, we hold that the appellees have a state
statutory right to habilitation, that they may sue to en-
force that right, and that a federal court has pendent
jurisdiction to enforce that right which was properly
exercised in this instance.

VI. THE RIGHT TO THE LEAST RESTRICTIVE
ENVIRONMENT

Having concluded that appellees have a right to treat-
ment, we turn to a consideration of the setting in which
that treatment must be provided. Plaintiffs contend that
the state is obliged to provide habilitation in an environ-
ment that infringes least on the personal liberties of the
mentally retarded. The trial court agreed, predicating
the decision exclusively upon constitutional grounds. The
court reasoned that because “[a]ll admissions to state
facilities . . . entail an infringement on fundamental
rights and freedom . .. [,] due process demands that if
a state undertakes the habilitation of a retarded person,
it must do so in the least restrictive setting consistent
with that individual habilitative needs.” 446 F. Supp. at
1319. While there is substantial caselaw support for the
trial court’s constitutional position,?” our resolution of

27 See note 38, infra.

38a

the present controversy or statutory grounds obviates the
necessity for consideration of this constitutional issue.
Two federal statutes were relied upon in the district
court as sources of a right to the least restrictive environ-
ment: The Developmentally Disabled Assistance and Bill
of Rights Act, 42 U.S.C. §§ 6001-6081 (1976), discussed
at pp. 18-29 supra, and section 504 of the Rehabilitation
Act of 1973, 29 U.S.C. § 794 (1976).

A. The Developmentally Disabled Assistance and Bill
of Rights Act.

In Part V A above we addressed the origins and de-
velopment of this statute. We noted there that the Act
enunciates a right to treatment for the developmentally
disabled. In addition to that right, however, the Act ex-
presses a clear congressional preference for deinstitu-
tionalization. Section 6010 states plainly that “the treat-
ment, services, and habilitation for a person with devel-
opmental disabilities should be designed to maximize the
developmental potential of the person and should be pro-
vided in the setting that is least resstrictive of the per-
son’s personal liberty.” 42 U.S.C. § 6010(2). State plans
were required, until 1978, to “contain a plan designed
. . . to eliminate inappropriate placement in institutions
of persons with developmental disabilities ...” 42 U.S.C.
§ 6063 (b) (20). Moreover, they were obliged to

support the establishment of community programs
as alternatives to institutionalization and support
such programs which are designed to provide services
for the care and habilitation of persons with devel-

28 As noted above, supra, the trial court did not reach the
question of liability under § 6001 and while it found liability under
§ 504, the court did not rely expressly on that statute in developing
a least restrictive alternative analysis. Since we also do not rely on
§ 504 nor on the Constitution for our holding we have of necessity,
departed somewhat from the trial court’s approach.

39a

opmental disabilities, and which utilize, to the maxi-
mum extent feasible, the resources and personnel in
related community programs to assure full coordina-
tion with such programs and to assure the provision
of appropriate supplemental health, educational, or
social services for persons with developmental dis-
abilities...

42 U.S.C. § 6063(b) (23). Finally, the plans were re-
quired to provide

the maximum utilization of all available community
resources including volunteers serving under the
Domestic Volunteer Service Act of 1973 (Public Law
93-113) and other appropriate voluntary organiza-
tions except that volunteer services shall supplement,
but shall not be in lieu of, services of paid employ-
ees...

42 U.S.C. § 6063 (b) (26).

The legislative history of the Act supports the prefer-
ence for deinstitutionalization. Introducing the bill in
the House Congressman Carter stated:

This bill encourages the States to adopt programs of
deinstitutionalization. We, as a committee, are well
aware that treatment of the developmentally disabled
should be conducted in that person’s community with-
out unnecessarily institutionalizing him. Funds have
been earmarked for this purpose.

121 Cong. Rec. 9976 (1975). Referring to another bill,
Congressman Carter said its

“main thrust ... was to minimize the necessity for
institutionalization. It has come to the attention of
the committee that there needs to be particular a-
tention paid to the same basic problem as it applies
to the developmentally disabled. There seems to be
a tendency in some areas to resort to inpatient treat-

40a

ment when other means of accomplishing the treat-
ment might be possible. Having recognized that this
misuse of facilities has taken place, it is now neces-
sary that we take steps to review and correct the
mistakes already made. The bill [H.R. 4005] re-
quires that States spend a specified percentage of
allotments to tackle the problem and see that those
who have been inappropriately institutionalized be
handled in some other manner.

Id. at 9977. Congressman Biaggi noted that “(t]he bill

. recognizes the trend toward deinstitutionalization
and propose[s] increased appropriations to carry out
demonstration programs which will affect [sic] this goal.”
Id. at 9978. He added that “the cost of home health care
can be... up to five times less expensive than care in
a specialized facility.” Jd.

The House version of the bill passed by a vote of 398-5.
Id. at 9981-82. As noted above, it was introduced in the
Senate as S. 462. Jd. at 16,470. Senator Williams, sup-
porting the bill, described in detail the abuses of institu-
tionalization to which the measure was addressed.

Over the past few years, the horrifying conditions
which exist in most of the public residential institu-
tions for the mentally retarded and other develop-
mentally disabled persons have provided shocking
testimony to the inhuman way we care for such
persons. The conditions at Willowbrook, at Partlow
in Alabama, and at Rosewood in Maryland, and at
many other institutions have shown beyond a shadow
of a doubt that the treatment of these individuals is
worse than [sic] all of us would like to admit.

Steps to scale down many of these large custodial
institutions have resulted in not-so-large institutions,
often with not much improved care and with little
follow-up. This has been true at Willowbrook: in

4la

1965 and again in 1972, broad criticism has been
levied at this institution; all indications point toward
little change, unless substantial legal and advocacy
pressure is forthcoming. While much can be said
about the lack of available funds to-improve condi-
tions at these institutions, at some point this country
must draw the line. The abuses are too common-
place to point at a single institution, or a single
abuse and say that it is an anomaly. Over the last
2 years the Committee on Labor and Public Welfare
has taken testimony or received reports of: Inap-
propriate admissions because of lack of community
services, inappropriate and inhuman experimenta-
tion with residents, sterilizations and other opera-
tions performed for convenience of treatment, starva-
tion and malnutrition, abuse and physical punish-
ment, inadequate food and living conditions, and
death.

S. 462 provides a framework by which the consti-
tutional rights of residents and other persons with
developmental disabilities may be enforced.

Id. at 16,516-17. Senator Kennedy echoed these senti-
ments.

Last year in testimony on this legislation, Geraldo
Rivera showed the committee portions of his docu-
mentary on Willowbrook, and if anyone needed con-
vincing of the need for the establishment of institu-
tional standards, that film provided it. This legisla-
tion provides for the establishment of such standards.

Id. at 16,517. So, too, did Senator Cranston, id. at 16,520
(“I believe one very clear basic goal has been enunciated
in the legislation reported from committee. That is the
need to move away from long-term institutionalization of
individuals with developmental disabilities to the devel-
opment of community-based programs utilizing all com-

42a

munity resources related to treatment or habilitation of
such individuals to provide comprehensive services in the
home community.”); Senator Schweiker, id. at 16,521
(“The last 5 years have seen a dramatic increase in
public awareness of the needs of institutionalized men-
tally retarded and developmentally disabled persons. This
has been highlighted by scandals in many institutions, by
court cases, and by the efforts of the communications
media. Testimony before the committee demonstrated
that standards in institutions for the developmentally
disabled are urgently needed and that the Federal Gov-
ernment should play a major role in improving the care
and services provided to developmentally disabled citi-
zens.”) ; and Senator Beall, id. at 16,522 (“In addition,
I would like to express my support of title II of this bill,
which reflects the increasing concern of Congress and the
public in general about persons who are institutionalized
because they are developmentally disabled. Increased tech-
nological development, especially in regard to travel
speeds, and the sociological stress that many of our citi-
zens are experiencing, particularly in this time of eco-
nomic strain and increased crime, evidence the sad fact
that there will be an increased need for psychological
care. Residential care outside the home is necessary in
some instances, although I am glad to say that increased
emphasis is being placed on similar community-based
facilities rather than the larger State institutions. Title
II assures those individuals who must be institutionalized
of their civil and personal rights, and, at the same time,
provides for the best possible care and services.’’)

The Senate substituted the text of S. 462 for the House
bill, H.R. 4005, and passed it. 7d. at 16,523. A confer-
ence was convened and as noted above, the Senate’s ex-
pansive delineation of the standards for institutional and
community care was dropped and a more general Bill of
Rights (section 6010) was adopted. Nevertheless, the
Congress was serious about the Bill of Rights. The Con-

43a

ference Report noted the difference between the Senate
and House versions of the Act, and explained the result-
ing compromise:

Statement of Purpose

The Senate amendment, but not the House bill,
states the purpose of the bill of rights to be estab-
lishing standards to assure the humane care, treat-
ment, habilitation and protection of mentally re-
tarded and other developmentally disabled individuals
who are served by residential and community facili-
ties and agencies.

The conference substitute contains a compromise
which enumerates Congressional findings respecting
the rights of persons with developmental disabilities.
These include findings that the developmentally dis-
abled have a right to appropriate treatment, services
and habilitation; that such treatment, services and
habilitation should be designed to maximize the de-
velopmental potential of the person and be provided
in the setting that is least restrictive to his personal
liberty; that the Federal government and the States
have an obligation to assure that public funds are
not provided in programs which do not provide ap-
propriate treatment, services and habilitation or do
not meet minimum standards respecting diet, medical
and dental services, use of restraints, visiting hours
and comptiance with fire and safety codes; and that
programs for the developmentally disabled should
meet appropriate standards including standards ad-
justed for the size of the institutions which are at
least comparable to those promulgated under title 19
of the Social Security Act. (Emphasis added).

H.R. Conf. Rep. No. 94-478, 41-42 (1975), [1975] USS.
Code Cong. & Ad. News 9438, 961.

44a

When the Conference Report was submitted to the Sen-
ate, the new version of Title II (the Bill of Rights) was
specifically reprinted so as “to emphasize the importance
of this title of the bill.” 121 Cong. Rec. 29,819 (1975)
(remarks of Sen. Stafford). Senators Javits, Schweiker,
and Williams all called attention to the Bill of Rights in
applauding the compromise measure. /d. at 29,820-21.

