Appendix — Jones v. United States
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DISTRICT OF COLUMBIA COURT OF APPEALS
a ee ee
1978, §£24-301(d), the court committed Mr. Jones in-
definitely to St. Elizabeths Hospital. This case presents
one question: whether Michael Jones is constitutionally
entitled to release from St. Elizabeths upon expiration of
the maximum period for which he could have been im-
prisoned (in this case one year), unless the government
carries the burden of proving, at a civil commitment
hearing, D.C. Code 1973, § 21-545(b), that Mr. Jones is
still mentally ill and dangerous to self or others.
Appellant dees not challenge the validity of his initial
commilment Lo Si. Elizabeths after the “release hearing.”
On the assumption, therefore, that this commitment was
lawful, we eam perceive no constitutional requirement
that appellawt be releoscd or civilly committed at the end
of the maximum imprisonment period, for that period
bears ne relationship to the unchallenged basis for ap-
pellant’s hospital confinement: that he is mentally ill, is
dznyerous to self er others, and should receive treatment
until he is well enough for release. We therefore affirm
ihe denia! of appellant’s motion for civil commitment or
_ ‘
Sake) Ke
I.
Gn September 19, 1975, the police arrested Michael
Jones for attempting to steal a coat from a depart-
mem store, The next day the government charged him
With atiempted petit larceny; and, following a com-
petency examination yielding a finding of mental illness,
he was arraigned and erdered to St. Elizabeths for men-
ta! ohoervation pursuxnt to D.C, Code 1978, § 24-301 (a).
He remained in the District of Columbia jail for four
and one-half months until bed space became available at
St. Blizaheths on February 4, 1976.
Following the oleervation period, appellant went to
trix! on siipulated facts. In an uncontested proceeding,
[3225]
the trial judge entered a judgment of not guilty by rea-
son of insanity. Thereafter, he recommitted appellant to
St. Elizabeths temporarily, pursuant to D.C. Code 1973,
§ 24-801(d)(1). On May 25, 1976, appellant was af-
forded his § 24-301(d)(2) “release hearing,” at which
the court determined that he was mentally il] and likely
to be dangerous to himself or others in the reasonable
future. The court accordingiy continued his commitment
to St. Elizabeths—indefinitely.
At this juncture the procedural history of the case be-
comes murky. Apparently, upon conclusion of the May
25 proceeding, the court ordered a further he.ring for
November 29, 1976. When that date arrived appellant’s
counsel appeared before Judge Hamilion and orally re-
quested that appellant be released—or civilly committed
—since his cumulative hospital confinement had exceeded
the one-year maximum period of incarceratior .or at-
tempted petit larceny. No attorney appeared for the
< government. The judge responded with an order that the
government either pursue civil commiiment or show
cause why the “criminal commitment” should not be
vacated by January 18, 1977.
During the seven-week period which followed, it ap-
pears that the government initiated the civil commitment
process—resulting in a recommendation of such commit-
ment by the staff of St. Elizabeths—-and then changed
course, deciding to contest the court’s order. The govern-
ment persuaded the court to modify its order by requir-
ing appellant to file a written motion for civil commit-
ment or release, and by allowing the government time to
respond.
The matter came on for hearing on February 22, 1977.
After extended argument, the ceurt denied «appellant's
motion and reaffirmed the findings of May 25, ie., that
[3226]
appellant was mentally ill and likely to be dangerous.
Appellant noted an appeal and, on June 14, 1977, filed a
motion in this court for summary reversal. The govern-
ment responded with a motion for summary affirmance.
The motions division of this court rejected both requests
for summary disposition. Instead, we ordered expedited
oral aryuiment on the appeal. After argument before this
division of the court, we called for post-argumcnt briefs.
In his final brief, appellant confirms the narrow scope
of the question presented in this appeal. “|Ajppellant’s |
position has been, and remains, ... that even if an auto-
matic commitment following an insanity acquittal is
permissible, continued confinement beyond a certain point
of time—-at*the latest when the prison sentence which
coukl have been imposed had the defendant been con-
victedl has run---is constitutionally impermissible uniess
the povernment can prove the necessity of such continued
confinement just as it would have to prove the necessity
where it seeks civil commitment” (emphasis in original). \.
Thus, we are not confronted with a challenge te the proc
ess for initial commitnient which ordinarily follows an
insanity nequittal. We are faced only with the consti-
tutional propriety of hospitalization beyond the period of
A maximum prison term, absent invocation*of the pro-
tections of the civil commitment process.
il.
According to appellant, the principles of Barstrum ev.
Herold, 383 U.S. 107 (1966), Bolton v. Harris, 130 U.S.
App... 1, 395 F.2d 642 (1968), and, more directly,
Waiie o Jacobs, 14 US.App.D.C. 281, 475 F.2d 392
(1973), mandate # conclusion that the equal protection
clause is transgressed when insanity acquitees ure held
beyond their maximwm potential terms of imprisonment
| 3227)
without the intervention of civil] commitment procedures.’
To comprehend his argument fully, a brief history is ir
order.
Prior to the circuit court’s 1968 Bolton decision, a suc-
cessful insanity plea resulted in automatic, indeterminate
confinement to a mental hospital. Because there was no
required judicial review of such confinements, the “statu-
tory scheme would [have] conceivably allow{ed] a patient
committed under [D.C. Code 1967, § 24-301(d)] to ve-
main in the hospital for the rest of his life without «
judicial determination that he |was] mentally ill or that
he [was] still likely to commit dangerous acts.” Bolton,
supra at 7, 395 F.2d at 648. At that time, however, as
today, the 1964 Hospitalization of the Mentally Til Act,
L.C. Code 1973, §§ 21-541 to -545, provided numerous
protections for civilly commitied persons—including,
significantly, the right to a jury trial with the burden
on the government to prove mental illness and danger-
ousness beyond a reasonable doubt. In Lollon, therefore,
the cirevit court explored the “sharp contrast” between
the two commitment schemes in light of the Supreme
Court’s Baystrom principle “that the commission of
criminal acts does not give rise to a presumption of
dangerousness which, standing alone, justifies substantial
diiference in commitment procedures and confinement
conditions for the mentally ill.” DBollon, sapra at 6,
395 F.2d at 617. Concluding that the differences be-
tween the two groups, insanity acquitecs and civil com-
mitecs, could not constitutionally support most of the
'The Fifth Amendment's due process clause includes an
equal protection safeguard against federal and District of
Columbia governmental actions. Bolling v. Sharpe, 347 U.S.
497 (1954); Davis v. Washington, 168 U.S.App.D.C. 42, 43
n.2, 512 F.2d 956, 957 n.2 (1975), ver’d on other grounds,
426 U.S. 229 (1976).
|3228]
—-———
EEE ———_———— .- en
——e—_ OL
differences in procedure, the court read most of the 1964
Act’s civil commitment safeguards into the “insane
criminal” commitment scheme.’ Thereafter, acquitees
were entilled lo a “Bolton hearing” after trial: “a judi-
cial hexring with procedures substantially similar to
thuse in civil commitment proceedings.” Jd. at 10, 395
¥'.2d at 651 (footnote omitted).
In 1970, however, Congress responded to the Bolton
decision by amending § 24-301 of the D.C. Code. Dis-
sutisfied with the anticipated consequences of Pollon, .
Congress attempted to accommodate the acquitee’s con-
stitutional rights and provide rehabilitative opportunities
while protecting the public against anticipated danger.
United Slates v, Jackson, 179 U.S.App.D.C, 375, 381, 553
P.2d 109, 115 (1876). By the terms of the amended, and
currently applicable, $ 24-301, an insanity acquitee once
ugain faeces automatic commitment:
If any person tried upen an indictment or infor-
motion for an offense raises the defense of in- aaa \
sunity and is acquitted solely on the ground that
ie wis insane al the time of its commission, he
shall be committed to a hespital for the mentally
i} wnti) such time as he is eligible for release
pursuant to this subsection or subsection (e).
PC Cade TOTR, £ 24-BOTdY OD).
‘the next paragraph of the sintute, however, eliminates
the pre Bellow posdbility ef indeterminate commitment
without judicinl review. Congress previded for an auto-
nutlic. iepishutively tailored “release hearing” within 50
tiuve of che £§ 24-S0Ld)¢1) eoanmitiment:
*The court expressly permitted two distinctions to con-
tinve: (1) sutomatic, temporary commitment of acquitecs
and (2) mandatory court review of a hospital's release deci-
sion for aequileus. Rolion, supra at 10-11, 395 F.2d at 651-52.
[3229]
A person confined pursuant to paragraph (1)
shall have a hearing, unless waived, within 50
days of his confinement to determine whether he
is entitled to release from custody. ... If the
hearing is not waived, the court shall cause
notice of the hearing to be served upon the
person, his counsel, and the prosecuting attorney
and hold the hearing. Within ten days from the
date the hearing was begun, the court shall de-
termine the issues and make findings of fact
and conclusions of law with respect thereto.
[D.C. Code 1978, § 24-301(d)(2), in relevant
part. |
Additionally, the 1970 amendments provided for habeas
corpus relief, § 24-301(g), as well as for a more specific
motion mechanism for seeking release (no more often
than every six months), § 24-301 (k).
As we have noted, however, the major impetus for
legislative action was anxiety ubout the Bolton limitation
on the ability to continue commitment of those who suc-
cessfully :nterpese insanity defenses to criminal charges.
Thus, for our purposes here, the most notable features of
the 1970 amendments are not the new procedures afforded
acquitees but the omitted or retracted guarantees which
had been extended by the Bolfon decision. It is the dif-
ferences beiween the post-1970 “modified Polton” scheme
under which appellant was committed and has continued
to be confined, D.C, Code 1973, § 24-301, and the current
civil commitment processes, D.C. Code 1973, § 21-501
et seq., which had been extended to acquitees by Boltor,
that must be the feeus-of our equa! protection analysis.
These differences arc substantial.
Civil commitees have “commitment hearings” at which
the government bears the burden of proving “mental
[3230 |
Mncas” and likelihood of injury to “himself or other per-
cons” beyond a reasonable doubt. D.C. Code 19738, £ 2)-
pAhtb): Jn re Balluy, 157 U.S.App.D.C. 59, 482 F.2d
Gis (1973). Im contrast, at a § 301(d)(2) “release
hearing,” the acquilce must carry the burden of demon-
sirating by a “preponderance of the evidence” that he
“has recovered his sanity and will not in the reasonable
future be dangerous to himself or others.” D.C. Code
17. ¥¥ 24-BO1 (dd (2), -BO1(e). The civil commitment
<
process affords a jury, > 21-545; the acquitee “release
hearing” process does not. See ¢ 24-301. Release of a
civil commiiee does not require court supervision, § 21-
54G. wherens the court retains the last word for acquitees,
4-201(q). ‘The civil scheme furnishes regular six-
sunih review initiated by the hospital, $ 21-548, while
Hae scheme for acquitees mandates review only wpon a
on for relief, £24-801(k), or petition for habevs
eorpus, § Ld-oOd tet, initinted by the patient (while per-
review inl isthatl hy the hospital, £ 24-50) te)).
Appellant mutintains Uhat even if the rationale for
Gideront commelitinent precedures is valid, it must expire
.» time mo iter than the end of the maximum prisen
could bave resulted from criminal conviction.
{bye has net been resolved, there hi: bs
homed: discussion concerning the propriety of the 1970 insanity
enmanitiment amendmcits and their vuln rability of a new
piel -ivp chatle: See Jicthea eo. United St , P.C.Apt
wens Ad G4. U2 C1u7G), ccrl. denied, 455 U.S. G11 C1977):
vad States vo. Jacksoi nova: United States v. Keke
iS Ane... Bt, 40-41, 548% F.2d 178, 1 ri.
denied. 429 U.S. 1063 (1977) 5 United States v. Wright, 167
US.App. D.C. 509, SEP m9, 511 F.2d 1811, 1515 n.8 (i976);
lohwson vw. Rebinsen, 166 U.S.App.D.C. 62, 66, 509 F.2d 390,
“ity (POT7): United States vr. Brown, 155 U.S.App.D.C. 402,
stat. 478 F.2d 6e6, GOS n * (1973); Diven v. Jacobs, 158
ey geeg. 427 F.2d 589, GO2-04 (1970)
(ieventhal, 4, concerring and dissenting).
[8231]
Pa
His claim, in effect, is that the running of the potential
prison term activates Baxstrom and Bolton principles
which entitle him, at that time, to additional safeguards.
We therefore turn to the merits of appellant’s claim.
Ill.
The United States Court of Appeals for the District
of Columbia Circuit has given a measure of judicial
endorsement to appellant’s theory in Waite v. Jacobs,
supra, In Waite, a pre-Bolton acquitee who could not
reap Bolton’s prospective benefits, Bollon, supra at 12-13,
$395 F.2d at 653-54, made essentially the same claim
that appellant makes here. The circuit court found merit
in this equal protection claim. The court observed tha
after the expiration of the period for which an
acquittee might have been incarcerated had he
been convicted, it may be irrational, within the
meaning of equal protection doctrine, to dis-
tinguish between an acquittee and a commitee.
Acquitees who have been confined for that period,
therefore, may be entitled to treatment no dif-
ferent from that afforded commitces. [Waite v.
Jacobs, supra at 284, 475 F.2d at 395. |
The court then stated the issne to be “whether appellant.
in secking release from confinement, is on an equal foot-
ing with a commitee,” id. at 288, 475 F.2d at 399, or, as
n matter of law, is situated differently from a commilee.