Yet, while it disfavored institutionalization, the Devel-
opmentally Disabled Assistance and Bill of Rights Act
did not prohibit all institutions. Congressman Carter,
introducing H.R. 4005, stated “[t]his legislation also di-
rects that States should devote attention to improving the
facilities and surroundings of institutions where people
have been appropriately institutionalized.” Jd. at 9976.
Senator Stafford reported that “Title Il was added to
the bill to assist in the protection of the rights guaran-
teed under our Constitution for those individuals that
will require institutionalization ...” Jd. at 16,516. And
Senator Cranston observed that “in encouraging the move-
ment to community-based programs, I recognize that the
need for some long-term residential programs wil! re-
main. The bill specifically provides that where institu-
tional programs are appropriate, adequate support should
be planned for them so that necessary treatment and
habilitation programs can be given residential patients
to develop their full potential.” Jd. at 16,520. These same
points were reflected in the Conference Report. Explain-
ing the Bill of Rights provisions, the Report stated:

These rights are generally included in the confer-
ence substitute in recognition by the conferees that
the developmentally disabled, particularly those who
have the misfortune to require institutionalization,
have a right to receive appropriate treatment for the
conditions for which they are institutionalized, and
that this right should be protected and assured by
the Congress and the courts.

45a

H.R. Conf. Rep. No. 94-478, 42 (1975), [1975] US.
Code Cong. & Ad. News 943, 961.

The Act does not, therefore, articulate a per se rule
prohibiting institutions. That was not how the Congress
understood the right to the least restrictive alternative.
Rather, it seems that Congress believed that, for some
patients, institutionalization might be “appropriate.” In
those individual cases, probably comparatively rare, ade-
quate habilitation could not be accomplished in any set-
ting less restrictive than an institution and the need for
such habilitation could thereby justify institutionaliza-
tion.

It is argued, however, that because the Act, until 1978,
required states to spend a specific minimum amount for
deinstitutionalization, the states were free to use insti-
tutions as much as they chose so long as they spent the
specified amounts on alternative facilities. According to
this thesis, states might retain full or nearly full insti-
tutionalization even for those patients for whom institu-
tionalization was not “appropriate.” We do not accept
this contention. The spending requirement was clearly
intended to encourage the development of alternative fa-
cilities. Congress rightly believed that the states were
doing too little to develop alternatives to institutions. The
minimum expenditure requirement must not be confused
with a maximum duty on the States’ parts; to do so
would substantially undermine the right articulated in
section 6010 and the insistence on specific deinstitutional-
ization plans in section 6063.

We hold, therefore, that the Developmentally Disabled
Assistance and Bill of Rights Act provides to mentally
retarded persons the right to the least restrictive environ-
ment. For some patients, to be sure, the Act contemplates
that institutionalization might be appropriate once ade-
quate habilitation and living conditions are established.

46a

The clear preference of the Act, however, is deinstitu-
tionalization, and for the reasons set forth in Part V
A(1), we have no doubt about Congressional power to
impose the least restrictive alternative requirement upon
the states for patients who do not require institutionaliza-
tion for adequate habilitation.

B. Section 504 of the Rehabilitation Act of 1973

Appellees argue that section 504 of the Rehabilitation
Act of 1973, 29 U.S.C. § 794 (1976), also reflects Con-
gressional desire to discourage the institutionalization of
the mentally handicapped.*®

While its language is somewhat opaque, appellees argue
that the illuminating legislative history of section 504
supports the view that Congress sought in that section
to combat, to the extent appropriate, the isolation of the
handicapped from the community—an isolation which it
believed was ineluctably entailed by institutionalization.*”

29 Section 504 provides

No otherwise qualified handicapped individual in the United
States, ... shall, solely by reason of his handicap, be excluded
from the participation in, be denied the benefits of, or be sub-
jected to discrimination under any program or activity receiv-
ing Federal financial assistance.

29 U.S.C. § 794 (1976).

Section 504 is the final section of the Rehabilitation Act of 1973.
Textually, section 504 parallels the language of section 601 of Title
VI of the Civil Rights Act of 1964, 42 U.S.C. § 2000d (1976), and
of section 901 of Title IX of the Educational Amendments of 1972,
20 U.S.C. § 1681 (1976). Its passage was the result of a long effort
to obtain for the handicapped a civil rights act similar to section
601 and section 901.

30 See 118 Cong. Rec. 525 (1972) (remarks of Sen. Humphrey)
(anti-isolation purposes of proposed amendment to § 601, predeces-
sor to § 504); H.R. 8395, 92d Cong., 2d Sess. (1972) (Rehabilita-
tion Act of 1972, predecessor bill of Rehabilitation Act of 1973) ;
118 Cong. Rec. 32,280 (1972) (remarks of Sen. Cranston) (anti-
discrimination and anti-isolation purposes of Act); id. at 32,310
(remarks of Sen. Humphrey) (same); id. at 35,163 (anti-discrimi-
nation provision accepted by House in conference); id. at 36,410

—

47a

Thus section 504, appellees argue, provides an alternative
statutory basis for enforcing the right to a least restric-
tive environment or that the legislative history of section
504 offers powerful corroboration for the deinstitutional-
ist purposes of the Developmentally Disabled Assistance
and Bill of Rights Act. However, because we have found
clear expression of a least restrictive alternative require-
ment in the Developmentally Disabled Assistance and
Bill of Rights Act, and ample confirmation of that ex-
pression in its legislative history, we find it unnecessary
to consider these arguments. One clear federal statute
announces the governing rule, and one is enough. Thus
we decline to consider section 504 issues on this appeal.

VII. RELIEF

We have thus far concluded that the mentally retarded
patients at Pennhurst have federal and state protected
rights to habilitation in the least restrictive environment.
Moreover, it goes almost without saying that Pennhurst,
as it was constituted and operated at the time of the
lawsuit, was in flagrant violation of those rights. The
conditions at Pennhurst were unsanitary, programming
was nonexistent, enforced idleness was substituted for
meaningful habilitation, physical and chemical restraints
were wantonly applied, and overcrowding and understaff-
ing were the prevailing institutional norms. Yet, appel-
lants contend that even if they were properly found liable
under federal and state law, the trial court nevertheless

(remarks of Rep. Brademas) (opposing isolation of handicapped
due to institutionalization) ; id. at 36,414 (remarks of Rep. Badillo)
(same); id. at 37,203-04 (Rehabilitation Act of 1972 vetoed by

»Pres. Nixon).\The bill was reintroduced as the Rehabilitation Act

of 1973. S./7, 93d Cong., 1st Sess. (1973), and section 504 was
finally enacted as part of this Act, with its proponents again em-
phasizing anti-isolation principles. See 119 Cong. Rec. 5880 (1973)
(remarks of Sen. Cranston) ; id. at 5887 (remarks of Sen. Javits) ;
id. at 18,127 (remarks of Rep. Brademas); id. at 24,566 (remarks
of Sen. Stafford).

48a

erred in several respects in ordering the relief that it did.
First, they argue, the court order violates the eleventh
amendment insofar as its effectuation will require an
allocation of funds from the state treasury. Second, they
urge, the relief should not have been classwide since
events have disclosed a material rupture within the af-
fected class. Third, appellants protest the appointment
of a special master as beyond the scope of Rule 53(b),
Fed. R. Civ. P. 53(b). Finally, they contend, several
specific portions of the court order are legally unsupport-
able. These include: the requirement that patients and/
or their next friend participate in the structuring of
relief and review of the plan; the requirement that cer-
tain local rules on physical and chemical restraints be
implemented; the requirement that a ‘“friend-advocate”
system be established; the requirement that alternate
employment for each Pennhurst employee be found; and
the requirement that Pennhurst be closed entirely and
community living arrangements established in its place.
While most of these objections are insubstantial we do
agree that the ordered relief is somewhat overbroad. Ac-
cordingly, the injunction will be modified in accordance
with our discussion below.

A. The Eleventh Amendment

The Commonwealth defendants assail the decree as a
violation of the eleventh amendment. They urge that al-
though the decree is couched in terms of prospective in-
junctive relief, its effectuation will nevertheless require
the expenditure of Commonwealth funds. This result, it
is urged, is forbidden by Edelman v. Jordan, 415 US.
651 (1974). Yet Edelman specifically acknowledges the
continued availability of prospective injunctive relief even
though such relief realistically does impose financial bur-
dens. 415 U.S. at 667-68. See Fitzpatrick v. Bitzer, 427
U.S. 445, 459-60 (Stevens, J., concurring). All of the

49a

relief ordered here is prospective. We have told the Com-
monwealth before that Edelman “quite explicitly left in-
tact the authority of federal courts to enter prospective
decrees having fiscal consequences to a state treasury as
the necessary result of compliance.” Vecchione v. Wohl-
gemuth, 558 F.2d 150, 158 (3d Cir.), cert. dented, 434
U.S. 943 (1977). We have not changed our minds on
that question.

We note, in addition, that the Supreme Court has re-
cently reaffirmed this position. In Quern v. Jordan, 440
U.S. 332 (1979), the Court held that it was not a viola-
tion of the eleventh amendment for a federal court to
order state officials to send an explanatory notice to mem-
bers of a class advising them that there are state admin-
istrative procedures available by which they may receive
a determination of whether they are entitled to past
welfare benefits. The mere fact that such notices might
eventually lead to an expenditure of funds by the state
did not alter the fact that the relief was “properly viewed
as ancillary to the prospective relief already ordered by
the court.” 440 U.S. at 349.

We therefore reject appellants’ eleventh amendment
objections.

B. Classwide Relief

On April 13, 1978, a motion to intervene in order to
protest the possible closing of Pennhurst was filed on
behalf of the Pennhurst Parents-Staff Association and
six Pennhurst residents. That motion, which was made
after the Commonwealth and Philadelphia defendants had
filed their notices of appeal, was denied, and the appeal
from that denial is considered separately at No. 78-1999.
In their appeal in this case, the Commonwealth defend-
ants rely on that motion to intervene as evidence that
the interests of the plaintiffs were adverse to one another,
and thus that the trial court erred, first, in certifying
the class, and second, in granting classwide relief. We

50a

reject completely the first contention. The certification of
the class for purposes of determining liability was en-
tirely proper. Plainly, the violations of federal and state
law which the trial court found and which we have af-
firmed, are violations affecting all of the plaintiffs, not
simply those who wish a transfer from Pennhurst. At
the liability stage, therefore, important questions of law
were common to all members of the class. Thus, regard-
less of my subsequent disagreement among class members
as to the appropriate relief, we can think of no persua-
sive reason to have fractionated the class at that early
juncture. See Fed. R. Civ. P. 23(c) (4) (A) (permitting
use of class action device for purposes of particular is-
sues within lawsuit). As Judge Frankel observed in the
context of class actions brought under Rule 23(b) (3),
Fed. R. Civ. P. 23(b) (8) :.

In the cases to which I refer, assertedly under
(b) (3)—i.e., having both common issues and issues
affecting separately the individual members of the
class—district judges have apparently thought that
all members of the class would have to be brought
before the court—for discovery as well as trial—
before there could be any judgment affecting the
class as a whole. Insofar as this premise lurks in
the cited cases, it would appear to be unwarranted.
Take, for example, the simple model of the case by
an alleged class of securities purchasers charging
fraudulent representations. There are, supposedly,
common questions as to the nature of the alleged rep-
resentations, falsity, and materiality. If some or all
such questions are decided against the plaintiff class,
the complaint will be dismissed and, always assum-
ing adequate representation of the class, there will
be a judgment binding the class without requiring
any but the representative members to have been
before the court.

5la

On the other hand, if the plaintiff class prevails
on the common questions, it will then—but only then
—become necessary to try or settle or otherwise dis-
pose of individual questions like reliance, damages,
or the like. If the common questions have been aptly
defined, there should be no need at an earlier stage
to have all the individual class members before the
court for discovery or any other purpose.

Frankel, Some Preliminary Observations Concerning
Civil Rule 23, 48 F.R.D. 39, 47 (1967) (footnote omit-
ted). See also Developments in the Law—Class Actions,
89 Harv. L. Rev. 1818, 1491-92 (1976). It was not abuse
of the trial court’s discretion to certify the class for pur-
poses of determining liability.”

The Commonwealth contends, however, that because
some members of the plaintiff class are opposed to the
closing of Pennhurst, the class should at least have been
decertified for purposes of relief. Thus, it argues that
classwide relief infringes on the dissenting members’
rights. As we indicate in more detail below, the trial
court did err in promulgating a blanket order closing
Pennhurst without sufficiently canvassing the needs of
individual patients. Accordingly, inasmuch as we modify
the court order appealed from, our opinion takes account
of the differences within the class concerning relief.
Nevertheless, we do not think that the implementation
of the relief, as modified by our opinion, requires the
decertification of the class. Two procedural alternatives,
short of decertification, are available to the trial court
on remand in implementing individuated relief.

First, the court can create subclasses within the
plaintiff class pursuant to Rule 23(c)(4)(B). Through

31 See Paton v. La Prade, 524 F.2d 862, 875 (3d Cir. 1975);
Wetzel v. Liberty Mut. Ins. Co., 508 F.2d 239, 245 (3d Cir.), cert.
denied, 421 U.S. 1011 (1975).

52a

this process, individual patients who wish to remain at
Pennhurst may be represented at the implementation
hearings. We suggested this approach in Samuel V.
University of Pittsburgh, 588 F.2d 991 (3d Cir. 1976)
(Clark, J.). There, we reversed a trial court decision
decertifying a class at the relief stage. We stated that
“even if there were managerial difficulties [in litigating
the appropriate relief], some investigation into the possi-
ble usefulness of subclasses as suggested by Rule 23
(c) (4) (B) should have been undertaken before decerti-
fication was ordered.” 588 F.2d at 996. See also Nix
v. Grand Lodge of Int'l Ass’n of Mach. & Aero. Work-
ers, 479 F.2d 382, 385 (5th Cir.), cert. denied, 414
U.S. 1024 (1973) ; Developments in the Law—Class Ac-
tions, 89 Harv. L. Rev. 1318, 1479-82 (1976).

Yet another means by which dissenting members
may be represented at the relief stage is through inter-
vention. See id. at 1482-85. We note in this connection
that the trial court currently has under consideration a
motion by the Pennhurst Parents-Staff Association—
who purport to represent patients opposed to closing
Pennhurst—to intervene at the relicf stage.

Even should the trial court ultimately decline to
pursue either of these two procedural alternatives to
decertification, the interests of dissenting members will
still be represented. As we suggested above, and as we
will elaborate at greater length below, plaintiffs’ right to
habilitation in the least restrictive environment requires
that they be given an individual opportunity to partici-
pate in the process by which their habilitation is chosen.
Thus, whether they are represented as a group, through
such procedural safeguards as subclasses or interven-
tion, or whether they participate as individuals, class
members who wish continued habilitation at Pennhurst
will have a chance to state their position.

53a

C. The Use of a Master

The court found that implementation of its order
would be impossible without the assistance of a Special
Master “with the power and duty to plan, organize, di-
rect, supervise and monitor the implementation of this
and any further Orders...” 446 F. Supp. at 1326. It
directed the Commonwealth and County defendants to
provide the Master with access to premises, records,
documents, and residents, and to cooperate with him to
the extent necessary to execute such orders. The Master
was directed to prepare and present to the court for its
approval various plans for the transfer of Pennhurst resi-
dents to CLAs and for the provision of services to the
class members “in the least separate, most integrated,
least restrictive community setting,” taking into account
available resources. Jd. at 1326-27. The order also di-
rected that the Master prepare a plan for the interim op-
eration of Pennhurst pending its replacement by other
living arrangements and services.

The appellants contend that appointment of a mas-
ter was improper under Rule 53(b), Fed. R. Civ. P.
53(b). We disagree. It is abundantly clear that providing
the 1200 Pennhurst residents with a right to habilitation
in the least restrictive environment will be a complex
and lengthy process, probably involving monitoring, dis-
pute resolution, and development of detailed enforce-
ment mechanisms. Were we to preclude the trial court
from resorting to a master, we would help make self-
fulfilling the frequently made prophecy that courts are
institutionally incapable of remedying wholesale viola-
tions of legally protected rights. Masters have been used
in a wide variety of remedial contexts. These include
cases involving handicapped children,®? as well as cases

32 See, e.g., Mills v. Board of Educ., 348 F. Supp. 866 (D.D.C.
1972) ; Pennsylvania Ass’n for Retarded Children (PARC) v. Penn-
sylvania, 334 F. Supp. 1257 (E.D. Pa. 1971); 343 F. Supp. 279
(E.D. Pa. 1972).

54a

remedying various other statutory or constitutional viola-
tions.** Masters are peculiarly appropriate in the im-
plementation of complex equitable decrees which require
ongoing judicial supervision.™

Moreover, by use of a master, the judge can mini-
mize his personal participation in the details of imple-
mentation without sacrificing direct control or efficacy.”

While they acknowledge that courts have frequent-
ly relied upon special masters, appellants nonetheless
insist that the master appointed by the trial court in
this case will have excessive powers. “The proper rule of
a master in federal litigation,” appellants urge, “is nar-
rowly circumscribed.” Brief for Commonwealth Appel-
lant at 49. Specifically, it is urged, a master may only
find facts. Since the lower court has already found the
facts, any use of a master for implementation purposes
intrudes excessively into the proper domain of local au-
tonomy. Id. at 51-52.

This argument is unpersuasive. First, the Common-
wealth is simply incorrect in asserting that the scope of a

33 See, e.g., Chicago Hous. Auth. v. Austin, 511 F.2d 82 (7th
Cir. 1975) (overseeing implementation in public housing discrimi-
nation case); Gautreux v. Chicago Hous. Auth., 384 F. Supp. 37
(N.D. Ill. 1974) (same) ; Hart v. Community Sch. Bd., 383 F. Supp.
699 (E.D.N.Y. 1974) aff’s 512 F.2d 37 (2d Cir. 1975) (coordinating
development of desegregation plan in housing and school discrimi-
nation case) ; Moore v. Leflore County Bd. of Election Comm’rs, 361
F. Supp. 603 (N.D. Miss. 1972) (formulating reapportionment
plan); Gates v. Collier, 349 F. Supp. 881 (N.D. Miss. 1972) (im-
plementing prison reform), aff’d, 501 F.2d 1291 (5th Cir. 1974);
Knight v. Board of Educ., 48 F.R.D. 115 (E.D.N.Y. 1969) (conduct-
ing due process grievance hearings in schools).

34 See generally Note, Implementation Problems in Institutional
Reform Litigation, 91 Harv. L. Rev. 428 (1977); Note, Monitors:
A New Equitable Remedy ?, 70 Yale L.J. 103 (1960).

35 Note, Implementation Problems in Institutional Reform Litiga-
tion, 91 Harv. L. Rev. 428, 451 (1977); Kaufman, Masters in the
Federal Courts: Rule 58, 58 Colum. L. Rev. 452, 469 (1958).

55a

master’s duties is narrow. As one commentator has prop-
erly noted, “[m]asters may be delegated the authority to
issue subpoenas, hear grievances, take sworn testimony,
and make formal or binding recommendations, includ-
ing contempt findings, to the court.” Note, /mplementa-
tion Problems in Institutional Reform Litigation, 91
Harv. L. Rev. 428, 451 (1977). In employment discrim-
ination cases, for example, court-appointed administra-
tors, who have the same powers as masters, have made
frequent and successful use of rather wide-ranging pow-
ers. See Harris, The Title VII Administrator: A Case
Study in Judicial Flexibility, 60 Cornell L. Rev. 53
(1974). Authorized to take all action necessary to imple-
ment the decree and to remedy breaches of compliance,
these administrators have performed negotiating and
investigatory functions, and have issued recommenda-
tions for future implementation. Jd. at 55, 64. See Note,
Implementation Problems in Institutional Reform Liti-
gation, 91 Harv. L. Rev. 428, 452 (1977).

In this case, moreover, the court’s resort to use of a
master is particularly appropriate. After the decision on
liability was announced, the appellants were afforded an
opportunity to devise and present their own remedies for
conditions at Pennhurst. They failed to do so. At that
point, having received insufficient assistance from the of-
ficials directly involved, the court was faced with the
choice of massive personal participation in devising a
complex scheme for remedying the violations that were
found, or of proceeding with the assistance of a master,
whose functions would be supplementary to and super-
visory over those of the Commonwealth and County
defendants. We hold that the trial court chose correctly
in ordering the appointment of a master. We are con-
fident that the court will exercise appropriate super-
vision over the operations of the master in order to
minimize the expenditure of funds in the administration
of his responsibilities and the manner in which he dis-

56a

charges his responsibilities under the degree; in particu-
lar, the manner in which individualized habilitation
programs are developed for each class member. As we
understand the role of the Master under the decree, he is
to supervise all implementation efforts with the aid and
assistance of all parties to the lawsuit. The defendants
will thus have an opportunity to participate in the struc-
turing of relief. Moreover, their underlying obligation to
provide habilitation in the least restrictive environment
is derived, in part, from a state statute and federal stat-
utes under which Pennsylvania has received federal
funds. These duties were known and consented to.
These considerations, in our view, vitiate whatever com-
plaint the Commonwealth might otherwise have that the
court order somehow violates whatever principles of fed-
eralism are relevant. Brief for Appellant at 59-62.

D. Specific Objections to the Court Order

Appellants also contest certain specific portions of
the court’s decree. They object to paragraph 2, 446 F.
Supp. at 1326, which entitles members of the class and
their next friend to participate in the development and
review of the plan. They protest that paragraph 13, id. at
1328, requiring that certain local rules on physical and
chemical restraints be implemented, is inapplicable
since (1) the rules were not in effect long enough to per-
mit a finding that they were violated, and (2) the rules
are not statutorily compelled. In addition, appellants
contend that paragraph 6, id. at 1326-27, imposes on the
state duties which have no legal source; these duties in-
clude the establishment of a friend-advocate system and
the provision of alternative employment for each
Pennhurst employee. Finally, appellants argue that the
trial court should not have ordered that Pennhurst be
entirely closed, particularly in view of the apparent de-
sire of certain members of the class to remain at the in-
stitution once it is improved.