Adverting to the radical differences in initial treatment
(pre-Bolfon vy. civil commitment}, the court perceived
that pre-Bolloxn acquitees and commitees were not on
equal footine; it then opined that equal protection might
well be transgressed in Waite’s case, for “just as it is
unconstitutional to place a burden on only one of two
similarly situated persons |the traditionally accepted
meaning of equal protection], se also may it be irrational
| 3232 |
lial - ———
to place similar burdens on persons situated differently.”
Id. ‘emphasis added). The court concluded, “it would
seem that [appellant! hald] a right to a hearing, with
all the procedural safeguards available in civil commii-
ment proceedings.” Jd. at 289, 475 F.2d at 400. Be-
cause, however, there was a possibility that Waite’s com-
mitment actually was attributable to a civi! commitment
whieh had preceded the criminal! action, and because the
court navel eq i] protection analysis had not been
briefed or arened, the court did not order specific retief;
ipetend, it remanded the ease to the district court for
further proceed ny
tt is this novel, call it “equalization,” theory of equal
protection which appellant invokes here—a_ theory that
equal treatment of the two groups, commitees and ac-
guitees, eventually requires remedial, 1e., compensating,
procedures for aequilees because their initial commit-
ments were more perfunctory. For several reasons, how-
ever, we have concluded that the Waite analysis is in-
aprlieahle te this case.
Al leust four subscquent circuit court opinions have men-
liomedt Welte approvingly. Only one, however, definitely ap-
praved the “equalization” approach to an egual protection
che tonee, see Johnson v. Robinson, supra, and the expression
of aporoval in Johkwsexn is dicta. (The court, observing that
srpernst ica Wished the “constitutional suggestion” of Wadi
tran termed into a he'’ding, required appellant first to present
] tVolleebased arvument to the local District of Columbia
ciomibie.) In Uniled Siati vr. dele rm, supra: United State v.
7 , Svpra; nnd pPivon v. Jacol /| supra (L vent}
conenrring and dissenting), the court reall rood Waite’
‘oot! fooling” conclusion; ic., that at the end of the maxi-
yen period for which acquitees could have been sentenced,
no differentiation is acceptable between them and committces.
li is not clenr, however, that those opinions adopted the
“oomslization” analysis mandating additional, remedial pro-
codures for nequitces at that point.
[3233]
eet
In the first place, Waite’s situation is factually dis-
tingwishable from that of appellant Jones. Waite, a
pre-Bolton acquitee suffered from the “no judicial re-
view” (save habeas corpus) system condemned in Bolton.
He had been automatically, indefinitely committed as
presently ill and dangerous because he successfully raised
a mere reasonable doubt about his legal sanity at the
time of committing the offense. Because of the un-
fortunate circumstances of his pre-Bolton status, Waite
had remained confined in a mental hospital without ever
receiving constitutior “', procedural protections.”
Jones, on the other hand, is a post-Bolton, post-1970
acquitee. Unlike Waite, Jones carried the burden at his
criminal trial of proving by a “preponderance of the evi-
dence” that he was insane at the time he committed the
offense. D.C. Code 1973, § 24-301(j). In addition, while
receiving less than a Bolton (civil commitment) hearing
after the criminal trial, Jones did receive substantially
more protection than Waite by virtue of the § 24-
901(d)(2) “release hearing.” Thus, upon Jones’ indefi-
nite commitment, he was in a factually different posture
from Waite vis-a-vis civil commitees. See Johnson v.
Robinson, 166 U.S.App.D.C. 62, 66, 509 F.2d 395, 399
(1974).
Second, at the time of indefinite commitment, Jones
also was in a legally different posture from Waite vis-a-
* For discussions of the irrationality of basing a finding of
present mental illness on a previous doubt about sanity, sce
United States v. Brown, supra at 409, 478 F.2d at 613
(Wright, J., dissenting) ; Bolton, supra at 6, 395 F.2d at 647.
© That the inequity of the situaiion may have influenced the
court’s reasoning is intimated by the Waite opinion, Waite v.
Jacobs, supra at 284 n.7, 475 F.2¢' at 395 n.7, and by Johnson
v. Pobinson, supra at 63, 509 F.26 at 396, both of which re-
ferred to the “anomaly” created by balton’s prospective appli-
cation.
[3234]
vis civil commitees, Bees e Waite was a a pre-Baxrstrum,
pre livtiont . quitee, his iuitial commitment was consti-
tutionally invalid; Uhe court accordingly found him, 2:
mation of law, “situat ed differently” from a civil com-
mites. (Waile, supra, al 20d- 89, 475 F.2d 399-400. Jones,
to the contrary, proceeds from the premise that the § 24-
e011) safeguards in his release hearing were constitu-
tionally sufficient to fill the historical gap in protection
(upon initial commitment) between acquitees and com-
miices--the gap which persuaded the circuit court to as-
sist Watlte, ca Bolton before him, on equal protection
The present case, therefore, is significantly different
from Waite, which was 4 decision explicitly limited to
pre Bolton nequitees, Watle, supra at 285 n.8, 475 F.2d at
$96 ns. We are ted here with a much narrower
siestion: Whether, as a matter 01 equal protection, the dif-
ference “in ali ¢ jnitial commitment procedures for
ACUI snd comMmiliee are ne vertheless significant
emotive LO require a rem dy for the acquitec at ihe ex
pirntion of the raaxiim period for which he could ho
fenced-—a remedy granting him cither his out-
or a serona (this time purely civil) com-
rr sroceeding. ‘The cor stiiutional rabonwe !
remedy, assuming Jor ayy nment’s sake the validtt)
CF ialies eanatization Cieory For equal protection, W wid
be that the post-1970 acauitee, like the pre-Dollon ae
auiiee, bas been “siinaicd differently” from a commit
(white trented the sume}, despite the presuim 1 validity
of the respective initial commitment procedurcs. We
therefore must ON: mine whether, as a matter of jaw,
situntional differences ¢an be suid to exist upon coniin
me
\n ee © 94.20] release hearing and a e¢cm-
mitce’s © 21 (» civil commitment hearing both pur-
oon!
VaeVV }
port to determine whether one is mentally ill und danger-
ous.’ Thus, these respective procedures can result in
differently situated confinees only if the aequitee’s hear-
ing results in a perversion of that determination when
compared with a commitee’s hearing.
One such perversion would be a determination derived,
in part, by reference to the criminal offense." Because
appellant’s confinement after a ¢ 94-301 release is not
challenged, however, appellant must be presumed to agree
that this confinement ‘s not based, even in part, on puni-
tive considerations; otherwise, it would be unconstitu-
tional under Baxsirom, supra, sec Humphrey v. Cady,
405 U.S. 504, 510-11 (1972); Waite, supra at 985-86.
475 F.2d 396-97; note § supra. Therefore, absent any
explanation as to why the § 24-8301(d) release hearing
results in lesser quality findings of illness and dangerous-
ness than a § 21-545(b) civil ecmmitment hearing, we
must conclude that the findings are legally the same.
: "The determination for an acquitee is whether he “has re-
covered his sanity {and}... will not in the reasonable future
be dangerous to himself or others.” D.C. Code 1973, § 24-
s01(c). The determination for a potential commitee 18
whether “the person is mentally il) and, because of that ill-
ness, is likely to injure himself or other persons if allowed to
remain at liberty.” D.C. Code 1975, & 21-545 (b).
‘More particularly, onc might argue that an ncouitee’s
commilment 1s actually based on more than a mentally
ill and dangerous finding—that the acaquitee’s burden 10
prove his sanity, without right to jury trial, reflects a puni-
live gloss derive ad from his previous criminal behavior. It
would follow that an aeguitee is situated differently from a
commitee because this extra, punitive basis for commitment
has permitted an abbreviated, more burdensome release hear-
ing, resulting, arguably, in a less valid finding of mental ill-
ness and dangerousness than the civil commitment process
would yield.
(3236)
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criminal offens
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only concern is a determination as to sanity and aanger-
ousness, With a view to rehabilitation. Given these situa-
tional differences between acquitees and potential com-
mitees immediately prior to the initial commitment
determination, the difference in hearing procedures is
arguably justified ; there is no constitutional prohibition
against rational differences in the treatment of differently
situated persons.
There is accordingly, no room for appellant’s «enten-
tion that his hospital confinement must cease (subject
to civil commitment) at the end of the maximum term
for which he could have been confined to prison. Although
the confinement procedures differ for acquitees and com-
mitees, the status of each group after confinement is the
same: each has been found mentally ill and dangerous,
and each, as a result, has been confined for the protection
of self or society, as well as for treatment, not punish-
ment.” The termination of the maximum sentence period
is thus irrelevant to the status of acquitees; that termi-
nation does not alter the similarity of situation between
acquitees (after confinement) and commitecs.
In summary, the length of a hypothetical potential
prison term has no relationship to the rehubilitative goal
of hospital confinement. if, as the presumed validity of
appeliant’s initial commitment implies, the differences in
herring procedures for nequitees and com itees are justi-
fied becuuse, prior to hearing, they are differently siiu-
ated, there is no rational, let alone constitutional, basis
for arguing that an abrupt change of procedure is re-
quired simp'y because somesshere along the line the
hypothetical maximum, sentence has ended. The proper
—
* Appellant has not argued that his physical or other treat-
ment at St. Elizab ths. as an acquitee, differs in a legally sig-
nificant way from that accorded to commitces.
[3238]
APPENDIX B
DISTRICT OF COLUMELIA COURT OF APPEALS
FEKREN, Associate Judge: Michael A. Jones was found
not guilty of petit larceny by reason of insanity. There-
after, the court held a “release hearing” pursuant to
D.C. Code 1973, § 24-301(d), and committed Jones in-
definitely to St. Elizabeths Hospital. In our first opinion,
reported a wow A.2d 183 (1978), we rejected Jones’ con-
tention that he is entitled, as a matter of equal protec-
Lion, te release from St. Elizabeths upon expiration of
the maximum period for which he could have been im-
prisoned unless the government carries the burden of
proving at a civil commitment hearing that he is stil!
mentally ill and dangerous to self or others. See D.C.
Code 1973, §21-545(b). More specifically, assuming the
validity of Jones’ confinement after the “release hearing”
(which is uneontested here), we held there is
ne constitutional requirement that appellant be
released or civilly committed at the end of the
maximum imprisonment period, for that period
bears no relationship to the unchallenged basis
for «ppellant’s hospital confinement: that he is
mentally ill, is dangerous to self or others, and
should receive treatment until he is well enough
for velease. |Jonex, supra at 184.)
After reconsideration, we vacate our first order. We
conchwie that an sequitee may not be confined for treat-
ment pursuant te §24-301(d) beyond the maximum
period for which he or she could have been imprisoned
for the underlying criminal charge. An acquitee is en-
titled to velease at the end of that period unless the
yovernment obtains a civil commitment. Accordingly, be-
cause that maximum period of one year has expired here,
appellant Jones shall be released unless civilly committed
forthwith.
{171}
I.
Central to the analysis in our first opinion was the
following legal premise, based on Bazxstrom v. Herold,
383 U.S. 107 (1966): if commitment to St. Elizabeths
after a § 24-301(d)(2) “release hearing” is to survive
an equal protection challenge, it may not be punitive in
any respect.’ In other words, the commitment procedure
must be wholly rehabilitative—wholly a process for find-
ing someone mentally ill and dangerous to self or others.
Jones, supra at 188 & n.7* Consequently, we concluded
that appellant’s failure to challenge the § 24-301(d) “re-
lease hearing” procedure meant that
appellant must be presumed to agree that this
confinement is not based, even in part, on puni-
tive considerations; otherwise, it would be un-
constitutional under Barstrom, supra; see Hum-
phrey v. Cady, 405 U.S. 504, 510-11 . . . (1972);
1In Barstrom, the Court held that a prisoner who was
civilly committed as insane at the end of his prison term
was denied equal protection by a statutory procedure which
deprived him of a jury review accorded to other civil com-
mitees. Since Baxstrom, the Court has upheld other equal
protection challenges by individuals who enter mental health
facilities through the criminal process. See Jackson v. Indiana,
406 U.S. 715 (1972) (equal protection violated by state pro-
cedures which provide more lenient commitment standards
and more stringent release standards for those criminal de-
fendants found incompetent to stand trial than for those
civilly comnmitied) ; Humphrey v. Cady, 405 U.S. 504 (1972)
(remand for evidentiary hearing on claim that protections
afforded those civilly committed were not extended to those
committed under sex crimes act).
* Put still another way, if § 24-301(d) is constitutional, it
must merely be another equally valid route to the same finding
derived from the civil commitment process under D.C. Code
1973, § 21-545 (b). See Jones, supra at 188 n.7.
[172]
Waite |v. Jacobs, 154 U.S.App.D.C. 281, 285-
86, 475 F.2d 392, 396-97 (1973)] .... There-
fore, absent any explanation as to why the § 24-
301(d) release hearing results in lesser quality
findings of illness and dangerousness than a
§ 21-545 (b) civil commitment hearing, we must
conclude that the findings are legally the same.
| Jones, supra at 189 (emphasis added) .j'*!
In his petition for rehearing, appellant questions our
legal premise. He argues, in effect, that the § 24-301/d)
“yelease hearing” procedure is to some extent punitive,
as evidenced by the less-protective procedures afforded
acquitees than civil commitees; that Barstrom, supra,
does not necessarily make that procedure unconstitutional
aus a means for initially confining acquitees; but that the
price of constitutionality is release or civil] commitment
at the end of the hypothetical maximum prison term,
since that is the longest an aequitee can be confined for
punitive reasons without a denial of equal protection of
the laws.