57a

Criteria for evaluating the trial court’s exercise of
discretion in effecting a remedy are set forth in Milliken
v. Bradley, 483 U.S. 267, 279-288 (1977) (Milliken II).
There, the Court held that if an alleged injury is con-
stitutionally (or presumably statutorily) cognizable, “the
remedy does not ‘exceed’ the violation if the remedy is
tailored to cure the ‘ “condition that offends the Con-
stitution.”’” Jd. at 282 (quoting Mulliken v. Bradley,
418 U.S. 717, 738 (1974) (Milliken I)) (emphasis added
by the Milliken II Court). In Milliken II, the Court af-
firmed a district court decision to order certain remedial
reading, testing, and counseling services. These remedies,
the Court concluded, were found by the trial court to be
necessary to “cure” the “condition” of de jure segrega-
tion in Detroit. Jd. at 288. The Supreme Court could find
no reason to believe that the district court had abused its
“broad and flexible equity powers” in reaching this de-
termination. Id.

Under these liberal standards, we have no trouble
upholding paragraphs 2 and 13 of the court order. In this
case, the “condition” to be “cured” is the failure to pro-
vide the retarded with adequate habilitation in the least
restrictive environment. Both paragraphs 2 and 13 are
directly addressed to remedying this condition. Parental
and patient participation in the design of alternative
facilities is well-suited to redressing the violations of the
rights of the retarded. So, too, are the restrictions im-
posed by the court against physical and chemical re-
straints.

In addition, we affirm that portion of paragraph G
which establishes a friend-advocate system to monitor
the continued availability of community services to the
retarded. Not only will such a system help to effectuate
the rights of the retarded but, by providing ongoing su-
pervision of implementation efforts, it will reduce the
need for judicial oversight.

58a

The court’s decree should be modified in two respects.
First, we cannot agree with that portion of paragraph
6, requiring that alternative employment be provided to
all Pennhurst employees. Even under the liberal stand-
ards of Milliken I, we do not see how this mandate is
reasonably related to facilitating the right of the re-
tarded to habilitation in the least restrictive environ-
ment. This section of the court’s order must therefore
be set aside.

Second, we cannot agree with the trial court that
Pennhurst must be entirely closed. In so ruling, the
court first noted that Pennhurst was not providing ade-
quate habilitation at the time of the litigation, 446 F.
Supp. at 1318. With that conclusion we obviously agree.
But the court also held that Pennhurst could never pro-
vide adequate habilitation because of its very status as a
large institution.

[O]n the basis of this record we find that minimally
adequate habilitation cannot be provided in an in-
stitution such as Pennhurst. As the Court has here-
tofore found, Pennhurst does not provide an at-
mosphere conducive to normalization which is so
vital to the retarded if they are to be given the op-
portunity to acquire, maintain and improve their life
skills. Pennhurst provides confinement and _isola-
tion, the antithesis of habilitation. We found that
Pennhurst has produced regression and in many in-
stances has destroyed life skills possessed by its re-
tarded residents at the time of their admission. We
are inclined to agree with the following comments
of Mason & Menolascino, . . . (footnotes omitted):

Although Wyatt and Welsh are significant
in their recognition of the principles of nor-
malization and the developmental model for the
factual foundation of their formulation of the
constitutional right to habilitation, their ap-

59a

proach can be considered only the rudimentary
beginning. The logic of normalization and the
developmental model which Wyatt and Welsh
recognized suggests full implementation of
habilitation can only be achieved in a
non-institutional setting. Institutions, by their
very structure—a closed and segregated society
founded on obsolete custodial models—can
rarely normalize and habilitate the mentally re-
tarded citizen to the extent of community pro-
grams created and modeled upon the normali-
zation and developmental approach components
of habilitation. Neither Wyatt nor Welsh fully
implemented the right to habilitation in that
they failed to challenge the very existence of the
institution. Consequently, the two institutional
characteristics most antithetical to the appli-
cation of the normalization principle remain in-
tact: segregation from the community and the
total sheltering of retarded citizens in all
spheres of their lives.

Id. (footnote omitted) (quoting Mason & Menolascino,
The Right to Treatment for Mentally Retarded Citizens:
An Evolving Legal and Scientific Interface, 10 Creighton
L. Rev. 124, 156-57 (1976)). The court was thus appar-
ently persuaded to the view, shared by many practition-
ers, that institutionization of any sort is a deterrent to
adequate habilitation.*

It is probably true, as the trial court found, that in
general institutions are less effective than community
living arrangements in facilitating the right to habilita-
tion in the least restrictive setting. There is ample testi-
mony on the record indicating the shortcomings of insti-

36 See, e.g., Burt, Beyond the Right to Rehabilitation, in The
Mentally Retarded Citizen and the Law 418-36 (President’s Com-
mittee on Mental Retardation 1976).

60a

tutions as places for habilitation. See, e.g., Record, vol.
1, at 96 (testimony of Dr. Roos); Record, vol. 4, at 73
(testimony of Mr. Lancaster-Gaye) ; Record, vol. 2, at 96
(testimony of Dr. Clements). Moreover, institutions
would generally appear not to be the least restrictive en-
vironment in which to provide habilitation. See Record,
vol. 4, at 79 (testimony of Mr. Lancaster-Gaye) ; Record,
vol. 2, at 85 (testimony of Dr. Clements) ; Record, vol. 1,
at 179 (testimony of Dr. Roos). Thus we cannot find
clearly erroneous the trial court’s determination that, for
the retarded class members as a whole, Pennhurst can-
not be an appropriate setting in which to provide habili-
tation.

But in making this wholesale judgment, the trial
court did not adequately canvass the discrete needs of
individual patients. For some patients a transfer from
Pennhurst might be too unsettling a move. Longterm
patients, for example, may have suffered such degener-
ation in the minimum skills needed for community liv-
ing that habilitation outside an institution is a practical
impossibility. Indeed, the Pennhurst Parents-Staff Asso-
ciation, which has participated as an amicus in this ap-
peal, contends that this is true for many patients.
Moreover, there seems to be some support among practi-
tioners for this view as well.*’ We need not decide that
issue here. All that we need recognize is that there may
be some individual patients who, because of advanced
age, profound degree of retardation, special needs or for
some other reason, will not be able to adjust to life out-
side of an institution and thus will be harmed by such a
change. The case must therefore be remanded for indi-
vidual determinations by the court, or by the Special

37 See e.g., Clements, Reaction Comment, in The Mentally Re-
tarded Citizen and the Law 437 (President’s Committee on Mental
Retardation, 1976); M. Rosen, G. Clark, & M. Kivitz, Habilitation
of the Handicapped (1977).

6la

Master, as to the appropriateness of an improved Penn-
hurst for each such patient.

We base our ruling on the nature of the rights being
enforced in this case. The framers of 42 U.S.C. §§ 6001-
6081, as we have noted, did not anticipate a shut-
down of all institutions when they endorsed a right
to habilitation in the least restrictive environment.
Rather, they recognized that for some patients institu-
tions, once improved, might be appropriate. Similarly,
we do not think that the Pennsylvania legislature, in
providing a right to treatment in the Mental Health and
Mental Retardation Act of 1966, intended to foreclose all
institutionalization. In section 102 of that Act, for ex-
ample, the legislature expressly included “institution[s]”
within the category of “facilities” for which the Depart-
ment of Public Welfare was responsible. Pa. Stat. Ann.
tit. 50, § 4102. Thus, we see in the MH/MR Act of 1966
exactly the intent ascribed to it by Senator Peshan when
he spoke in support of the measure.

The object of this legislation is to make it possible
for every mentally disabled person to receive the
kind of treatment he needs, when and where he
needs it.

1966 Pa. Legis. J., 3d Spec. Sess., No. 33, 76 (Sept. 27,
1966). The state statute, like the federal statute, was fo-
cused on individual needs. Since the statutory rights to
treatment, state and federal, vindicate the individual pa-
tient’s fundamental interest in personal liberty, it is only
fitting that the Commonwealth be required to undertake
a case-by-case investigation into how each _ person’s
rights may best be facilitated.

The right to the least restrictive environment also
supports an individualized approach. Insofar as the right
derives from sections 6001-6081, it is plain that no per se
rule against institutions was contemplated. Moreover
although we do not predicate our holding on a constitu-

62a

tional right to treatment in the least restrictive setting,
we note that such a constitutional right would protect the
liberty interest of individuals. It would be anomalous to
recognize the right to the least restrictive environment
but never inquire whether a given individual can
adjust to the environment to which he has been con-
signed. Thus to the extent that the district court predi-
cated its blanket prohibition against institutionalization
in Pennhurst on the fourteenth amendment, we dis-
agree. Whatever the Constitution requires by way of
least restrictive alternatives, it does not preclude resort to
institution2lization of patients for whom life in an in-
stitution has been found to be the least restrictive envi-
ronment in which they can survive.

Of course, deinstitutionalization is the favored approach
to habilitation. The federal statutory material makes
that clear and we acknowledge that constitutional law
developments incline in that direction as well.** Thus, on
remand, the court or the Master should engage a pre-

38 See, e.g., Parham v. J.L., —— USS. , 99 S. Ct. 2498,
2502-03 (1979); Secretary of Public Welfare of Pennsylvania v. In-
stitutionalized Juveniles, 47 U.S.L.W. 4754, 4756 (U.S. June 20,
1979); O’Connor v. Donaldson, 422 U.S. 563, 575 (1975); Welsch
v. Likins, 550 F.2d 1122, 1125-26 (8th Cir. 1977), affirming in rel-
evant part, vacating and remanding in part, 373 F. Supp. 487 (D.
Minn. 1974); Lake v. Cameron, 364 F.2d 657, 663 (D.C. Cir. 1966)
(en banc); Evans v. Washington, 450 F. Supp. 483, 484 (D.D.C.
1978) (by consent decree); Eubanks v. Clarke, 434 F. Supp. 1022,
1027-28 (E.D. Pa. 1977); Gary W. v. State of Louisiana, 437 F.
Supp. 1209 (E.D. La. 1976); Suzuki v. Quisenberry, 411 F. Supp.
1113, 1132-33 (D. Hawaii 1976); Lynch v. Baxley, 386 F. Supp.
378, 392 (M.D. Ala. 1974) (three judge court); Davis v. Watkins,
384 F. Supp. 1196, 1203, 1206 (N.D. Ohio 1974) (by stipulation) ;
Saville v. Treadway, 404 F. Supp. 430, 433 (M.D. Tenn. 1974) (by
stipulation); Lessard v. Schmidt, 349 F. Supp. 1078 (E.D. Wis.
1972), vacated and remanded for a more specific order, 414 U.S.
473, order on remand, 379 F. Supp. 1376 (E.D. Wis. 1974), vacated
and remanded on other grounds, 421 U.S. 957 (1975), order rein-
stated on remand, 413 F. Supp. 1318 (E.D. Wis. 1976); Wyatt v.
Stickney, 344 F. Supp. 373 (M.D. Ala. 1972); 344 F. Supp. 387
(M.D. Ala. 1972), enforcing 325 F.Supp. 781 (M.D. Ala. 1971), af-
firmed in relevant part, remanded in part, and decision reserved in
part, Wyatt v. Aderholt, 503 F.2d 1305 (5th Cir. 1974).

63a

sumption in favor of placing individuals in CLAs. But
the special needs and desires of individual patients must
not be neglected in the process.

Finally, consideration must be given to the order di-
rected to the future activity of the Base Service Units.
That order essentially imposes an absolute ban on ad-
missions to Pennhurst, paragraphs 9, 10, 446 F. Supp.
at 1327, and requires that the defendants provide CLAs
for all persons on the Pennhurst waiting list, id. at 1326,
paragraph 1.

As we have noted with respect to current residents of
Pennhurst, the court or the Master should engage in a
presumption that individuals should be placed in CLAs.
This presumption is equally important, if not more so with
respect to applicants for future admission. However, we
have recognized that although institutionalization is
strongly disfavored, it is not foreclosed completely by the
governing federal and state statutes. It is conceivable
that in processing a given future application, a Base
Service Unit will find that no available CLA is suitable
for the individual, life in the community is not possible,
and no other alternative institution in the relevant geo-
graphic area is available. Modification of the decree to
permit admission to Pennhurst of such an individual
while it remains open, but under court supervision as in
the case of present residents, seems appropriate. This
would provide for the interim accommodation of such
persons while, as the decree contemplates, and the Com-
monwealth intends, Pennhurst is being phased out. We
emphasize again, however, that any determination with
respect to future applicants must always be made with
the least restrictive alternative in mind and that the
modification is appropriate only because an extreme situ-
ation calling for institutionalization might arise. The
precise mechanism for court supervision of the Base
Service Units in this regard we leave to the district court.

64a

Naturally, nothing we have said here should be under-
stood to disapprove the interim measures ordered by the
trial court for the improvement of Pennhurst. Quite the
reverse: state and federal laws plainly require that if
Pennhurst is to remain open for at least some patients,
it must be dramatically improved so as to provide ade-
quate habilitation. Neither should our willingness to
permit retention of Pennhurst as an institution available
for those who cannot be treated in any less restrictive
environment be construed as an invitation to the appel-
lants to desist from opening up alternative community
facilities. As we have said, institutionalization is a dis-
favored approach to habilitation. Only where the court
or the Master finds that an improved Pennhurst is the
only appropriate place for individual patients should it
be used. For all other patients, CLAs must be provided.”
We caution both the trial court and the Master that be-
fore ordering transfers to CLAs they must have assur-
ances that the sanitary, staffings, and program deficien-
cies which were found at Pennhurst are not duplicated
on a smaller scale in the CLAs. If staffing and programs
are inadequate at the CLAs, then the goals of deinstitu-
tionalization will not be met. Mere changes in the size
of buildings and their location are not enough to meet the
statutory requirements.

There are six other appeals pending in this court from
orders entered subsequent to the March 17, 1978 order
with which this opinion deals. By agreement of the par-
ties, briefing has been postponed in these appeals pending
disposition of this appeal. On remand, the district court
should be free, despite the pendency of the appeals, to
consider modification of the orders with which these ap-

39 We note, in this connection, that the development of suit-
able CLAs will impose little, if any, financial burden on the State
and Counties. As we indicated in Part III, the trial court made a
finding, unchallenged on appeal, that per patient cost in CLAs is
less than at Pennhurst. See 446 F. Supp. at 1312.

65a

peals are concerned, in the light of the modification of
the March 17, 1978 order that we have directed. Because
the district court is free to consider modification of the
orders subsequent to March 17, 1978, the motions for
stays of those orders are denied without prejudice.

VIII. CONCLUSION

With the exception of the order to find alternative
employment for all Pennhurst employees, the order di-
recting the eventual closing of Pennhurst, and the order
banning all future admissions to Pennhurst, the judg-
ment of the trial court will be affirmed in all respects.
To facilitate the inquiry into the appropriate setting for
each patient’s habilitation, the court may if it chooses,
permit particular organizations to intervene at the relief
stage or create subclasses. Alternatively, it may allow
the inquiry to proceed on a case-by-case basis. No matter
how it is accomplished, however, an assessment of each.
class member’s needs must be carried out. The case will
therefore be remanded for further proceedings not in-
consistent with this opinion. All parties shall bear their
own costs. _

SEITZ, Chief Judge, with whom Judges ALDISERT and
HUNTER join, dissenting.

This case poses what is for the judiciary a singularly
difficult and sensitive problem. At a federal judicial level,
we are asked to interpret relatively new and innovative
legislation and to embark upon uncharted constitutional
waters. At a factual level, the record presents a mass of
social science and medical data from which judges are
asked to fashion legal rules.

Initially, I have no trouble agreeing with the majority
that the conditions at Pennhurst revealed in this record

66a

fall below a statutory or constitutional threshold of de-
cency so as to merit judicial intervention. The district
court adequately documented the deplorable conditions at
Pennhurst. See 446 F. Supp. at 1302-11. Understaffing,
filth, violence, enforced inactivity, and other horrors make
Pennhurst, in the opinion of one well-traveled expert, one
of the worst institutions of its kind in the world. Under
these circumstances the federal courts have a right and
a duty to intervene and to secure for Pennhurst’s resi-
dents, at the very least, adequate living conditions. Cf.
Norris v. Frame, 585 F.2d 1183 (8d Cir. 1978) (scrutiny
of pre-trial detainee’s conditions of confinement). I thus
have no hesitation in agreeing that the federal judiciary
should take the necessary steps to eliminate those condi-
tions at Pennhurst.

Pennhurst as it exists today, however, must not ob-
scure what is an entirely severable legal issue. That
issue is the legality of institutionalization of the mentally
retarded. The inquiry is not whether institutionalization
is outmoded, undesirable, or unjustifiably expensive.
Rather, the question is, assuming a Pennhurst without
the deplorable living conditions here, may a federal court
step in and say institutionalization is illegal, and if it
ean, what standard will the court employ in determining
that illegality. It is on this issue that I part company
with the majority.

The district court held that no matter how much one
might change Pennhurst, it would never be legal to place
a person in such a large institution. Although the major-
ity rejects that theory, its position is that even if all the
deplorable living conditions at Pennhurst are eliminated,
it still is impermissible to place persons there if a large
institution is not the least restrictive environment for
that individual.

Such a rule goes far beyond the proposition that fed-
eral courts should require the state to eliminate the

67a

deplorable conditions at Pennhurst. The effect of the
rule is to require the state to create new facilities regard-
less of the feasibility or practicality of such a course of
action. Moreover, because persons develop over time, the
federal courts will become embroiled in almost continual
supervision to ensure that each individual at any particu-
lar moment is in the least restrictive environment.

Although I believe improvement of Pennhurst to be
mandatory, I do not believe a federal court may dictate
to the state the type of treatment that best suits every
individual. In my view, as long as the state runs all of
its facilities free of the types of conditions that exist at
Pennhurst today, then the state must be given latitude to
choose in which of the facilities it will place a given indi-
vidual. A federal court should remove a person from an
institution or forbid a particular mode of treatment only
in very limited circumstances. Because I can find no
basis for the rule announced by the majority in statute
or Constitution, I dissent from that portion of its opinion
mandating a general right to individualized treatment in
the least restrictive environment.

I. Statutory Basis

A. Developmentally Disabled Assistance
and Bill of Rights Act

I will assume that the majority is correct in asserting,
first, that patients at Pennhurst have a right to treat-
ment under the Developmentally Disabled Assistance and
Bill of Rights Act, 42 U.S.C. §§ 6000-6081 (the Act) ;
and, second, that patients have an implied cause of ac-
tion under the Act to enforce that right. These two con-
clusions, however, bring one no closer to an answer in
this case, for it means little to say that a person has a
“right” without defining it in a particular context. In

68a

this case, one must ask exactly what are the contours
and substance of the right to treatment.

The starting point for an answer to this question is
the nature and history of the implied cause of action. In
England as early as the thirteenth century, the king’s
courts fashioned private remedies by looking to duties
imposed on the defendant by royal enactments. See gen-
erally J. Mashaw & R. Merrill, Introduction to the Amer-
ican Public Law System 969-71 (1975) ; Katz, The Juris-
prudence of Remedies: Constitutional Legality and the
Law of Torts in Bell v. Hood, 117 U. Pa. L. Rev. 1
(1968). The essence of the implied cause of action is
that the defendant breaches a duty imposed on him by
a statute, and the breach in some way harms the plain-
tiff, who then may supplement the statutory scheme
through a private suit. See J.J. Case Co. v. Borak, 377
US. 426 (1964). One cannot divorce the implied cause
of action from a duty imposed on the defendant by the
statute in question. Unless the defendant’s activity vio-
lated the statute, there is nothing a court can properly
redress.

Applying this precept to the case at hand, the question
is whether the Act imposes a duty on the defendants to
provide the least restrictive treatment possible to the
plaintiffs. Unless it does the Act cannot be a proper
basis for the majority’s holding. I agree with the major-
ity that the legislative history indicates a preference for
least restrictive treatment, but a preference cannot be
elevated into a mandatory duty without explicit statutory
authority.

The Act nowhere places such a duty of least restrictive
treatment on those states accepting federal funding. The
Act is extremely explicit as to the duties of those states
that receive such funds. The heart of the state’s duty
under the Act is section 6063. Before the state can re-

69a

ceive funds, it must submit a plan to the Secretary of
Health, Education, and Welfare (HEW) for approval.
Prior to the 1978 amendments, section 6063(b) (20) re-
quired that the state’s submission to HEW contain:

a plan designed (A) to eliminate inappropriate
placement in institutions of persons with develop-
mental disabilities, and (B) to improve the quality
of care and the state of surroundings of persons for
whom institutional care is appropriate.’

Moreover, the state must maintain individual habilita-
tion plans and an advocacy system to ensure that the
general plan approved by HEW is properly implemented.
See 42 U.S.C. §§ 6011-6012. Cf. id. $$ 6007, 6067 (estab-
lishing state and national planning and advisory com-
missions) .