—_— -—-—_—— —™
* We concluded, accordingly, that there was “no room for
appellani’s contention that his hospital confinement must
cease (subject to civil commitment) at the end of the maxi-
mum term for which he could have been confined to prison.
Althouyh the confinement procedures differ for acquitees and
commiivces, the status of each group after confinement is the
sume: exch has been found mentally ill and dangerous, and
each, ax a result, has been confined for the protection of sclf
or society, as well as for treatment, not punishment. The
termination of Lhe miaainium sentence period is thus irrelevant
to the xtatus of acquitees; that termination does not alter the
similarity of situation between acquitees (after confincment)
and commitees.” [Jones, supra at 189 (footnote omitted) .}
1173]
or
Appellant derives his argument primarily from United
States v. Brown, 155 U.S.App.D.C. 402, 407-08, 478 F.2d
606, 611-12 (1973), in which the United States Court
of Appeals for the District of Columbia Circuit acknow!l-
edged—and upheld—a partially punitive underpinning to
the former § 24-301{d) procedure. Specifically, the
Brown court upheld an instruction, based on Bolton v,
Harris, 1380 U.S.App.D.C. 1, 395 F.2d 642 (1968), that
the government had the burden at a “release hearing” of
proving respondent mentally ill and dangerous by a pre-
ponderance of the evidence, and further held that this
instruction would not violate equal protection even if the
government, in a civil commitment proceeding, had the
burden of proof beyond a reasonable doubt. The Brown
majority justified this lesser burden of proof in the crim-
inal commitment procedure in the following way:
The difference between the classes | acquitees
and commitees} for purposes of burden of
proof, is in the extent of possibility and conse-
quence of error. If there is error in a determi-
nation of mental illness that results in a civil
commitment, a person may be deprived of lib-
4*The Brown court, therefore, was dealing with the earlier
$ 24-8301(d) procedure. In the present case we deal with the
post-1970 scheme under which an acquitee has the burden
of proving, by a preponderance of the evidence, that he has
recovered his sanity. See Jones, supra at 185.
The recent case of In re Nelson, D.C.App., —— A.2d
(No. 13768, Dec. 4, 1979}, indicated that the proper burden
of proof in civil commitments should be “clear and convincing
evidence” rather than proof “beyond a reasonable doubt” in
light of Addinglon v. Texas, 99 S.Ct. 1804 (1979). The level
of the government's burden in civil commitment proceedings
does not affect our analysis here, however, since the burden
remains on the government.
[174]
6
vrty although he never posed any harm to so-
ciety. If there is a similar error in confinement
of an insanity-acquitted individual, there is not
only the fact of harm already done, but the sub-
stantial prospect that the same error, ascribing
the quality of mental disease to a less extreme
deviance, resulted in a legal exculpation where
there should have been legal responsibility for
the antisocia! action.
The matter now being discussed is suffused
with the broad consideration that modern stand-
ards of the insanity defense, not restricted to
those whd do not know right from wrong, call
fur the acquittal of persons who “may have
meaningful elements of responsibility.” And
over and above the difficulty of situations where
the issue of mental responsibility is doubtful, we
cannot wholly ignore the danger of calculated
ubnse of the insanity defense, referred to in
Lyuch vw. Overholser |, 369 U.S. 705 (1962) }.
\Brown, supra at 407, 478 F.2d at 611 (foot-
note omitted). |
Apretlant points ont that Brown went on to suggest,
on the basis of Bewstrom, supra, that there is a quid pro
guo for this weaker insanity commitment standard,
namely, that an acquitee is constitutionally entitled as
of the end of the maximum prison term to release or,
at worst, to civil commitment:
The clear implications of the foregoing analy-
sis, and Barstrom, require, however, that when
the individual has been in detention for a con-
siderable period of time, his continued detention
re! von should be governed by the same stand-
urd of burden of proof as applies to civil com-
(175)
mitments. The extent of that period calls for
sound discretion, would take into account c.g.,
the nature of the crime (violent or not), nature
of treatment given and response of the person,
would generally not exceed five years, and
should, of course, never exceed the maximum
sentence for the offense, less mandatory release
time. [Brown, supra at 408, 478 F.2d at 612
{footnote omitted) .]
In summary, appellant argues that he had been led
down the road by the United States Court of Appeals
in Brown, supra, to a point beyond which he thought he
would be taken seriously in a constitutional challenge to
§ 24-301(d).* That court had told him, in essence, not
to bother challenging the release-hearing procedure
but instead to assume that a partially-punitive commit-
ment is valid under Baxstrom, supra. Thus, he asserted
the right to release or civil] commitment as of the end
of the maximum prison term—at the point where so-
ciety’s right to any punitive gloss on confinement ends.
Accordingly, he says, our first opinion in this case viewed
his failure to attack § 24-301/d) incorrectly—and un-
fairly—by concluding that it could only have one mean-
ing: tacit acceptance of a wholly rehabilitative wnder-
pinning to the commitment procedure, which justifies
confinement beyond the maximum prison sentence. We
turn to this argument.
* Appellant presumably would acknowledge, however, that
Brown, supra, as a post-reorganization decision, is not binding
on the court. See M.A.P. v. Ryan, D.C.App., 285 A.2d 310
(1971).
* Our assumption that appellant’s acceptance of § 24-301 (d)
necessarily implied his agreement that the process was wholly
rehabilitative was based on our view that Barstrom, supra,
and Humphrey v. Cady, 405 U.S. 504 (1972), would consti-
[176]
8
Il.
In reconsidering appellant’s assumption, solely for the
sake of argument, that § 24-301(d) is valid, we must
put the question in perspective by outlining the differ-
ences bet he civil and criminal commitment schemes.
Appellant, as an acquitee, carried the burden of proving
his insanity at the time of the charged offense by a pre-
ponderance of the evidence. He had the right to a jury
if he had wanted one. Upon a verdict of not guilty by
reason of insanity, the District, like many states, per-
mits continued confinement for a prescribed, relatively
bricf period of observation.? The courts have justified
tutionally preclude confining acquitees under procedures less
protective than those accorded to commitees if such confine-
ment were “based, even in part, on punitive considerations.”
Joncs, supra at 189. Thus, if § 24-301(d) were valid as a
wholly rehabilitative procedure and confinement, any differ-
ence from a civil commitment determination under $21.
545(1)) could only be justified on evidentiary grounds; 7.c.,
in contrust with a civil commitment, “the ‘release whl coe
procedure for an acquitee presumably can be somewhat abbre-
viated because of the predictive value of the initial determina-
tions of insanity and dangerousness at the criminal trial.”
Jones, supra at 189. Because there is authority for such
analysis, sec, eg., luv ve Franklin, 7 Cal.8d 126, 496 P.2d 465,
10) tal. Rpte. 553 (1972) (en banc), we interpreted appel-
lant’s acceptance of his confinement under § 24-310(d) as
receptance of a purely evidentiary justification for the differ-
ences between the criminal and civil commitment procedures
—-2 justification presuming equally valid findings of mental
iiness and danyerousness under §§ 21-545(b) and 24-301 (4).
Nee Jones, supra at 188 n.7.
7 In the District of Columbia, automatic confinement cannot
exceed 50 days, D.C. Code 1973, § 24-301 (d). In Franklin,
supra at 148, 496 P.2d at 475, 101 Cal. Rptr. at 563, the court
approved ‘.y period in California. The Model Penal Code
allows six months, ALI] Model Penal Code § 4.08 (Proposed
Official Draft 1962).
(177)
this confinement, which is not required in cases of civil
commitment," on at least two grounds. Some have stressed
the continuing presumption of insanity once established
by the acquitee—an evidentiary emphasis. See, e.g., Jn
re Franklin, 7 Cal. 3d 126, 136, 496 P.2d 465, 470, 101
Cal. Rptr. 5538, 558 (1972) (en banc). Others have
emphasized the dangerousness inherent in the offense
excused by insanity, and the need for protection of the
public while psychiatric observation takes place—argu-
ably a punitive emphasis. See, e.g., Chase v. Kearns, 278
A.2d 182, 185 (Me. 1971) (en banc).
These same courts, moreover, commonly justify statu-
tory confinement beyond the observation period if, after
a review proceeding (akin to a § 24-301(d) (2) “release
hearing”), the acquitee fails to sustain the burden of
persuading the court that he or she has recovered. Their
reasoning reflects an extension of the justification for the
observation period. First, apropos of the evidentiary
emphasis. the courts note that the acquitee has initiated
and once sustained the burden of proving insanity, where-
as the prospective civil commitee has not yet so conclu-
sively manifested mental illness and dangerousness. Thus,
the presumption of an acquitee’s insanity continues. Sec-
ond, these courts conclude that, because the trier has
found beyond a reasonable doubt that the acquitee has
committed the charged offense (although he or she is
not rationally or morally responsible for that act), it is
* For example, in the District of Columbia, persons may be
detained at a public or-private hospital for up to 48 hours
for emergency observation and diagnosis upon application by
an appropriate authority and certification by a psychiatrist.
D.C. Code 1973, §§ 21-521, -522. A detained individual must be
released after 48 hours, however, unless a court order is ob-
tained. D.C. Code 1973, § 21-523. Williams v. Meredith, D.C.
App., 407 A.2d 569 (1979).
[178]
10
not unreasonable for society, as a matter of self-protec-
tion, to demand that the acquitee receive treatment for
mental illness. Such treatment can be justified for at
least us long as the maximum possible prison term he or
she would have received, unless the acquitee can carry
the burden of demonstrating an earlier recovery. The
courts accordingly perceive a situational difference be-
tween acquitees and commitees constitutionally suffi-
cient to justify keeping the burden of proof on the former
but not the latter. See Franklin, supra at 188, 496 P.2d
at 476, 101 Cal. Rptr. at 560 (acquitees are an “excep-
tional class”) ; Chase, supra at 138 (same).
After reviewing numerous cases, we conclude that the
courts typically mix evidentiary and punitive rationales
in justifying less comprehensive review of acquitees at
“release hearings” than is afforded civil commitees at
such proceedings.” In view of this precedent, we must
agree that appellant’s willingness to assume the constitu-
tional validity of § 24-301(d) (2) cannot, in fairness, be
suid to imply « concession that all aspects of that proce-
Nee, e.9., Mills v, State, 256 A.2d 752, 755-57 (Del. 1969)
(upholding release hearing procedure using revular superior
court jury with burden of proof on acquitee ; both rationales) ;
State v. Allen, 166 N.W.2d 752, 758 (lowa 1969) (accuiices
may be required to prove regained sanity beyond a rexsonable
doubt: ovidentinry and punitive rationales); Stele v. Shack-
ford, 262 A.2d 359, 366 (Me. 1970) (same; punitive ration-
ale): Dantels vw. Superintend: nt, 34 Ma.App. 173, 180, 366
A.2d 1064, 1069 (Ct. Spee. App. 1976) (acquiteecs can be
required to carry burden of proof; evidentiary rationale);
Stale v. Taylor, 158 Mont. 323, 331, 491 P.2d 877, 881 (1971),
cerl. denied, 406 U.S. 978 (1972) (same; punitive rationale) ;
In ve Lee, 46 App. Div.2d 999, 1000, 362 N.Y.S.2d 635. 636-37
(1974) (district atlorney may participate in acquitce’s re-
lease hearing; punitive rationale).
{179}
dure are justified solely on evidentiary (and thus non-
punitive) grounds.”®
Ill.
Now that we are confronted by the possibility that the
criminal commitment procedure can, to some extent, be
punitive yet constitutional, we must reconsider the na-
ture of a § 24-301(d) confinement. There are three pos-
sibilities, not two as we originally perceived: (1) it is
wholly rehabilitative (i.e., not at all punitive), in which
case an acquitee can be committed indefinitely, without
regard to a hypothetical maximum prison sentence, sub-
ject only to the periodic review afforded civil] commitees,
see Jones, supra at 190; or, at the other extreme, (2)
it is inherently punitive, in which case the release hear-
ing procedure itself is unconstitutional, see Baxstrom,
supra; Humphrey v. Cady, 405 U.S. 504, 510-11 (1972) ;
Brown, supra at 409-10, 478 F.2d at 613-14 (Wright, J.,
dissenting); Waile, supra at 285-86, 475 F.2d at 396-
97;"' or, as appellant urges, (3) it is partially (but per-
haps justifiably) punitive at the outset, in which case
an acquitee, although lawfully confined for awhile, argu-
ably must be released (or civilly committed) no later than
the end of the maximum prison term for which the ac-
’” Accordingly, we retract the statement in our first opinion
that “appellant must be presumed to ayree that this con-
finement is not based, even in part, on punitive considerations ;
otherwise it would be unconstitutional under Baxstrom, supra;
see Humphrey v. Cady... .” Jones, supra at 189.
In this case, an acquitee would be entitled to release or
to civil commitment proceedings promptly after the insanity
acquittal. Sec Bolton, supra.
[180]
quitee could have been sentenced."* Sce Brown, supra at
408, 478 F.2d at 612.
Assuming the constitutional validity of § 24-301 (d),
ve must choose between the first and third alternatives
to decide the issue raised by appellant.” If we conclude—
as previously assumed—that § 24-301(d) is wholly re-
habilitative, then our first opinion and order will stand.