The requirement in section 6063(b) (20), however, in
no way imposes an absolute duty on the state to provide
the least restrictive treatment. For example, the regula-
tion dealing with this portion of a state’s plan provides:

The State plan shall support the establishment of
community programs as alternatives to institution-
alization and support such programs designed to
provide services for the care and habilitation of per-
sons with developmental disabilities, and which uti-
lize, to the maximum extent feasible, the resources
and personnel in related community programs to
assure full coordination with such programs and to
assure the provision of appropriate supplemental

1This specific requirement was eliminated in 1978. The new
provision still requires, however, that the plan deal with non-
institutional treatment, albeit in a more general way. See, e.g.,
42 U.S.C.A. § 6063(b) (5) (B)-(C) (1979 cumm. supp.). Cf. id.
§ 6063(b)(7)(B) (state plan must deal with right of employees dis-
placed because of relocation of patients in community living ar-
rangements).

70a

health, educational, or social services for persons
with developmental disabilities.

45 C.F.R. § 1886.43 (1978). I fail to see how a duty to
“support” “feasible” non-institutional care can be ele-
vated to an absolute duty to provide the least restrictive
treatment for every individual regardless of cost or |
available resources.

The Act elsewhere demonstrates that the state’s limited
resources may qualify its duty to provide alternate habili-
tation. For example, the state has primary control over
where the funds are to be allocated. See 42 U.S.C. § 6003.
Indeed, the House Report on the 1975 version of the Act
stated:

Since the Committee is well aware that current
theory with regard to the treatment and support of
the developmentally disabled emphasizes that this
treatment should be conducted in the individual’s
community without unnecessarily institutionalizing
him, the Committee has chosen to include a specific
requirement that state programs plan for as much
deinstitutionalization as is feasible, and earmark
monies for this purpose. Knowing that this may re-
quire some increase in expenditures, the Committee
has also increased the authorizations of appropria-
tions.

It is anticipated that these requirements will
prompt some movement of patients from State in-
stitutions back into their communities. It is hoped
that corresponding amounts of State and other funds
currently being spent on institutional care will be
re-budgeted for community care, an obvious rebudg-
eting that has not always occurred in conjunction
with deinstitutionalization efforts.

House Rep. No. 94-58, 94th Cong., 1st Sess. 10, reprinted
in 2 U.S. Code Cong. & Admin, News 919, 928 (1975).

T1la

This passage illustrates that Congress intended the Act
as no more than an incentive to deinstitutionalization,
not an imposition of a mandatory requirement regardless
of fiscal concerns.

Thus the language and structure of the Act, the rele-
vant regulations, and the legislative history all indicate
that the states may consider their own resources in pro-
viding less restrictive treatment. The duty of the states
under the Act is to provide alternative individual habili-
tation to the extent feasible, which includes a wide variety
of fiscal concerns. Yet the import of the approach taken
by the majority is exactly the opposite: it imposes a
duty to provide less restrictive treatment, regardless of
cost or available funds. This is an approach entirely in-
consistent with the nature of an implied cause of action,
which must rest on the breach of a statutory duty. In
effect, the majority transforms the duty of providing
feasible alternative treatment into an entirely different
substantive obligation that has absolutely no basis in the
statutory scheme. It is improper to say an implied statu-
tory cause of action exists and then impose new substan-
tive duties nowhere present in the statute in question.

The majority places great emphasis on section 6010,
the bill of rights section. The broad rights declared in
section 6010 can be given concrete meaning, however,
only by reference to the other provisions in the Act. I
do not believe, especially with a funding statute such as
the one here, that general findings and declarations should
be used as a charter for the creation of absolute obliga-
tions where Congress felt the states should be free to
choose on their own as to the proper allocation of funds.
Cf. Beal v. Doe, 432 U.S. 488 (1977) (Title XIX gives
states latitude as to whether to spend federal funds on
abortion). In sum, where Congress establishes a funding
scheme designed to encourage a course of conduct, that

72a

is no license to federal courts to make that conduct
mandatory.

None of this is meant to denigrate the purpose of
section 6010. The time has passed when retarded persons
can be considered citizens without any rights whatsoever.
Those rights conferred by this Act are important and a
significant step on the road on which our nation has a
far way to go. Yet the judiciary should not permit such
feelings to exceed the obligations imposed on states by
the Act. Because the Act nowhere imposes an absolute
duty on funded states to provide the least restrictive
treatment regardless of cost or feasibility, I would hold
that the Act does not support those portions of the dis-
trict court’s order that create such an obligation.

B. Rehabilitation Act of 1973

The district court held that continued confinement at
Pennhurst, which receives federal funds under Title XIX
of the Social Security Act, 42 U.S.C. § 1396 et segq., vio-
lated section 504 of the Rehabilitation Act of 1973.? That
provision, as amended in 1978, states in relevant part:

No otherwise qualified handicapped individual in
the United States . . . shall, solely by reason of his
handicap, be excluded from the participation in, be
denied the benefits of, or be subjected to discrimina-
tion under any program or activity receiving Fed-
eral financial assistance ....

2The arguments treated in this section are those of the plain-
tiffs, not the district court. That court concluded that “[i]n en-
acting Section 504 . . . Congress has in effect codified the constitu-
tional right to equal protection.” 446 F. Supp. at 1323. Because of
its earlier conclusion that confinement at Pennhurst violated equal
protection, see 446 F. Supp. at 1321-22, the district court felt that
section 504 also had been violated. The district court’s analysis of
the section 504 claim accordingly is subsumed in my consideration
of plaintiffs’ equal protection claim. See Part I1.B, infra.

73a

29 U.S.C. § 794, as amended, Pub. L. 95-602, § 122(d)
(2), 92 Stat. 2987 (1978).

The issue is whether section 504 mandates positive ac-
tion by the state to create new, less restrictive habilita-
tion facilities. On its face, the section merely says that
states may not discriminate as to existing facilities; it
does not require that the states take affirmative action.
Thus in Southeastern Community College v. Davis, 99
S. Ct. 2361 (1979), the Supreme Court noted that section
504 dia aot require the state to create new facilities suit-
able for training nurses with hearing disabilities. After
a thorough examination of the statutory structure and
implementing regulations, the Court stated:

If these regulations were to require substantial ad-
justments in existing programs beyond those neces-
sary to eliminate discrimination against otherwise
qualified individuals, they would do more than clarify
the meaning of § 504. Instead, they would constitute
an unauthorized extension of the obligations imposed
by that statute.

. .. Section 504 does not refer at all to affirmative
action, and except as it applies to federal employers
it does not provide for implementation by adminis-
trative action. A comparison of these provisions
demonstrates that Congress understood accommoda-
tion of the needs of handicapped individuals may
require affirmative action and knew how to provide
for it in those instances where it wished to do so.

Id. at 2369 (footnote omitted).

The conclusion that section 504 imposes no such obli-
gation in this case is supported by the legislative history.
Most of the controversy surrounding the Rehabilitation
Act concerned provisions other than section 504. As a
result, legislative remarks about the purpose of that sec-
tion are scarce and tend to restate the obvious. The pro-

74a

vision’s major thrust clearly is directed toward ensuring
the handicapped equal access to federally-funded pro-
grams. See, e.g., 118 Cong. Rec. 32,310 (Sept. 26, 1972)
(remarks of Senator Humphrey); id. at 32,294 (Sept.
26, 1972) (remarks of Senator Cranston) ; Sen. Rep. No.
93-318, 93d Cong., 1st Sess., reprinted in 2 U.S. Code
Cong. & Admin. News 2076, 2123, 2143 (1973).

Moreover, the structure and thrust of the Rehabili-
tation Acts of 1972 and 1978, of which section 504 was
only one small part, undercuts plaintiffs’ contention.
The Acts essentially are funding statutes. They repre-
sent comprehensive attempts to deal with the plight of
the handicapped, especially the most severely handi-
capped, see 29 U.S.C. § 701, through a system of federal
grants to states for the development of the enumerated
programs. See id. §§ 720, 721, 762. One of the clear pur-
poses of these grants was to offer states financial incen-
tives to deinstitutionalize the mentally retarded. See, e.g.,
118 Cong. Ree. 32,305 (Sept. 26, 1972) (remarks of
Senator Javits) ; id. at 36,414 (Oct. 14, 1972) (remarks
of Congressman Badillo).

Given the emphasis in the Rehabilitation Act of 1972
and 1973 on encouraging the states to deinstitution-
alize, I do not believe that there should be read into
section 504, included in both those acts, a legislative
mandate for deinstitutionalization. The carefully tailored
system of programs and grants in the legislation as a
whole belies any congressional intention to impose an
absolute duty to provide the least restrictive treatment.

Plaintiffs offer two less expansive arguments in sup-
port of the district court’s holding that section 504 man-
dates Pennhurst’s closing. First, they argue that section
504 requires the termination of a federal program de-
signed exclusively for the handicapped if that program
prevents its beneficiaries from participating in other fed-

75a

eral programs. This is quite novel. No court that has
granted relief under section 504 has even implied that
such an interpretation is possible. See, e.g., Leary V.
Crapsey, 566 F.2d 863 (2d Cir. 1977); United Handi-
capped Federation v. Andre, 558 F.2d 413 (8th Cir.
1977) ; Lloyd v. Regional Transportation Authority, 548
F.2d 1277 (7th Cir. 1977). Moreover, I believe that
plaintiffs’ argument cannot be justified on this record.

Plaintiffs allude throughout their briefs to a variety
of federally-funded programs for the handicapped that
are unavailable to Pennhurst’s residents. The district
court heard 32 days of testimony and argument in this
case. The parties took 27 depositions. The exhibits in-
cluded 108 photographs, a three-hour film, and 288
documents. An examination of this massive record does
not reveal, however, a single federally-funded program
from which Pennhurst residents have been excluded.
Indeed, the United States intervening on behalf of
plaintiffs, concedes that the record fails to demonstrate
that any programs using such funds were available to
anyone in the five-county area served by Pennhurst.
Thus plaintiffs’ first argument is without merit.

Plaintiffs alternatively argue that Pennhurst violates
section 504 by denying its residents the benefits of
Pennsylvania’s program of community living arrange-
ments. This denial allegedly is based impermissibly
upon the severity of the handicaps of those confined at
Pennhurst.

Significantly, Pennsylvania accepts no federal funds
for the operation of its community living arrangements,
choosing instead to finance the program out of its own
revenues. - In 1976, Pennsylvania served 2069 persons
in community living arrangements, 483 of whom were
from the five-county region served by Pennhurst. Dur-
ing 1976, Pennhurst itself served approximately 1200

76a

residents. As places have become available in com-
munity living arrangements in the five-county area,
Pennsylvania has filled half of them with residents of
Pennhurst and half with other retarded individuals.

Plaintiffs would have us hold that this system vio-
lates section 504 because only the most severely handi-
capped persons are placed at Pennhurst. Almost fifty
percent of Pennhurst’s residents are profoundly re-
tarded, having I.Q.’s of less than 20. Almost three quar-
ters are at least severely retarded, with I.Q.’s of less than
36. In addition, many of the residents are multiply
handicapped. Although, given proper facilities, all of
these persons could be served “in the community,” no
une disputes that such severely handicapped persons
pose difficult placement problems. Moreover, plaintiffs
do not contend that Pennsylvania has now, or has ever
had, adequate facilities in the community to cope with
all, most, or even many of Pennhurst’s present residents.
Plaintiffs’ only argument is that such facilities are fea-
sible and that Pennsylvania violates section 504 by fail-
ing to develop them.

Presumably, such an expanded program of commu-
nity living arrangements could be funded by federal
grants under Titles XIV and XX of the Social Security
Act, 42 U.S.C. §§ 1351 et seqg., 1397 et seg. Four states,
Michigan, Minnesota, Nebraska, and Oklahoma, pres-
ently finance such programs under these titles. Section
504, however, cannot be read as requiring states to ac-
cept federal funds for such a program. On the contrary,
in his comments on the Rehabilitation Act of 1972,
which included a provision identical to section 504 as
enacted, Congressman Badillo specified that the Act
would allow states “to explore the possibility of using, as
much as possible, 4 community-based treatment ap-
proach... .” 118 Cong. Rec. 36,414 (Oct. 14, 1972).
Plaintiffs now argue that Pennsylvania, which has chosen

77a

to use its own funds to “explore the possibility of us-
ing’ community living arrangements, violates section
504 in failing to embrace that treatment approach com-
pletely and immediately. Because the legislative history
reveals no more than a congressional intent to encour-
age deinstitutionalization, I believe that such a conclu-
sion is untenable.

Therefore, I reject each of plaintiffs’ arguments that
institutionalization of the mentally retarded at Penn-
hurst violates section 504. Because that section supports
neither the plaintiffs nor the majority, I must proceed
to consider the other bases for the district court’s order.

C. Pennsylvania Law

The majority holds that Pennsylvania’s Mental Health
and Mental Retardation Act of 1966 (MH&MRA), 50
P.S. $$ 4101 et seqg., grants the retarded a statutory
right to treatment and that the plaintiffs have a pri-
vate cause of action under the statute to enforce that
right. The majority seems to implicitly rest its least re-
strictive treatment rule in part on Pennsylvania law.

I will assume that the residents of Pennhurst have a
statutory right to some kind of treatment under the 1966
legislation. I cannot say as a matter of Pennsylvania law,
however, that whatever treatment the residents are en-
titled to receive must be provided in the least restrictive
environment possible. The question is: If the deplorable
conditions evidenced in the record were eliminated at
Pennhurst, would some individual still have an absolute
right as a matter of state law to be placed in a less re-
strictive setting?

Initially, as with any implied cause of action, the
remedy must be tied to violation of an express statutory
provision. General language may not obscure the need
for concrete imposition of a specific duty. Article II of the

78a

MH&MRA sets out the cuties of the state and nowhere
does it mention a duty to provide the least restrictive
treatment regardless of fiscal concerns.

Moreover, the structure of the MH&MRA itself im-
plies that Pennsylvania’s General Assembly, in enacting
the legislation, contemplated no such absolute right to
treatment outside a properly run institution if such were
the least restrictive environment imaginable. A major
purpose of the MH&MRA was to ensure proper division
of responsibilities between the state’s Department of
Public Welfare (DPW) and local authorities, primarily
cities and counties. See 50 P.S. §§ 4102, 4202(a), 4301
(d), 4507(a) (1). This division of authority indicates
that DPW was to operate regional facilities like Penn-
hurst while the localities were to concentrate on com-
munity-based services such as after-care. The very fact
that both exist side by side in the legislative scheme
without any language about placement in one or the
other belies any theory that the General Assembly in-
tended an absolute right to one to the exclusion of the
other.

Buttressing my conclusion that the MH&MRA con-
templated institutionalization of the mentally retarded
are statistics, cited by the district court, indicating that
institutionalization as a means of providing for the re-
tarded was on the rise through 1966, the year of the
MH&MRA’s enactment. See 446 F. Supp. at 1300n.7.
The record shows that only in 1970 did Pennsylvania be-
gin to explore the possibility of deinstitutionalizing
Pennhurst’s residents. See 446 F. Supp. at 1312. I believe
it would be anomalous to attribute to the General Assem-
bly of 1966 an intention to require treatment of the men-
tally retarded in a community setting because it would
be less restrictive than an institution when the state did
not even consider community treatment until 1970.

79a

Nor do I believe that intervening changes in attitudes
toward habilitation of the mentally retarded allow this
court to reject the legislative judgment, implicit in the
MH&MRA, that institutions, if properly run, can provide
the mentally retarded with the requisite services. The
General Assembly has not indicated that it has reached
a contrary conclusion. Furthermore, the only Pennsyl-
vania courts to consider analogous issues seem to have
assumed that institutionalization is permissible without
examining it as the least restrictive alternative under
the MH&MRA. For example, in Hoolick v. Retreat State
Hospital, 24 Pa. Commw. Ct. 218, 354 A.2d 609 (1976),
aff'd mem., 476 Pa. 317, 382 A.2d 739 (1978), the Com-
monwealth Court rejected a claim that the MH&MRA
required DPW to continue to operate the Retreat State
Hospital. In so ruling, the court noted that the hospital
was “an institution within the framework of mental
health facilities operated by the Commonwealth. ...” Jd.
at 220, 354 A.2d at 610. According to the Commonwealth
Court:

The manifest object of the General Assembly in
enacting the Mental Health and Mental Retardation
Act of 1966 was to create a cooperative State-county
(or multi-county) program across the Common-
wealth for those who suffer mental health or mental
retardation afflictions. . . . To retard or restrict
State action in the operation of such a program, a
clear specific legislative intent that a particular
mental health facility shall remain functional would
be required.

Id. at 224, 354 A.2d at 612. Thus under Hoolick, the
legislature gave the DPW wide latitude in choosing what
type of an institution best suits an individual.

Moreover, the state’s duty to treat individuals is sub-
ject to the financial limitations of its own treasury. Cf.

80a

County of Allegheny v. Commonwealth, 33 Pa. Commw.
Ct. 267, 381 A.2d 1014 (1978) (state’s liability to county
not absolute). Indeed, in one case, the county placed an
individual in a private home; because this was not au-
thorized by the Act, the state was not liable to the county
for the expenditure. Jn the interest of Wayne K., 34 Pa.
Commw. Ct. 10, 382 A.2d 989 (1978). At the least, then,
the state right to treatment does not include a right to
placement in a private home, even if that is the least re-
strictive environment.

Absent legislative action indicating that a particular
type of facility, acceptable to the General Assembly in
1966, no longer passes legislative muster, I cannot pre-
dict that a Pennsylvania court facing this same question
would hold that an individual has an absolute right to
treatment in another less restrictive institution. I would
hold only that, according to Pennsylvania law, any right
the mentally retarded may have under the MH&MRA to
habilitation can be satisfied in an institutional setting
properly maintained.

II. Constitutional Basis
A. Due Process

The final question presented by the plaintiffs is the
constitutionality of the state statutory scheme of insti-
tutionalizing people in Pennhurst. The district court
held that retarded persons, once admitted to a state
facility, “have a constitutional right [under the due proc-
ess clause] to be provided with minimally adequate
habilitation under the least restrictive conditions con-
sistent with the purpose of the commitment.” 446 F.
Supp. at 1319. Having found such a right, the district
court further held that Pennhurst, because it is an in-
stitution, could never provide minimally adeguate habili-
tation, and that Pennhurst’s residents were entitled to be

8la

placed in community living arrangements. 446 F. Supp.
at 1318, 1320.

The majority holds that some individuals may re-
main in Pennhurst, thus rejecting the district court’s
thesis. It purports to do this on statutory grounds,
thereby avoiding the constitutional issue. The majority’s
apparent justification for failing to reach the constitu-
tional issue is that the legislation involved here does not
require less than is mandated by the Constitution. The
majority merely makes this statement without explain-
ing why its unarticulated view of the Constitution is cor-
rect and the district court’s theory is incorrect. If, as I
believe, the statutes in question provide no cause of ac-
tion to enforce a generalized absolute right to least re-
strictive treatment, then the only remaining basis for the
majority’s holding is the Constitution.

My approach presents two questions. First, decide
what are the permissible governmental purposes that
support civil commitment of the mentally retarded. Sec-
ond, determine whether those purposes are sufficient to
support institutionalization or whether the state has a
constitutional duty to employ means less restrictive of
individual freedom.

In finding a constitutional right to habilitation, the
district court relied on a series of cases that grant
non-dangerous mental patients who are involuntarily
committed a right to psychiatric treatment. The seminal
right-to-treatment case was Rouse v. Cameron, 373 F.2d
451 (D.C. Cir. 1966), which dealt with a statutory right
to treatment. In dictum, the court indicated that the fail-
ure to treat a mental patient who had been committed by
the state was sufficiently “shocking” to violate due proc-
ess guarantees. See id. at 455.

A number of courts have expanded upon Rouse’s
dictum. The Court of Appeals for the Fifth Circuit of-

82a

fered the strongest defense of the right to treatment in
Donaldson v. O’Connor, 493 F.2d 507 (5th Cir. 1974),
vacated on other grounds and remanded, 422 U.S. 563
(1975), and Wyatt v. Aderholt, 503 F.2d 1305 (5th Cir.
1974), aff’'g, Wyatt v. Stickney, 325 F. Supp. 781 (M.D.
Ala. 1971) (Stickney I). Donaldson noted that involun-
tary confinement must be justified by a legitimate state
purpose to survive scrutiny under the due process clause.
See Jackson v. Indiana, 406 U.S. 715, 738 (1972). His-
torically, civil commitment had been based on one of
three grounds: danger to self, danger to others, or need
for treatment. See id. at 737. Because uncontradicted
evidence demonstrated that Donaldson was dangerous
neither to himself nor to others, the only legitimate basis
for his confinement was the provision of treatment. Ac-
cording to the Fifth Circuit, the state of Florida, which
confined Donaldson to treat him, had a constitutional
duty to provide him with adequate and effective treat-
ment, the “quid pro quo” for his confinement. See 493
F.2d at 518-27.*

The first case to apply the right-to-treatment rationale
to the mentally retarded was Wyatt v. Stickney, 344
F. Supp. 387 (M.D. Ala. 1972) (Stickney II), affirmed in
relevant part sub nom. Wyatt v. Aderholt, 503 F.2d
1305 (5th Cir. 1974). Having determined in Stickney I
that persons involuntarily committed to mental institu-
tions had a right to treatment, the district court felt com-
pelled to extend an analogous right to the mentally
retarded. See 344 F. Supp. at 390.*

3The Supreme Court in Donaldson stopped short of endors-
ing the quid-pro-quo approach. See O’Connor v. Donaldson, 422
U.S. 563, 576 (1975). Our court has specifically reserved ruling on
the theory. See Scott v. Plante, 532 F.2d 939, 947 (3d Cir. 1976).