If, however, we conclude that £ 24-301(d) in some re-
spects is punitive, then appellant’s argument may have
merit,
Confronting the question that we dealt with only hypo-
thetically in our first opinion, we reject the view that
an aequitee’s mental ilmess and dangerousness at the
time of the offense are consistently such powerful evi-
dence of iness and dangerousness later (7.¢., at the time
of the “release hearing”) that they raise a presumption
of continuing insanity in every ease. See Brown, supra
We understand appellant to base his argument on the
hypothetical maximum prison term to which the acquilce
himself could be sentenced, not simply on the maximum
sentenee for the particular crime involved, without regard
‘o the aequitee’s own criminal history. We do not, however,
lve that envestion here.
‘ant declines to question the constitutionality of
100d) one we aeree that this court should not issue an
viiivisery opinion on that subject. On the other hand, appellant
} nid that assuming the validity of § 24-301(d), he should
not he held—-as in our first opinion—to assume that it in no
respect is punitive, since there is respectable legal! precedent
for the view that release-hearing procedures can be constitu-
tional while partially punitive. We agree. Therefore, if, after
exnmining & 24-801 (4), we conclude that it 7s, to some extent,
punitive, we properly can refrain from evaluating its cons'i-
iutionatity and, instead, can make a narrower analysis deter-
mininey whether such punitive procedures can be imposed
for an indefinite period
[181]
13
at 409-10, 478 F.2d at 613-14 (Wright, J., dissenting) ;
Bolton, supra at 8, 395 F.2d at 649. Thus, contrary to
the assumption underlying our first opinion, we conclude
that the difference between criminal and civi] commitment
procedures ** cannot be justified on purely evidentiary
grounds. It follows, therefore, that if society legitimately
can place a greater burden on the acquitee to avoid con-
tinued confinement than it places on a prospective civil
commitee, that burden must be justified by the public’s
interest in greater protection than it would be likely to
receive by subjecting acquitees to the civil commitment
process. Furthermore, because § 24-301(d) is premised,
in part, on an earlier criminal offense—a confinement
which might not have occurred if the government had the
burden of proof before a new jury—this release-hearing
procedure is, to some extent, “punitive.”
The public’s interest in safety is, of course, limited by
the acquitee’s right to equal protection. Assuming the
best case for the constitutionality of § 24-301(d), ap-
pellant argues that its partially punitive charscter at
least dictates, as a matter of equal protection vis-a-vis
civil commitees, that acquitees be released (for civilly
committed) no later than the end of the maximum prison
term they could have received if criminally
y convicted.
We agree.
According to Barstrom, supra at 111, “[ejqual pro-
tection does not require that all persons be dealt with
identically, but it does require that a distinction made
have some relevance to the purpose for which the classi-
ficution is made” (citation omitted). Accord, Lolton,
supra at 10, 395 F.2d at 651. On the basis of the par-
tially punitive rationale for the criminal commitment
™ Compure D.C. Code 1972, § 24-301(d) with § 21-545(b).
[182]
14
scheme set forth earlier, see text and cases at note 9
supra, the criminal commitment scheme might survive
eyuial protection scrutiny under Baxstrom, supra, even
though the procedure for confining civil] commitees pro-
vides greater protection for the individual at the outset
(the right to a jury and burden of proof on the gov-
ernment). We agree with appellant, however, that there
is no basis for confining an acquitee under § 24-301(d)
beyond the length of the hypothetical maximum prison
term, since that term marks the end of society’s claim
on that individual for any kind of punishment. Any
longer confinement must depend, constitutionally, on a
de nove civil commitment. See Humphrey, supra at 510-
11: Barstgom, supra at 110-11; Brown, supra at 408,
478 F.2d at 612."
IV.
Accordingly, we hold that because the maximum pos-
sible prison term for which appellant Michael Jones could
have been incarcerated has expired, he is entitled to re-
lease from St. Elizabeths Hospital, subject to the gov-
ernment’s right to seek civil commitment. The opinion
and judgment heretofore filed are therefore vacated. The
government shall have 30 days from the date of the
mundate issued pursuant to today’s order in this case to
jnitinfe civil commitment proceedings against appellant.
Once those proceedings have been initiated, he shall |
lt is important to stress that if the § 24-301(d) release
hearing is valid, as assumed, despite a partially punitive
underpinning, our holding permits confinement under § 24-
301(d) to the end of the maximum applicable prison term, n
mutter how long that may be. We perceive no basis for th
Brown court’s view that the punitive justification for § 24-
301(d) may expire short of the maximum rentence (and
“would lly not exceed five years”). Jd. at 408, 478 F.2d
ai 612
183}
i )
15
confined, if at all, in accordance with Title 21 of the
District of Columbia Code. In the event that appellant
does not become the subject of civil commitment proceed-
ings during this 30-day period, he shail be given his
freedom.
So ordered.
MACK, Associate Judge, concurring: I concurred in
our first opinion, 396 A.2d 183 (1978), because I did not
construe that analysis as holding that the criminal com-
mitment procedures of D.C. Code 1973, § 24-301 would
pass muster as against a challenge on equal protection
or procedural due process grounds, citing Jackson v. In-
diana, 406 U.S. 715 (1972). I concur in the instant
holding because the serious reservations that I held about
the constitutionality of such procedures are erased by our
choosing to mandate that an acquitee must be released
from incarceration at the expiration of the maximum
period of possible imprisonment for the criminal charge,
subject to the government’s right to seek civil commit-
ment.
KELLY, Associate Judge, dissenting: I would adhere
to our original decision to affirm the order on appeal
(Jones v. United States, D.C.App., 396 A.2d 183 (1978) )
and so dissent from this opinion on rehearing.
[184]
RECEIVED
AUG 6&
RECEIVED 1981
OFFICE OF THE CLERK
SUPREME COURT, US
AUG 6 198 — J
OFFICE OF THE CLERK
SUPREME COURT, US. :
DISTRICT OF COLUMBIA COURT OF APPEALS
2
Dissenling opinion by Associate Judge FERREN, with
whom Chief Judge NEWMAN and Associale Judye
MACK join, at p. 25.
¥;
KELLY, Associate Judge: Appellant Michael A. Jones
is a mental patient at St. Elizabeths Hospital where he
has been committed since March 1976, pursuant to D.C.
Code 1973, § 24-301(d).' In February 1977, he appealed
' Subsection 24-301(d), which controls the commitment of
persons found not ;ruilly by reason of insanity (acquitices),
reads:
(d)(1)-]f any person tried upon an indictment or
information for an offense raises the defense of insanity
umd is acquitted solely on the ground that he was insane
al the time of its commission, he shall be committed to a
hospital for the mentally il) until such time as he is
eligible for release pursuant to this subsection er sub-
section (e).
(2) A_ person confined pursuant to paragraph (1)
shall have a hearing, unless waived, within 50 days of
his confinement to determine whether he 1s entitled to
release from custody. At the conclusion of the criminal
aelion referred to in paragraph (1) of this subsection,
the court shall provide such person with representation
by counsel—
(A) in the case of a person who is eligible to have
counsel appointed by the court, by continuing any
appointment of counsel made to represent such per-
son in the prior criminal action or by appointing
new counsel ; on
(B) in the case of a person who is not eligible to
have counsel appointed by the court, by assuring
representation by retained counsel.
If the hearing is not waived, the court shall cause notice
of the hearing to be served upon the person, his coun-
sel, and the prosecuting attorney and hold the hearing.
Within ten days from the date the hearing war beeun,
the court shall determine the issues and make findings
{1178}
J
from an order by Judge Eugene N. Hamilton denying his
request for immediate release from St. Elizabeths or in
the alternative for civil commitment in accordance with
the procedures set forth in D.C. Code 1973, § 21-545(b) ?
basing his challenge to his continued confinement on the
argument that detention beyond the maximum period
for which he could have been imprisoned for the offense of
which he was acquitted denies him equal protection of the
laws.
Our first panel opinion, which relied on an express
abstention from a challenge to his initial commitment, held
of fact and conclusions of law with respect thereto. The
person confined shall have the burden of proof. If the
court finds by a preponderance of the evidence that the
person corfincd is entitled to his release from custody,
either conditional or unconditional, the court shall enter
such order as may appear appropriate.
(3) An appeal may be taken from an order entered
under paragraph (2) to the court having jurisdiction to
review final judgments of the court entering the order.
* Subsection 21-545(b), concerning involuntary civil com-
mitment, reads, in pertinent part:
If the court or jury finds that the person is mentally
ill and, because of that illness, is likely to injure himsclf
or other persons if allowed to remain at liberty, the court
may order his hospitalization for an indeterminate per-
jod, or order any other alternative course of treatment
which the court believes will be in the best interests of
the person or of the public. The Commission, or a mem-
ber thereof, shall be competent and compellable witnesses
at a hearing or jury trial held pursuant to this chapter.
The jury to be used in any case where a jury trial is
demanded under this chapter shall be impaneled, upon
order of the court, from the jurors in attendance upon
other branches of the court, who shall perform the
services in addition to and as part of their duties in the
court.
(1179]
a Te ch eee
4
that appellant had no right to the relief requested. Joucs
v. United States, D.C.App., 396 A.2d 183 (1978). Ap-
pellant petitioned for rehearing or rehearing en banc, ob-
jecting to the pancl’s decision as unfairly based on his
abstention from a challenge to the initial commitment un-
der D.C. Code 1973, § 24-301(d)(2). Rehearing was
thereafter granted and a second opinion issued holding
that appellant was entilled to immediate release unless the
government civilly committed him pursuant to D.C. Code
1973, § 21-545(b) because the “release hearing procedure
is to sume extent ‘punitlive’” and it would be a denial of
equal protection to confine appellant under criminal com-
mitment procedures beyond his hypothetical maximum
prison sentence. Jones v, United States, D.C.App., 41)
A.2d 624 (1980). The government petitioned for rehear-
ing en bane, disputing the determination that the District
of Columbia commitment scheme for insane criminals is
punitive. Its petition was granted and the case was re-
heard by the en bane court. Since our previous opinions
were vacated, we consider anew appellant’s equal protec-
tion claim and hold that he is not entitled to automatic re-
lense trom St. Klizabeths upon the expiration of his hypo-
thetical maximum prison sentence unless civil commit-
ment proceedings are instituted by the government.
Appellant’s commitment resulted from a September
1975, charge of attempted petit larceny. He was first ad-
mitted to St. Elizabeths beeause of a court-ordered coin-
petency examination.” On March 12, 1976, on stipulated
facts as to the crime and as to insanity, appellant was ac-
quilted by the court of the charge by reason of insanity.
*See D.C. Code 19738, § 24-301(a). The psychologist’s re-
porl stated that appellant was competent to stand trial, but
that he had “signs and symptoms of a severe mental dis-
order, including anditory hallucinations” and that he should
be hospitalized at St. Elizabeths for treatment.
11180)
YS
5
On May 25, 1976, Judge James A. Washington held a “50-
day release hearing” pursuant to D.C. Code 1973, § 24-
301(d) (2)* and continued appellant’s confinement at St.
Elizabeths because of his failure to prove by a preponder-
ance of the evidence that he was no longer mentally ill or
dangerous to himself and others.’ A further hearing was
sel for November 29, 1976. On that date, Judge Hamilton
held a second hearing during which appellant raised the
urgument that his confinement under § 301(d) could not
extend beyond his hypothetical maximum prison sentence
and that he was therefore entitled to release. The court
ordered the government to show cause why appellant
should not be released or civilly committed under D.C.
Code 1973, § 21-545(b). After a hearing in February
of 1977, Judge Hamilton denied appellant’s motion for im-
mediate release or in the alternative, civil commitment,
and continued his indefinite confinement at St. Eliza-
beths. A timely appeal from this order was filed on Feb-
ruary 28, 1977.°
* See note 1 supra.
*In an April 23, 1976 letter, the Superintendent of St.
Elizabeths reported that Jones was suffering from schizo-
phrenia, paranoid type, and was on medication. The letter
also slated that “Mr. Jones is in need of further hospitaliza-
tion, and by virtue of his mental illness, he would be a danger
to himself and to others if released inte the community at
this time.”
“A subsequent motion for unconditional release under
§ 301 (k) was denied in March of 1977. Three months later,
however, appellant was granted conditional release on terms
recommended by St. Elizabeths’ stall, allowing daytime and
overnight visits into the community. He was also admitted
into the civil division of the hospital, though as a result of
disruptive behavior, he was retransferred to the forensic
division.
[1181]
=
Before analyzing appellant’s equal protection claim,
we deem it necessary to reject any suggestion that con-
finement pursuant to subsection 301(d) is punitive in
nature. We recognize that appéflant never explicitly made
such an assertion, but that implication underlies his argu-
ment (and certainly our prior opinions) that the length
of the prison sentence which an acquitlee might have re-
ceived delermines when he is entitled to release or civil
commitment under ‘Title 24 of the D.C. Code. We con-
clude that there is no basis for finding § 301(d) punitive
in any respect.
This court’s decision in Bethea v. United States, T.C.
App., 365 4.2d 64, 90 (1976), cert. denied, 433 U.S. 911
(1977), noted that “Congress struck a careful balance
between the interests of the individual and those of the
community,” in the enactment of the District of Columbia
commitment scheme for persons acquitted by reason of
insanity. The purpose behind this careful balance was
explained in Hough v. United States, 106 U.S.App.D.C.
192, 195, 271 V.2d° 458, 461 (1959), when Judge Bazelon
staled that
|T}he basic policy underlying the statute .. .
us we read the legislative history, is to provide
treatment and cure for the individual in a man-
ner which affords reasonable assurance for the
publie safety. ...
More recent cases reiicrate the dual purpose of § 301(d)
as first, the treatment and recovery of the patient, and
second, the protection of society and the patient. Collins
v. Cameron, 126 U.S.App.D.C. 306, 308, 377 F.2d 945,
947 (1967); Overholser v. O’Beirne, 112 U.S.App.D.C.
267, 269, 302 F.2d 852, 854 (1961); Ragsdale v. Over-
holser, 108 U.S.App.D.C. 308, 312, 281 F.2d 943, 947
(1960). The 1970 amendments to § 301(d), enacted in
[1182]
“-
response to the decision in Bolton v. Harris, 130 U.S.App.
D.C. 1, 395 F.2d 642 (1968),’ have not altered its origi-
nal purpose. See United States v. Jackson, 179 U.S.App.
D.C. 375, 381, 553 F.2d 109, 115 (1976). Indeed, the
Bolton decision inescapably leads to the conclusion of non-
punitiveness. This is because Bolton’s requirement of a
separate judicial hearing before indeterminate commit-
ment was intended to undo the punitive aspects attending
the formerly automatic connection between the determi-
nation of guilt and the commitment of a defendant who
pleaded insanity.
The exclusively remedial and protective goals of the
statute demonstrate that a punitive rationale has no part
in the commitment of persons acquitted by reason of in-
sunity. We agree that
[ijn the light of [the legislative} purpose [of
§ 301], we must reject the District Court’s sug-
gestion that appellant is a “prisoner.” Nothing
in the history of the statute—and nothing in its
language—indicates that an individual commit-
ted to a mental hospital after acquittal of a
crime by reason of insanity is other than a pa-
tient. The individual is confined in the hospital
for the purpose of treatment, not punishment;
and the length of confinement is governed solely
by considerations of his condition and the public
safety. Any preoccupation by the District Court
with the need of punishment for crime is out of
place in dealing with an individual who has been
™ Bolton held that acquittees are entitled to a hearing
“substantially similar” to the hearings afforded civil com-
mitees before they are indeterminately confined. The impli-
cations of this holding are more fully discussed below.
11183]
a a a ae
nequitted of the crime charged. [Hough v.
United States, supra at 196, 271 F.2d at 462.)
Society may not excuse a defendant’s criminal behavior
becunse of his insanity and at the same time punish him
for invoking an insanity defense. This would nullify that
defense, contrary to express legislative intent, sce D.C.
Code 1975, § 24-301(j) (establishing procedures for
pleading insanity), and raise serious constitutional issues.
The regulatery nature of $301(d) is also evidenced
by the non-adversarial character of commitment decisions.
All parties, including the government, the hospital" and
the acquittee assist in presenting the facts relevant to a
determination of the proper conditions and treatment for
the insanity acquittee. See United States v. Ecker, 177
U.S.App.D.C. 31, 45, 543 F.2d 178, 192 (1976), cert.
denied, 429 U.S. 1063 (1977); Bolton v. Harris, supra
at 12 v.64, 895 F.2d at 563 n.64; Lake v. Cameron, 124
U.S.App.D.C. 264, 268, 364 F.2d 657, 661 (1966) (en
bane).
Furthermore, plain reason compels rejection of appel-
lant’s reliance on his hypothetical maximum prison term
as artificial and meaningless. Statutory maximum sen-
tences have no relationship to the purposes of mental care
und treatment. They are intended rather, to set the outer
boundaries of lawful punishment for persons found crim-
inally responsible for speeified offenses. Not even con-
victed criminals are automatically sentenced to the maxi-
*In Divrou wv. Jacobs, 138 U.S.App.D.C. 319, 330, 427 F.2d
589, 600 (1970), the circuit court in reversing the dismissal
of an insanity acquittee’s habeas corpus petition, stated that
“Saint Klizabeths bears a special responsibility for assuring:
that information regarding the patient’s condition is fully
presented te the District Court, and that the court under-
standingly . ....cers the information presented.”
[1184]
mum applicable term of incarceration. Subsection 301
(d) commitments are neither expressly nor impliedly
related to statutory maximum sentences. To the con-
trary, § 301(d) contemplates an indeterminate period of
confinement and treatment, depending on when the pa-
tient has recovered his sanity or no longer poses a danger
to himself or others.” As Dixon v. Jacobs, 138 U.S.App.
D.C. 319, 325, 427 F.2d 589, 595 (1970) explains:
Confinement of the mentally ill rests upon a
basis substantially different from that which
supports confinement of those convicted of
crime. In the latter case, with rare exceptions,
the continuing validity of confinement rests
solely on the validity of the initial commit-
ment. Confinement of the mentally ill, however,
depends not only upon the validity of the initial
commitment but also upon the continuing status
of the patient. Specifically, under our statutes,
he must be released from the hospital if he is
no longer mentally ill; if, although he remains
mentally ill, he is no longer “likely to injure
himself or other persons”; or, should the patient
so desire, if a course of outpatient treatment
can be fashioned that will adequately protect
the interests both of the patient and the public.
| Footnotes omitted. |
* Thus it would be more accurate to say, and certainly more
analytically useful, that appellant is actually challenging
the indeterminate length of his commitment at St. Elizabeths,
rather than only his “continued” confinement there. Equal
protection, if violated at all, would be just as well put into
question at the inception of the commitment since it effec-
tively means an indefinite period of confinement.
[1185]
The notion that the duration of an acquittce’s hos-
pitalization can be established by statute or court order
ignores the most basic precepts of medicine and psy-
chiatry. Unfortunately, the pregent state of the art
makes it generally impossible to predict either the time
required to rehabilitate a mental patient, if at all possi-
ble, or at what point he will cease to be a danger to him-
self or others. Only ongoing medical and psychiatric
evaluation offer a realistic hope of such prognosis.”
Therefore, reference to either a hypothetical maximum
prison sentence, or even to a judicially limited commit-
ment term would completely refute the statutory pur-
pose of §301(d) and would frustrate any attempt at
treating; and rehabilitating mental patients who happen
to have been nequitted of crimes by reason of insanity.
Our conclusion that § 301(d) is not punitive is sup-
ported hy our recent decision in United States v. Edwards,
D.C.App., A.2d (Nos. 80-294 & 80-401, May 8,
1981) (en bane), where the contention that incarceration
inevitably ¢ * ‘tes punishment was rejected. Though
commitment of acquitlees is in no sense incarceration,
the principle that the penal character of a statute de-
pends on its underlying nature and whether it is rea-
sonably supported by a legitimate state interest, applies
“ See Addington v. Texas, 441 U.S. 418, 430-31 (1979),
und authorities cited therein, holding that the lack of cer-
tainty and the fallibility of psychiatric diagnosis make proof
of insanity by clear and convincing evidence constitutionally
suflicient. Addington also recoynized that “fi]n a civil com-
mitment state power is not exercised in a punitive sense.”
Id. at 428. While Chief Justice Burger’s opinion did not
deal with commitment of persons found not guilty by reason
of insanity, a §301(d) commitment is actually a civil, not a
criminal proceeding and Addinglon’s reasoning should apply
with equal force lo commitment of acquittees.
[1186]
+ zi
equally to the analysis of commitment statutes."" There
is no evidence that the District of Columbia statutory
scheme for commitment of insane criminals is anything
but a regulatory, prophylactic statute, based on a legiti-
mate governmental interest in protecting society and
rehabilitating mental patients. Nor is § 301(d) rendered
penal by the fact that it is predicated on the commission
of a crime. Evidence of crime is only one of the elements
triggering § 301(d) commitment, the other element being
"' See Bell v. Wolfish, 441 U.S. 520, 537-38 (1979). Factors
relevant to the determination of whether a statute is punitive
are:
“Whether the sanction involves an aflirmative disability
or restraint, whether it has historically been regarded as
a punishment, whether it comes into play only on a find-
ing of scienter, whether its operation will promote the
traditional aims of punishment—tretribution and deter-
rence, whether the behavior to which it applics is already
\3 a crime, whether an alternative purpose to which it may
rationally be connected is assignable for it, and whether
it appears excessive in relation to the alternative pur-
pose assigned are all relevant to the inquiry, and may
often point in differing directions.” [/d. at 537-38 (quot-
ing Kennedy v. Mendoza-Martinez, 372 U.S. 144, 168-69
(1963) ).]
The Bell case also noted that
A court must decide whether the disability is imposed
for the purpose of punishment or whether it is but an
incident of some other legitimate government puwr-
pose .... Absent a showing of an expressed intent to
punish on the part of detention facility officials, that
determination generally will turn on “whether an alter-
native purpose to which [the restriction] may rationally
be connected is assignable for it, and whether it appears
excessive in relation to the alternative purpose assigned
{to it}.” [Jd. at 638 (quoting Kennedy v. Mendoza-
Martinez, supra at 168-69, and citing Flemming v.
Nestor, 363 U.S. 603, 613-17 (1960)) (emphasis added) .]}
[1187]
proof of insanity by a preponderance of the evidence.
Since the crime is relevant only insofar as it indicates
danyerousness, not evil or criminal responsibility, the
presumption of continuing dangerougness, which is re-
buttable by the acquittec, is both redsonable and valid.
Because we have no evidence in the record that the
conditions of appellant's confinement are punitive or that
his particular commitment was based on punitive con-
siderations, we must conclude that appellant’s detention
is grounded or the legitimate non-punitive interests of
the District of Voiumbia.
Appellant challenges his confinement under § 301(d)
as violative of equal protection of the laws. The due
process guarantee of the Fifth Amendment of the United
States Constitution, which is directly applicable to the
District of Columbia, encompasses the right to equal pro-
lection. Bolling v. Sharpe, 347 U.S. 497 (1954) ; Matter
of C.W.M., D.C.App., 407 A.2d 617, 625 (1979).
In the absence of specific objections to conditions of
confinement or claims of inadequate or discriminatory
treatment," the validity of appellant’s equal protection
claim depends on whether the differences between the
present §301(d) commitment scheme and the involun-
tury commitment scheme under § 545(b) of Title 24 are
justifiable by reason of the situational differences be-
tween acyuittees and commitees.
Our analysis begins with the Supreme Court case of
Raystrom v. Herold, 383 U.S. 107 (1966), which held
that equal protection requires that a prisoner to be
"The right to treatment for mental illness is recognized
in Tribby v. Cameron, 126 U.S.App.D.C. 327, 379 F.2d 104
(1967), and Rouse v. Cameron, 125 U.S.App.D.C. 366, 373
F.2d 451 (1966).
11188]
transferred to a mental hospital be given the same pro-
cedural protections as those afforded other persons sub-
ject to involuntary civil commitment. Two years later,
the United States Court of Appeals for the District of
Columbia found that Bazstrom’s equal protection hold-
ing, as well as the due process guarantees of Specht v.
Patterson, 386 U.S. 605 (1967), require that “persons
found not guilty by reason of insanity .. . be given a
judicial hearing with procedures substantially similar to
those in civil commitment proceedings.” Bolton v. Harris,
supra at 10, 395 F.2d at 651 (footnote omitted). Bolton
was expressly premised on the weakness of the proof of
a defendant’s insanity at the time of the offense; when
Bolton was decided, the standard for acquittal was
whether there was a reasonable doubt regarding past
sanity. Jd. at 8, 395 F.2d at 649. The 1970 amendments
to § 301 have significantly narrowed this evidentiary gap
by requiring that the defendant affirmatively prove his
exculpating insanity to the jury by a preponderance of
the evidence at the trial for his criminal offense. D.C.
Code 1973, § 24-301(j). The judicial hearing required
by Bolton was codified in £ 301(d)’s 50-day release hear-
ing provision, notwithstanding the changed nature of the
insanity defense.
The equal protection test suggested by these cases is
that the procedures and standards of different commit-
™ Specht held that sentencing pursuant to Colorado's Sex
Offenders Act was criminal punishment and violated due
process because it made a conviction for a sex offense the
hasis of indeterminate sentencing without affording the de-
fendant a hearing on the issue of his mental illness, danger-
ousness or recidivism. ?
' Subsection 301(j)’s shift in the burden of proof was up-
held against constitutional atiack in Bethea, supra, and
United States v. Greene, 160 U.S.App.D.C. 21, 489 F.2d 1145
(1973), cert. denied, 419 U.S. 977 (1974).
{1189}
~~
ment schemes be relevant to the classification and that
any differences nut be substantial. We therefore agree
with the statement in United States v. Jackson, supra
at 386, 553 F.2d at 120, that §301(d) “must be up-
held if there is a rational basis for the scheme it cre-
ates.” Th court arrived at this conclusion by deter-
mining that neither Jackson v. Indiana, 406 U.S. 715
(1972) (indeterminate pretrial commitment procedures
found to violate equal protection), nor Baxstrom, supra,
held that strict scrutiny applies to procedures used for
the criminal commitment of mentally ill persons. In
reviewing the petitioner’s argument in Baxstrom, Chief
Justice Warren stated that “[e]qual protection does not
require that all persons be dealt with identically, but it
docs requirg that « distinction made have some relevance
to the purpose for which classification is made.” Baz-
strom, supra at 111. Bolton also recognized that “a rea-
sonable application |of the equal protection doctrine]
permits Subsection (d) to treat persons acquitted by rea-
son of insanity differently from civilly committed persons
to the extent that there are relevant differences between
those two groups.” Bollon, supra at 10, 395 F.2d at 651.
But substantial differences are prohibited under Bolton.