*Since 1972, a number of courts have followed Stickney I]
and have held that mentally retarded persons confined in state-run
institutions have a constitutional right to habilitation. See, e.g.,
Welsch v. Likins, 373 F. Supp. 487 (D. Minn. 1974), aff’d in part

83a

I can assume, without deciding, that a non-dangerous
individual committed by the state because of an al-
leged mental illness has a right to receive psychiatric
treatment for his or her condition. I do not agree,
however, with the assertion made in Stickney I] that, in
this regard, “no viable distinction can be made between
the mentally ill and the mentally retarded.” 344 F. Supp.
at 390. On the contrary, as the Supreme Court has noted
in another context, “careful attention must be paid to the
differences between [the] mentally ill and [the] mentally
retarded. .. .” Kremens v. Bartley, 481 U.S. 119, 135-
36 (1977). In particular, I believe that the government’s
purpose in depriving Pennhurst’s residents of their liber-
ty is quite different from the government’s purpose in
depriving a non-dangerous, mentally ill person of his or
her liberty.

As noted earlier, the Supreme Court has identified
three conditions that might justify civil commitment:
danger to self, danger to others, and need for treatment.
See Jackson v. Indiana, 406 U.S. 715, 737 (1972). In
O’Connor v. Donaldson, 422 U.S. 568, 574 n.9 (1975),
the Supreme Court briefly examined the “danger to self”
rationale and indicated that it considered inability to care
for oneself a permissible basis for civil commitment:

Of course, even if there is no foreseeable risk of
self-injury or suicide, a person is literally “dan-
gerous to himself” if for physical or other reasons
he is helpless to avoid the hazards of freedom either
through his own efforts or with the aid of willing
family members or friends.

No one disputes that most, if not all, of Pennhurst’s resi-
dents are dangerous to themselves in this sense. Severely

and vacated and remanded in part, 550 F.2d 1122 (8th Cir. 1977).
In each of these cases, however, the court concluded or assumed
that the state could provide the necessary habilitation in an institu-
tional setting. See, e.g., Gary W. v. Louisiana, 437 F. Supp. 1209,
1217-19 (E.D. La. 1976).

84a

or profoundly retarded, often with multiple handicaps,
the residents obviously are unable to fend for themselves.
Nor, as the district court’s findings on voluntariness
make clear, are there “willing family members or friends”
available to shield them from the “hazards of freedom.”

I believe that the residents’ inability to live indepen-
dently distinguishes this case from Donaldson and other
cases granting non-dangerous mental patients a right to
treatment. Moreover, I believe that the state’s willing-
ness to provide the residents with such necessities as
food, shelter, medical care, and supervision for which
the residents have no other source, forms an adequate
basis for some state-imposed restrictions on their liberty.

I am left, of course, with the question whether the
residents’ need for care and supervision justifies the
magnitude of the restraint imposed by institutionaliza-
tion. The Court of Appeals for the Fifth Circuit has
argued that it does not. In Wyatt v. Aderholt, 503 F.2d
1305, 1313 (5th Cir. 1974) (affirming Stickney I and
Stickney II), the court emphasized that commitment en-
tailed “ ‘massive curtailments’ of individual liberty.”’ The
court continued:

Against the sweeping personal interests involved,
[the state of Alabama] would have us weigh the
state’s interest, and the interests of the friends and
families of the mentally handicapped in having pri-
vate parties relieved of the “burden” of caring for
the mentally ill. The state interest thus asserted
may be, strictly speaking, a “rational” state interest.
But we find it so trivial beside the major personal in-
terests against which it is to be weighed that we
cannot possibly accept it as a justification for the
deprivations of liberty involved.

Several factors persuade me to reject Wyatt’s rea-
soning in the context of this case. First, that decision

85a

preceded the Supreme Court’s decision in Donaldson.
As noted, the Supreme Court there indicated that the
need to provide mentally handicapped persons with cus-
todial care could, under some circumstances, support civil
commitment. Moreover, to the extent that Wyatt’s rea-
soning survived Donaldson, the realities of Pennhurst
as recorded in the findings of the district court preclude
its application in this case. The vast majority, almost
90 per cent, of Pennhurst’s residents are 18 years of
age or older. Under Pennsylvania law the duty of
parents or relatives to contribute to the support of an
unmarried person who has been committed or who is
receiving services under the MH&MRA terminates upon
that person’s attainment of 18 years of age. See 50
P.S. § 4502. Moreover, relatives and friends who will ac-
cept responsibility for the care of Pennhurst’s residents
either do not exist or are unwilling or unable to do so.
The district court found that 43 per cent of the residents
have had no family contact in the past three years. The
record does not show what percentage of the residents
have family members still living. See 446 F. Supp. at
1302 & n.16. Even as to those residents under the age of
18, the district court found that Pennhurst “was and is
their only alternative,” id. at 1311 (footnote omitted),
and that “they have no place else to go,” id. at 1318.
Given these findings, defendants are doing far more
than relieving otherwise willing and able relatives of the
burden of caring for the residents; they are acting as the
residents’ only source of food, shelter, supervision, and
medical care. Far from being “trivial,”’ these services are
a matter of life or death to the residents. See generally
New York State Association for Retarded Children, Inc.
v. Rockefeller, 357 F. Supp. 752, 759-60 (E.D.N.Y. 1973),
consent judgment approved, 393 F. Supp. 715 (E.D.N.Y.
1975), affd, 596 F.2d 27 (2d Cir.), cert. denied, 48
U.S.L.W. (Oct. 2, 1979). But see Gary W. v. Louisiana,

86a

437 F. Supp. 1209, 1217 (E.D. La. 1976) (all members
of plaintiff class were minor children).

Having concluded that the residents’ need for care
and supervisicn can support significant restrictions on
their personal liberty, it nevertheless must be decided
whether Pennsylvania must provide for the residents’
needs in a manner least restrictive of those liberties, or
whether it is sufficient that the restrictions be rationally
related to the purpose of confinement. The district court
here felt that Shelton v. Tucker, 364 U.S. 479 (1960), re-
quired use of less drastic means in general, and commu-
nity living arrangements in particular. In Shelton the
Supreme Court considered an Arkansas statute requir-
ing every teacher to file an arinual affidavit listing all or-
ganizations to which he or she belonged or contributed.
In striking down the requirement as an unconstitutional
abridgement of first amendment freedoms, the Court
held that

even though the governmental purpose be legiti-
mate and substantial, that purpose cannot be pur-
sued by means that broadly stifle fundamental per-
sonal liberties when the end can be more narrowly
achieved. The breadth of legislative abridgment must
be viewed in the light of less drastic means for
achieving the same basic purpose.

Id. at 488 (footnotes omitted).

It is quite possible that the Supreme Court has al-
ready rejected the contention that Shelton’s less-drastic-
means analysis applies to the conditions of civil commit-
ment. See State v. Sanchez, 80 N.M. 438, 457 P.2d 370
(1968) (mentally ill), dismissed for want of a sub-
stantial federal question, 396 U.S. 276 (1970). See gen-
erally Mandel v. Bradley, 432 U.S. 173 (1977) (per
curiam); Hicks v. Miranda, 422 U.S. 332 (1975);
Halderman v. Pennhurst State School & Hospital, 446

87a

F. Supp. at 1319 n.55; Patton v. Dumpson, 425 F. Supp.
621, 624 (S.D.N.Y. 1977). Nevertheless, I believe that
the importance of this issue merits a full examination of
plaintiffs’ argument.

In two cases dealing directly with the conditions and
duration of civil confinement the Supreme Court has not
been required to reach the question whether a state must
provide its mental health services in a manner least
restrictive of fundamental liberties. In Jackson v. Indi-
ana, 406 U.S. 715 (1972), the Court examined the
constitutionality of a statutory scheme that permitted
indefinite, and probably permanent, commitment of a
person adjudged incompetent to stand trial on criminal
charges. In holding that this procedure deprived the
petitioner of due process of law, the Court reasoned that
[a]t the least, due process requires that the nature and
duration of commitment bear some reasonable relation
to the purpose for which the individual is committed.”
Id. at 738. Similarly, in O’Connor v. Donaldson, supra,
422 U.S. at 576, the Court explored the minimum pro-
tection afforded by due process, holding that “a State
cannot constitutionally confine without more a _ non-
dangerous individual who is capable of surviving safety
in freedom ... .” In both Jackson and Donaldson the
challenged restrictions were invalidated under this mini-
mal scrutiny. But by employing the phrases “at the
least” and “without more,” the Supreme Court left open
the possibility that it might apply stricter scrutiny in a
proper case.

Recently, in Bell v. Wolfish, 99 S. Ct. 1861 (1979),
the Supreme Court considered the constitutional require-
ments for the conditions under which pre-trial detainees
may be confined. The plaintiff detainees, who were con-
fined solely because of their inability to post bail, com-
plained, inter alia, that the practice of assigning two
detainees to a cell designed for one person denied them

88a

due process of law. In upholding the constitutionality of
“double-bunking,” the Supreme Court declined to apply
the “compelling necessity” test that had been adopted by
the Court of Appeals for the Second Circuit. Instead, the
majority focused on whether double-bunking constituted
infliction of punishment, and phrased the standard of
review as whether ‘a particular condition or restriction
of pretrial detention is reasonably related to a legitimate
governmental objective... .” Id. at 1874.

Bell, although dealing with the conditions of non-
criminal confinement, is not dispositive of the standard
of review to be applied in this case. The plaintiffs in
Bell did not contend that double-bunking, as opposed to
single-bunking, was unduly restrictive of any express
constitutional guarantee. See id. at 1871. In this case,
however, plaintiffs argue that institutions, when com-
pared with community living arrangements, are more
restrictive of such fundamental rights as freedom to
travel and freedom of association. Assuming this to be
the case, I will consider the applicability of some sort of
less-drastic-means analysis.

The Supreme Court first formalized less-drastic-means
analysis in Shelton v. Tucker, 364 U.S. 479, 488 (1960).
Prior to that decision, the consideration of less restrictive
alternatives was at least implicit in a number of opinions.
See The Supreme Court, 1960 Term, 75 Harv. L. Rev.
40, 129 (1961) (collecting cases). Those earlier de-
cisions, however, tended to treat less drastic alternatives
as only one consideration in the overall assessment of an
enactment’s reasonableness. Compare Shelton v. Tucker,
supra, at 488-90, with id. at 493-94 (Frankfurter, J.,
dissenting). In Shelton the Court seemed to hold that the
existence of less drastic means would almost always in-
validate a statute that impinged upon “fundamental per-
sonal liberties.” See id. at 488.

89a

Since 1960, application of less-drastic-means analysis
has been far from uniform. See, e.g., United States V.
Robel, 389 U.S. 258, 267 (1967) (“It is not our function
. . . to determine whether an industrial security screen-
ing program exh

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Source: Frix Law Library, https://www.frixlaw.com/law-library/documents/brief%3Amicro_IA40385006_2229%3A1. Public record. Not legal advice.