Id. Thus, a reasonable distinction between the two statu-
tory schemes would be one that is both relevant to the
government’s legitimate interests in the separate clas-
sification and not impermissibly substantial.
“ See also State v. Krol, 68 N.J. 236, ——, 344 A.2d 289,
298 (1975) (questioning the equal protection test applicable
to differences in commitment schemes required by Baxstrom,
supra, and Jackson v. Indiana, supra) and Novak, Realigning
the Standards of Review Under the tqual Protection Guar-
antecs—Drohibited, Neutral and Permissive Classifications,
62 Gro. lL. Rev. 1071, 1101-03 (1974) (suggesting that
Jackson v. Indiana, supra, and Humphrey v. Cady, 405 U.S.
504 (1972), were based on a “demonstrable rational basis”
test).
[1190]
an
Before reviewing the differences between § 24-301 (d) =
and § 21-545(b), it is important to note their similarities.
First, the substantive standard of commitment is iden-
tical under both statutes. The twofold proof requirement
of mental iliness and dangerousness vuries only in the
manner in which it is established." Second, both § 24-
301(d) (2) and § 21-545(b) provide for mandatory ju-
dicial hearings, with notice and assistance of counsel
(court-appointed if necessary). These common charac-
teristics constitute the essential due process rights as-
sociated with involuntary commitment. Sce Vitek v.
Jones, 445 U.S. 480 (1980) (recognizing a pris-
oner’s due process rights to a hearing before trans-
fer to a mental health facility) ;"" Specht v. Patterson,
’ The two-prong test is explicitly slated in § 21-545(b);
however, § 24-301(d) only refers to an acquittee’s entitlement
to release. But it is reasonable to assume that the same
ic] standard governs § 301(d) release hearings by reference to
§ 24-301(c), which states that entitlement to release, upon
hospital certification, depends on a showing that the acquittee
fs no longer mentally ill or dangerous.
'T Justice White approvingly listed the following procedures
ottiined by the Nebraska District Court as the minimum re-
quired before transfer of a prisoner to a mental hospital:
A. Written notice to the prisoner that a transfer to
a mental hospital is being considered ;
B. A hearing, sufficiently. after the notice to permit
the prisoner to prepare, at which disclosure to the pris-
oner.is made of the evidence being relied upon for the
transfer and at which an opportunity to be heard in per-
son and to present documentary evidence is given;
C. An opportunity at the hearing to present testi-
mony of witnesses by the defense and to confront and
cross-examine witnesses called by the state, except upon
a finding, not arbitrarily made, of good cause for not
— —_ ee
{1191}
a ee —-
supra.”* Thus with respect to important constitutional
protections the two statutes provide the same coverage.
As persuasively explained in our first panel opinion,
the differences between the two,procedures
can be justified by reference to situational dif-
ferences between the two groups immediately
prior to the respective hearings. The civil com-
mitment question, as to any potential committee,
is of first impression, whereas the “release hear-
ing” procedure for an acquitee presumably can
be somewhat abbreviated because of the pre-
dlictive value of the initial determinations of in-
sunity and dangerousness at the criminal trial.
(‘That predictive value rests on the defendant’s
own prior proof of his insanity by a perponder-
ance of the evidence—by a jury trial if he re-
permitting such presentation, confrontation, or cross-
examination ;
D. An independent decisionmaker;
E. A written statement by the factfinder as to the
evidence relied on and the reasons for transferring the
inmate;
lr. Availability of legal counsel, furnished by the
state, if the inmate is financially unable to furnish his
own; and
G. Effective and timely notice of all the foregoing
rights.” [Vitek v. Jones, supra at 494-95.]
"The Specht opinion held that
Due process . . . requires that [the defendant] be present
with counsel, have an opportunity to be heard, be con-
fronted with witnesses against him, have the right to
cross-examine, and to offer evidence of his own. And
there must be findings adequate to make meaningful
any appeal that is allowed. [/d. at 610.)
[1192]
Ne
quested it.) Whereas the § 24-545(b) hearing,
therefore, represents a de novo process, the § 24-
301(d) hearing is an updating process to de-
termine how present mental status compares
with earlier findings which had been urged by
the defendant himself. . . . In either case, the
only concern is a determination as to sanity and
dangerousness, with a view to rehabilitation.
Given these situational differences between ac-
quitees and potential commitees immediately
prior to the initial commitment determination,
the difference in hearing procedures is arguably
justified; there is no constitutional prohibition
against rational differences in the treatment of
differently situated persons. [Jones v. United
States, supra, 396 A.2d at 189.)
ie There appear to be three differences between § 24-301
(d) and § 21-545(b) commitments: (1) the availability
of jury trial, (2) the question of who carries the burden
of proof, and (3) the amount of proof required to justify
commitment." We review these distinctions individually
to ascertain whether they are permissibly relevant or im-
permissibly substantial under Bazxstrom and Bolton.
While the jury trial right available to commitees is
not similarly available to an acquittee in a 50-day re-
lease hearing, this difference is justified by the fact that
the acquittee has had a right to a jury determination of
' We do not compare the differences in post-commitment
procedures since they are not covered in these subsections
and appellant’s claim is based on the alleged invalidity of his
confinement under subsection 301(d).
[1193]
his sanity at the time of the offense.” Thus the acquit-
tec’s mental illness is initially established by affirmaiive
proof. Dangerousness is no less validly established by
proof that the defendant committed the criminal act, a
finding necessarily underlying any acquittal by reason
of insanity. See Bethea, supra at 93-95; Smothers v.
United State ‘*.App., 403 A.2d 306, 310 (1979). In
United States v. Ecker, supra at 48, 543 F.2d at 195,
the court stated that “[sJince 1958 this court has con-
sistently accepted the proposition that the dangerousness
demonstrated by the commission of a crime and acquittal
by reason of insanity constitutes a rational basis for the
disparity in release provisions governing acquittees and
commitees.” (Footnote omitted). Ecker also recognized
that some disparities in commitment proceedings are sim-
ilarly permissible, id. at 49-50, 543 F.2d at 196-97, and
explained that “{s]ubsection (d) patients are treated
differently from civil commitees because they are ‘an
exceptional class of people’ who have ‘already unhappily
manifested the reality of anti-social conduct.’” Jd. at
50, 543 I’.2d at 197 (footnotes omitted).
The fact that appellant’s mental illness and dangerous-
ness are not jury determined, but derived from a prior
jury finding, is not sign ficant since the continuation of
these attributes is a rational and permissible evidentiary
presumption.“". In Waite v. Jacobs, 154 U.S.App.D.C.
“ Appellant's waiver of the right to a jury at his criminal
trial does not affect our argument.
*' Jt is also noteworthy that the Criminal Jury Instruction
for the District of Columbia, No. 5.11 (3d ed. 1978), to be
given when a defense of insanity is pleaded, informs the jury
that the consequence of an acquittal by reason of insanity
will be automatic commitment of the defendant to St. Eliza-
beths, followed by a release hearing within 50 days. The
jury is also instructed that at this hearing the defendant
[1194]
281, 288-89, 475 F.2d 392, 399-400 (1973), the validity
of this presumption was recognized:
The rational justification for placing the bur-
den of proof on a commitee is that his mental
illness and dangerousness have previously been
convincingly established. In light of those es-
tablished facts, the law gives effect to a pre-
sumption of continuity of status. It comports
with normal perceptions of reality—and hence
is rational—to assume that, once a given status
is proven to exist, it continues to do so in the
absence of evidence showing the contrary to be
more likely than not.
In Waite, however, the presumption was not applicable
because unlike in the instant case, the appellant had
never been afforded a post-acquittal judicial hearing on
the question of his continued mental illness and dan-
e gerousness.
The availability of a jury trial under § 21-545(b) and
the absence of such a right at a § 24-301(d) hearing is
aiso an insubstantial difference because the findings of
mental illness and dangerousness are based on expert
testimony and are not matters uniquely within the prov-
ince of a jury of lay persons. In Addington v. Texas,
441 U.S. 418, 429 (1979), the Court explained that in
contrast to delinquency proceedings or criminal prosecu-
tions where “the basic issue is a straightforward factual
question—did the accused commit the act alleged,” the
factual questions in a civil commitment proceeding “rep-
resent only the beginning of the inquiry.” The Court
must prove to the court, by a preponderance of the evidence,
that he is entitled to release. This instruction was approved
in United States v. Brawner, 153 U.S.App.D.C. 1, 29-30, 471
F.2d 969, 997-98 (1972).
[1195]
continued: “Whether the individual is mentally ill and
dangerous to either himself or others and is in need of
confined therapy turns on the meaning of the facts which
must be interpreted by expert psychiatrists and psy-
chologists.” Jd. (emphasis in original). Thus, both judge
and juror are forced to rely on expert evidence in com-
mitment proceedings, significantly diminishing the im-
portance of their personal judgment, values and experi-
ence. In sum, becuuse (1) an acquittee has a right to a
jury determination of past insanity at his criminal trial;
(2) it is reasonable to presume the continuation of a
mental illness; and (3) a jury right in commitment pro-
ceedings is not as meaningful as it is in ordinary crimi-
nul cases, the absence of a jury right at a § 24-301 (d)
release hearing is not a substantial difference vis-i-vis
§ 21-545 (b) civil commitment,
The second distinction between the two commitment
procedures in the District of Columbia is the fact that
the government bears the burden of proof in a § 21-545
(hb) hearing, whereas in the 50-day release hearing, the
acquitlee must prove that he is no longer mentally ill
or dangerous. It is entirely rational for the District to
require an acquittee to prove his entitlement to release
where he ws the one to advocate the fact of his past
insanity. Aucomuatic § 301(d) commitment does not fol-
low an acquittal by reason of insanity when the question
of insanity is raised by the court or the prosecutor,
rather than the defendant. United States v. Wright, 167
U.S.App.D.C. 309, 511 F.2d 1311 (1975). As mentioned
above, the presumption that a mental condition continues
is a reasonable one and it is also reasonable to require
the person who raised the presumption to refute it by
aflirmative proof. Furthermore, whatever difference in
risk allocation there might be between the two statutes
as a result of who bears the burden of proof is mini-
{1196]
mized by the fact that when the acquittee bears the
burden, he need prove entitlement to release by only a
preponderance of the evidence, the lowest standard of
proof, whereas when the government bears the burden,
it must prove insanity and dangerousness by a higher
standard, namely that of clear and convincing evidence.
In re Nelson, D.C.App., 408 A.2d 1233 (1979).
Yet this disparity in the level of proof by which mental
illness and dangerousness are established under the two
procedures, when not regarded as a counter-balance to
the risk of non-persuasion, is another difference between
§ 24-301(d) and § 21-545(b) which must be justified as
rationally related to the situational differences between
acquittees and commitees. An acquittee’s past insanity
is proven by a preponderance of the evidence. His pres-
ent insanity is determined by his failure to rebut, by a
preponderance of the evidence, the presumption of con-
“s tinuing insanity. In contrast, a commitee’s detention is
~] based on clear and convincing evidence of mental illness
and dangerousness. In re Nelson, supra.“ The difference
between these two standards is justified by the fact that
Congress determined that a defendant raising an in-
sanity defense should not have to meet a higher burden
on such a relatively difficult issue. However, when the
District seeks to commit a person who is disputing the
*2 Since appellant has not challenged his initial commit-
ment, we view his argument as based on a present denial of
equal protection. We note, however, that in May 1976, when
appellant received his 50-day release hearing, the prevailing
standard was proof beyond a reasonable doubt, Jn re Hodges,
D.C.App., 325 A.2d 605 (1974) (overruled in Ju re Nelson,
supra). The greater disparity in proof between the two com-
mitment standards that existed when appellant was first
committed would not alter our conclusion that the difference
in the level of proof required is both rational and not so
substantial as to violate equal protection.
[1197]
fact of insanity or dangerousness, it is reasonable that
the risk of error be more heavily thrust upon the gov-
ernment. See Addington v. Texas, supra.
In Bolton, supra at 10 n.50, 396, F.2d at 651 n.50, and
in United States v. Brown, 155 U.S.App.D.C. 402, 478
F.2d 606 (1973), the circuit court also recognized that
a preponderance standard is enough to provide equal pro-
tection to acquittees.
Appellant hus argued that a series of later Supreme
Court and circuit court decisions based on an equal
protection theory support his entitlement to release as
of the expiration of his hypothetical maximum prison
term. However, the cases cited by appellant are all
distinguishable.
In Humphrey v. Cady, 405 U.S. 504 (1972), a defend-
ant convicted of contributing to the delinquency of a
minor was committed to a “sex deviate facili'y” in a
Wisconsin state prison in lieu of sentence. The statute
authorizing such commitment provided an initial term
equal to the maximum sentence the defendant could have
received, and five-year renewals based on a judge-made
finding of dangerousness. The statutory scheme in
lumphrey clearly included an express punitive element
evidenced by the limitation of the initial commitment
term to a period corresponding to that applicable to those
convicted.*
In the same term that it decided Humphrey, the Su-
preme Court held that indefinite confinement of a person
**We disagree with the interpretation of Humphrey in
Waite v. Jacobs, supra at 287, 475 F.2d at 398, that there is
little difference between the position of an acquittee and that
of a convicted defendant subject to the Wisconsin statute,
since we have determined that there is no punitive element
to § 301 (ad) commitments.
[1198]
charged with a crime and found incompetent to stand
trial violated equal protection because the criminal
charges were insufficient to prove either that the defend-
ant was dangerous or that he required treatment. Jack-
son v. Indiana, supra. Jackson is inapposite to the in-
stant case because Jackson was never tried for the crime
with which he was charged. See United States v. Ecker,
supra at 49-51, 543 F.2d at 196-98 (distinguishing Jack-
son for same reason in equal protection challenge to § 24-
301(e)). Since his continued detention was not based
on any other evidentiary predicate of dangerousness, it
therefore became invalid after “the reasonable period of
time necessary to determine whether there is a substan-
tial probability that [the person held] will attain [the]
capacity [to stand trial] in the foreseeable future.” Jd.
at 738.
Apnvellant’s reliance on the District of Columbia Cir-
cul cases of Waite v. Jacobs, supra, and United States
v. Brown, supra, is also unavailing.* Waite was ac-
quitted before the Bolton decision and therefore automa-
tically committed after a finding of not guilty by reason
of insanity without a judicial hearing on his continued
mental illness and dangerousness, which was subse-
quently required by Bolton and codified in § 24-301(d)
(2). Waite’s commitment was therefore invalid from the
beginning and arguably justifiable only as penal deten-
tion. As such, it was limited to the applicable maximum
sentence period.
Brown was a “post-Bolton, pre-1970 amendments” ac-
quittee who challenged the burden of proof at his post-
*4 These cases are not formally binding on this court be-
cause they were decided after February 1, 1971, the effective
date of the District of Columbia Court Reform and Criminal
Procedure Act of 1970. M.A.P. v. Ryan, D.C.App., 285 A.2d
310 (1971).
[1199]
acquittal judicial hearing. The Court of Appeals in
Brown upheld the preponderance standard applied, jus-
tifying the difference in the,Jevel of proof vis-i-vis the
level of proof required in § 21-545(b) proceedings by the
“meaningful elements of responsibility” which an ac-
quittee may have. Insofar as this reasoning suggests a
punitive element to § 301(d) we reject it as inconsistent
with our finding that the commitment scheme for ac-
quittees is not intended to attribute any guilt or imply
any social indebtedness in the excuse of a criminal of-
fense. Therefore, we need not follow the dicta in Brown
that “[t]}he extent of [the commitment] period | justified
by a post-Bolion, pre-1970 amendments commitment]
calls 1 - and discretion, would take into account, e¢..,
the nature of the crime (violent or not), nature of treat-
ment given and response of the person, would generally
not exceed five years, and should, of course, never exceed
the maximum sentence for the offense, less mandatory
release time.” Jd. at 408, 478 F.2d at 612. As pre-
viously explained, the only factors relevant to release
from a mental institution are the acquittee’s continued
dangerousness and his need for treatment. Judicial limi-
tutions on the duration of confinement based on hypo-
thetieal prison terms or other arbitrary determinations
of a maximum term of hospitalization, as suggested in
Brown, have no relation to the purpose of the statute.
In any event, the need for such limitations has been
obviated by the enactment of the 1970 amendments to
§ 24-301.
For the foregoing reasons, the trial court’s order deny-
ing appellant’s right to immediate release or, in the al-
ternative, civil commitment pursuant to D.C. Code 1973,
§$ 21-545 (b) is
Affirmed.
{1200}
ee ee ee ee
j
FERREN, Associate Judge, with whom NEWMAN, Chief
Judge, and MACK, Associate Judge, join, dissenting: I
continue to subscribe to our division opinion on rehearing,
411 A.2d 624 (1980), vacating 396 A.2d 183 (1978).
I.
Under the civil commitment process, D.C. Code 1973,
$§ 21-541 to -545, the government has the burden of
proving a person is mentally ill and dangerous to self or
others—and proving it to a jury if the potential com-
mitee so demands. Id. § 21-544. In contrast, under the
“insane criminal” commitment process, D.C. Code 1973,
§§ 24-301 to -303, a defendant acquitted by reason of
insanity has the burden of proving he or she no longer is
mentally ill or dangerous—without the right to a jury.
Id. § 24-801 (d) (2).
Our colleagues in the majority conclude that these dif-
ty ferences in treatment of two classes of institutionalized
persons—commitees and acquitees—do not violate the
acquitee’s constitutional right to equal protection of the
laws. In response to the allegation that the procedural
shortcuts in § 24-301 reflect a punitive purpose, in con-
trast with a wholly therapeutic purpose underlying the
civil commitment process, the majority concludes “that
there is no basis for finding § 301(d) punitive in any
respect.” Ante at 6.'
'The majority maintains that the lesser protections in
§ 24-301—burden of proof on the acquitee, without right to
jury trial—do not alter its equivalence to §§ 21-544 and
-645, for the acquitee already has had a right to jury trial on
the conduct manifesting insanity, and the shift in burden of
proof is justified by a valid evidentiary presumption that the
acquitee’s insanity at the time of the offense—which he
himself asserted—continues to the time of the release hear-
[1201]
I do not understand the majority to disagree with the
proposition that if § 24-301(d) imposes punishment in
any respect, the analysis in our division opinion is con-
stitutionally sound.* It would follow that, “because the
ing. That hearing, therefore, unlike a civil] commitment pro-
ceeding, is a procedure to update, not initiate, the inquiry.
In our division opinion on rehearing we rejected that
analysis. We noted that the presumption of continuing in-
sanity is questionable, spanning as it does months or even
years between the time of the offense and the time of the
release hearing. Furthermore, we saw that the courts
analyzing criminal and civil commitment schemes in other
jurisdictions “typically mix evidentiary and punitive ration-
ales in justifying less comprehensive review of acquitees at
‘release hegrings’ than is afforded civil commitees at such
proceedings.” 411 A.2d at 628-29 (footnote omitted). Dif-
ferences such as a shift in the burden of proof and with-
drawal of the right to a jury are commonly justified, in part,
“by the public's interest in greater protection than it would
be likely to receive by subjecting acquitees to the civil com-
mitment process.” Jd. at 630. We concluded, therefore, that
“the difference[s] between criminal and civil commitment
procedures cannot be justified on purely evidentiary grounds.”
Id.
2 In our division opinion on rehearing, we summarized our
* analysis:
Assuming the best case for the constitutionality of § 24-
301 (d), appellant argues that its partially punitive char-
acter at least dictates, as a matter of equal protection
vis-a-vis civil commitees, that acquitees be released (or
civilly committed) no laler than the end of the maximum
prison term they would have received if criminally con-
victed. We agree.
According to Buextrom [v. Herold, 383 U.S. 107, 111
(1966)], “fe]qual protection does not require that all
persons be dealt with identically, but it does require that
a distinction made have some relevance to the purpose
for which the classification is made” (citation omitted).
Accord, Bolton [v. Harris, 130 U.S.App.D.C. 1, 10, 395
[1202]
maximum possible prison term for which appellant Mi-
chael Jones could have been incarcerated has expired, he
is entitled to release from St. Elizabeths Hospital, sub-
ject to the government’s right to seek civil commitment.”
411 A.2d at 630.
I therefore propose to discuss in greater detail the de-
terminative issue: whether § 24-301(d) is, to some ex-
tent, punitive.
Il.
The Supreme Court has identified several factors for
use in determining whether a statute is punitive. A court
first should look for “objective manifestations ef congres-
sional purpose.” Kennedy v. Mendoza-Martinez, 372 U.S.
144, 169 (1963). Accord, Bell v. Wolfish, 441 U.S. 520,
538 (1979). Where it is not clear on the face of the
statute whether Congress had a punitive intent, a court
. must consider a variety of other factors:
F.2d 642, 651 (1968) ]. On the basis of the partially puni-
tive rationale for the criminal commitment scheme sct
forth earlier, see text and cases at note 9 supra, the
criminal commitment scheme might survive equal pro-
tection scrutiny under Barstrom, supra, even though the
procedure for cenfining civil commitees provides greater
protection for the individual at the outset (the right to
a jury and burden of proof on the government). We
. agree with appellant, however, that there is no basis for
confining an acquitee under § 24-301(d) beyond the
length of the hypothetical maximum prison term, since
that term marks the end of society’s claim on that in-
dividual for any kind of punishment. Any longer con-
finement must depend, constitutionally, on a de novo
civil commitment. See Humphrey [v. Cady, 405 U.S. 504,
510-11 (1972)]; Barstrom[, supra at 110-11]; [United
States v. Brown, 155 U.S.App.D.C. 402, 408, 478 F.2d
606, 612 (1973)].
411 A.2d at 630 (footnote omitted).
[1203]
Whether the sanction involves an affirmative
disability or restraint, whether it has historic-
ally been regarded as a punishment, whether it
comes into play only on,a finding of scienter,
whether its operation will promote the traditional
aims of punishment—retribution and deterrence,
whether the behavior to which it applies is al-
ready a crime, whether an alternative purpose
to which it may rationally be connected is as-
signable for it, and whether it appears excessive
in relation to the alternative purpose assigned
are all relevant to the inquiry, and may often
point in differing directions. [Kennedy, supra
at 168-69 (footnotes omitted) .]
Accord, Bell, supra at 537-38. In the present case, we
confront a statute for which Congress clearly had a
punitive purpose.
A. The Previous Statute and Judicial Construction
Analysis begins with the previous statute. See, Keun-
nedy, supra at 170. Under D.C. Code 1967, § 24-301 (1),
u defendant who successfully interposed the insanity de-
fense was committed automatically—and indefinitely—to
a mental institution. However, in Bolton v. Harris, 130
U.S.App.D.C. 1, 395 F.2d 642 (1968), the United States
Court of Appeals for the District of Columbia Circuit
held that automatic commitment of acquitees was uncon-
stitutional—a denial of equal protection vis-a-vis com-
mitees. The court accordingly required that, upon a
finding of not guilty by reason of insanity, an acquitee
was constitutionally entitled to the equivalent of a civil
commit.aent proceeding, which came to be known as
the “Bolton hearing.” * Five years later, in United States
*In reaching this result, the court relied on Baxstrom v.
Herold, 383 U.S. 107 (1966), and Specht v. Patterson, 386
[1204]
v. Brown, 155 U.S.App.D.C. 402, 408, 478 F.2d 606, 612
(1978), the court held that even after a “Bolton” hearing
the disparities of treatment were such that “insane crimi-
nal” commitment under D.C. Code 1967, § 24-301, having
a partially punitive purpose, must be limited to the hypo-
thetical maximum sentence (less mandatory release time),
after which the acquitee would be entitled either to re-
lease or to a civil commitment proceeding. Accord, Waite
v. Jacobs, 154 U.S.App.D.C. 281, 284-85, 475 F.2d 392,
395-96 (1973).
Apropos of Brown, the en banc majority concedes in
the present case that the prior statute had “punitive as-
pects,” a quality that Bolton was necessary to “undo.”
Ante at 7. And yet in the same paragraph the major-
ity states that “(t]he 1970 amendments to § 301(d), en-
acted in response to” Bolton, “have not altered its origi-
nal purpose,” ante at 6-7, which the majority—in a non-
sequitur—characterizes as nonpunitive by reference to
Hough v. United States, 106 U.S.App.D.C. 192, 271 F.2d
458 (1959) and other pre-Bolton circuit court decisions.
The majority, therefore, is inherently inconsistent. If, as
the majority concedes, the pre-Bolton statute was puni-
tive, to the point that Bolton was necessary to correct its
unconstitutional impact, I do not see how statutory
amendments “in response to Bolton,” providing lesser pro-
tections, can be said automatically to remove the original,
“punitive aspects” of that statute. The question remains:
do the 1970 amendments modifying Bolton erase the pun-
itive purpose of the previous statute?
U.S. 605 (1967). The circuit court expressly modified its
earlier decisions in Overholser v. O’Beirne, 112 U.S.App.
D.C. 267, 302 F.2d 852 (1961); Ragsdale v. Overholser, 108
U.S.App.D.C. 308, 281 F.2d 943 (1960); and Overholser v.
Leach, 103 U.S.App.D.C. 289, 257 F.2d 667 (1958), cert.
denied, 359 U.S. 1018 (1959). Bolton, supra at 12, 395 F.2d
at 653.
[1205]
B. The Present Statute and Its Construction
1. Legislative history confirms that, in amending § 24-
801(d) in 1970, Congress held on to its original intent
to punish the criminal offender, if not by conviction and
imprisonment then by indefinite confinement in a mental
institution. The overriding concern of the House of Rep-
resentatives was that Boulton “permits dangerous crimi-
nals... ‘to have it both ways’—to escape both conviction
and com.......ent to a hospital.” House ComM. ON THE
District oF CoLUMBIA, DISTRICT OF COLUMBIA COURT
REFORM AND CRIMINAL PRODEDURE ACT oF 1970, Section
207—IJnsane Criminals, at 74, H.R. Rep. No. 91-907, 91st
Cong., 2d Sess. (emphasis added) (quoting Overholser v.
O’ Beirne, 112 U.S.App.D.C. 267, 276, 302 F.2d 852, 861
(1961)). The House considered the possibility that a
criminal offender could get off without being either con-
victed or hospitalized “intolerable.” Id. See Uniied States
v. Jackson, 179 U.S.App.D.C. 375, 381-82, 553 F.2d 109,
115-16 (1976).
The congressional intention in drafting the present
§ 24-301(d), therefore, was “to meet the objections of
the Bolton court while preserving the principle of the
mandatory commitment of those who escape criminal re-
sponsibility on the ground of mental abnormality.”
Bethea v. United States, D.C.App., 365 A.2d 64, 92 n.62
(1976), cert. denied, 433 U.S. 911 (1977) (emphasis
added). Congress wanted to confront the criminal de-
fendant with a choice: conviction or “the very real possi-
bility of prolonged therapeutic confinement.” /d. at 90
(footnote omitted). Because “the prospect of commit-
ment to a mental institution for an indefinite period is
much less desirable than a fixed term in prison,” United
States v. Freeman, 357 F.2d 606, 626 n.GO (2d Cir.
1966), Congress intended the substantial likelihood of
indefinite confinement tv provide an effective deterrent
to those tempted to misuse the insanity defense to avoid
[1206]
Sg ee
criminal incarceration. In short, the legislative history
of the 1970 amendments provides strong evidence that
Congress, in overruling Bolton, intended to restore as
much punishment under § 24-301(d) as constitutionally
would pass muster.
2. More than the legislative history, the legislative re-
sult—the statute itself—reveals that Congress maintained
its punishment objective.
First, the authorized procedures by which an acquitee
may challenge confinement in a mental institution, D.C.
Code 1973, §§ 24-301(d) (2), -(k)(1) through (6), do
nothing more than institutionalize the habeas corpus pro-
cedure that already was available at the time of Bolton.
See Miller v. Cameron, 118 U.S.App.D.C. 323, 324, 335
F.2d 986, 987 (1964); O’Beirne, supra at 275, 302 F.2d
at 860; Ragsdale v. Overholser, 108 U.S.App.D.C. 308,
313-14, 281 F.2d 943, 948-49 (1960); D.C. Code 1967,
§ 24-301(g). Procedurally, therefore, the acquitee is no
better off under § 24-301 today than he or she was under
the same statute before 1970. Unless the acquitee can
prove he or she is not mentally ill or dangerous, confine-
ment under § 24-301 is both automatic and indefinite.‘
*My colleagues’ implication that altering the burden of
proof and denyitig acquitees a right to jury trial are minor
procedural! distinctions from civil commitment, see ante at
15-21, is inconsistent with Congress’ purpose in amending
the statute to overrule Bolton. As this court recognized in
Bethea, supra, imposing the burden of proof on the acquitee
is a significant procedural distinction from civil commitment;
it is designed to make it more difficult. for the acquitee to
gain freedom. Jd. at 91-92. Indeed, where proof is often
difficult to assess, see Addington v. Texas, 441 U.S. 418, 429
(1979), “the allocation of the burden of proof may be out-
come determinative.” Waite supra at 284, 475 F.2d at 395.
The majority’s discounting of the role of the jury when
questions of mental capacity are at issue is also in direct
[1207]
82 &
Second, upon confinement, acquitees are not necessarily
treated the same as commitees. In this jurisdiction, an
individual is found not guilty.by reason of insanity if
“as a result of a mental disease or defect he lacked sub-
stantial capacity either to recognize the wrongfulness of
his conduct or to conform his conduct to the requirements
of law.” Bethea, supra at 79 (emphasis added). Ordi-
narily, this jurisdiction treats individuals suffering from
a mental “defect” (i.e., mental retardation) differently
from the way it treats individuals suffering from a men-
tal illness. Under civil commitment procedures, a men-
tally defective individual who is “not insane nor of un-
sound mind to such an extent to require his commitment
to a hospital for the mentally ill” is committed to Forest
Haven, a facility for retarded persons. D.C. Code 1973,
§§ 21-1101, 32-601. In contrast, an acquitee, even if only
suffering from a mental defect, is committed to a hos-
pital for the mentally ill, Saint Elizabeths. /Jd., § 24-301
(d).
In United States v. Jackson, supra, the court upheld
this distinction in treatment precisely because it recog-
conflict with our ruling in Bethea, supra, which emphasized
that, despite the impact of psychiatric testimony, it is for
the jury, not the psychiatric expert, to decide the accused's
mental stu.c. sd. at 82-83. The majority’s emphasis on the
factfinder’s reliance on expert testimony in accessing the
accused’s mental state (and thus on the lesser need for a
jury) was recently rejected by the United States Court of
Appeals for the District of Columbia Circuit in United States
v. Ecker, 177 U.S.App.D.C. 31, 643 F.2d 178 (1976), cert.
denied, 4229 U.S. 1063 (1977). There, the court upheld the
trial court’s refusal to release an acquitee from a mental
hospital despite the recommendations of his doctors, stating,
“the district court must independently ‘weigh the evidence’
and make a de novo determination that the patient will not
in the reasonable future endanger himself or others.” Jd. at
40, 543 F.2d at 187 (emphasis in the original).
{1208}
ww
ee ey ee ee ee ee
‘a 33
nized that Congress “intended that all defendants ac-
quitted by reason of insanity should be distinguished
from all other persons, including persons civilly commit-
ted for mental diseases or retardation.” Jd. at 381, 553
F.2d at 115 (emphasis in original). In Jackson, the court
justified this difference in treatment on the basis that ac-
quitees, but for their insanity plea, had been found guilty
of crimes against society. Jd. at 387, 553 F.2d at 121,
Apropos of Jackson, this difference in treatment of cer-
tain acquitees cannot possibly be justified merely on the
basis of an evidentiary presumption concerning the con-
tinuing mental condition of the acquitee. See note 1 supra.
Rather, it is an express statutory provision, justified by
reference to the criminality of the acquitee’s prior
conduct.
Third, and perhaps most telling, is another example of
differing possibilities for release of acquitees and com-
mitees after confinement. When the superintendent of
rs) Saint Elizabeths Hospital certifies that a commitee is
cured, the individual is discharged from the hospital.
D.C. Code 1973, § 21-590. In contrast, when the hospital
superintendent certifies that an acquitee has recovered,
the government may demand a hearing. At this hearing,
if the court is not convinced that the acquitee has recov-
ered, the court may order his or her return to the hospital
even though the authorities there consider the individual
well enough for release. D.C. Code 1973, § 24-301 (e).
In United States v. Ecker, 177 U.S.App.D.C. 31, 543
F.2d 178 (1976), cert. denied, 429 U.S. 1063 (1977), an
acquitee challenged the constitutional validity of this
added hurdle—court approval—before release. Five years
after a jury had found the defendant not guilty of rape
and murder by reason of insanity, the superintendent of
Saint Elizabeths recommended conditional release. After
a hearing, despite the recommendation of the examin-
ing psychiatrists, the trial court denied the hospital’s re-
{1209}
EE A
ne
quest and ordered continued hospital confinement. In up-
holding the statute and the trial court’s decision, the fed-
eral circuit court expressly relied on the fact that Ecker
had committed a violent criminal act.* Jd. at 52, 543 F.2d
at 199. Whether or not the hospital psychiatrists thought
Ecker should be released, the trial court had a duty to
protect “the public against whom the acquitee has already
been shown to have committed one or more criminal acts,
thus differentiating himself from the civil commitee.” Id.
at 51, 543 F.2d at 198. “More importantly,” the court re-
jected Ecker’s equal protection argument based on Jack-
son v. Indiana, 406 U.S. 715 (1972), Baxstrom v. Herold,
383 U.S. 107 (1966), and Humphrey v. Cady, 405 U.S.
504 (1972), reasoning “that the criminal conviction may
justify some differences in procedural safeguards if the
differences are ‘limited by the nature of the defendant's
crime or the maximum sentence authorized for that
crime’” Id. at 51-52, 543 F.2d at 198-99 (quoting
Humphrey, supra at 511) (emphasis added). Because oe
Ecker could have been incarcerated, however, for a life
sentence if not acquitted by reason of insanity, the differ-
ences in release procedures (between acquitees and com-
mitees) were therefore justifiable. Finally, the court re-
jected the hospital recommendation by saying that even if
the hospital were correct “that a step-by-step reentry into
the community [was] essential to Ecker’s continued im-
provement,” an acquitee “who has committed violent
criminal acts” has “no right to treatment at the com-
munity’s peril.” Jd. at 52-53, 543 F.2d 199-200.
* The circuit court, more than once, has relied on the nature
of the underlying offense to justify the consequences of con-
finement under § 24-301(d). In United States v. Jackson,
supra, the court emphasized that the defendant had becn
acquitted by reason of insanity of first degree burglary and
rape, in contrast with mere theft of smzll sums which would
“not indicate excessive dangerousness.” Jd. at 387, 553 F.2c
at 121.
{1210} w
Given the legislative history, the differences in treat,
ment of acquitees and commitees, and the judicial gloss
on the statute by decisions such as Ecker, the majority’s
position that the purpose of the statute is solely to
“treat[] and rehabilitat[e] mental patients who happen
to have been acquitted of crimes by reason of insanity,”
ante at 10, is unsupportable. Acquitees are not just men-
tal patients “who happen” to have been acquitted of
crimes by reason of insanity. The fact of their criminal
conduct continues to play a decisive role in the nature of
their treatment and their chances for release after initial
commitment. Congress and the courts have justified this
harsher treatment precisely because acquitees have com-
mitted crimes.
C. The Relevance of the Statutory Maximum Sentence
The majority rejects the use of statutory maximum
sentences to determine the maximum length of confine-
ment under § 24-301 because such maximums have “no
relationship to the purposes of mental care and treat-
ment.” Ante at 8. I agree. The majority states that
“[t]}he notion that the duration of an acquitee’s hospitali-
zation can be established by statute or court order ignores
the most basic precepts of medicine and psychiatry. . . .”
Ante at 10. Again, I agree. If the acquitee were hos-
pitalized solely for medical reasons, I would be the first
to concur that a statutory maximum for confinement
based on the nature of the acquitee’s criminal conduct
would have no relevance or application. But the problem
is—and is so clearly evident in Ecker—that acquitees are
not confined to mental-institutions for medical reasons
alone. Thev are confined there in part because society is
unwilling to allow those who have committed crimes to
escape without paying for their crimes. The intent of the
statute is partially punitive, and thus the procedures
under § 24-301 reflect this added burden on the defend-
{1211}
ant. Because of this punitive purpose, the maximum stat-
utory period of confinement becomes relevant, for at that
point society no longer has a,yalid interest in continued
confinement on the basis of a shortcut procedure. Brown,
supra at 408, 478 F.2d at 612; see Waite, supra at 285,
475 F.2d at 396; note 2 supra.*
* Although the foregoing discussion is sufficient to demon-
strate the congressional purpose underlying D.C. Code 1973,
§ 24-301, I note briefly that the other Kennedy factors con-
firm the punitive intent.
By definition, confinement to a mental institution is “an
affirmative disability or restraint,” id. at 168, even more
perhaps than imprisonment, see Vitek v. Jones, 445 U.S. 480,
493-94 (1980), given the indefinite duration and the stigma.
Sce Addington, supra at 425-26. Despite its use for treatment,
moreover, confinement for mental illness and dangerousness
as a consequence of a criminal act “has historically been
regarded as a punishment,” Kennedy, supra at 168, for which
the Supreme Court continually has had to write constitutional
guidelines. Sec, e.g., Jackson v. Indiana, supra; Humphrey,
supra; Specht, supra; Bazstrom, supra.
Criminal confinement also comes into play “only on a
finding of scienter,” Kennedy, supra at 168; sce Rethea,
supra at 94, and “the behavior to which it applies is already
a crime,” Kennedy, supra at 168, by virtue of the criminal
conviction that precedes it. The statute «so “promote[s]
the traditional aims of punishment—retricution and deter-
ence,” id., for, as already indicated, Congress and this court
have noted a desire to prev nt the misuse of the insanity
* defense by making the consequences more severe than de novo
civil commitment. In addition, criminal confinement at a
mental institution serves other goals of punishment, incapaci-
talion and rehabilitation. See United States v. Brown, 381
U.S. 437, 458 (1965) (“Punishment serves several purpose:
retribulive, rehabilitative, deterrent—and preventive”). Sec
gencrally J. Vorennerc, Criminal Law & Procepure 44-57
(1975).
Finally, for reasons already discussed, I do not believe
there is a wholly nonpunitive, “alternative purpose,” Ken-
[1212]
()
37
Ill.
Society’s right to punish Michael Jones for his first
offense, a misdemeanor—stealing a coat—has long since
expired. As every day passes he is denied equa! protec-
tion of the laws.” Michael Jones should be released unless
civilly committed.
nedy, supra at 168-69, assignable to § 24-301; but even if
the purposes assigned by the majority—treatment of the
acquitee and protection of society—were altogether non-
punitive, the indefinite confinement of Michael Jones for
stealing a coat is well beyond any public protection gloss on
the statute’s purpose. It is one thing to keep an acquitee
of murder and rape confined for life, see Ecker, supra, as he
would be under appellant’s theory here, for those are life-
sentence crimes. But society has no “protection” interest in
confining Michael Jones indefinitely for stealing a coat, a
misdemeanor punishable by maximum confinement for one
year.
7 When a court confronts different procedural safeguards
afforded to different classes of individuals committed to
mental institutions, concerns of equal protection and due
process become interrelated. See Jackson v. Indiana, supra at
731; cf. Humphrey, supra at 611 (1972) (noting with favor
the state court’s consideration of Eyual Protection Clause
as relevant to procedural due process analysis) ; Specht, supra
at 608 (commitment proceedings for sex offenders subject
both to Equal Protection and Due Process Clauses). In
evaluating equal protection for the acquitee, I have not
reached the question of due process as an independent con-
cern, although there is a serious question here. I note, more-
over, that any effort to reduce the procedural safeguards
afforded to civil commitees, while possibly resolving equal
protection problems, would raise serious questions of due
process for that class of individuals.
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This is a copy of a public record, reproduced as it was published. It is not legal advice, and it may not be the version a court would rely on. Check the official source before you cite it.