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    "parties": [
      "THE PEOPLE OF THE STATE OF ILLINOIS, Petitioner-Appellee, v. ELOY SANCHEZ, Respondent-Appellant."
    ],
    "opinions": [
      {
        "text": "JUSTICE STAMOS\ndelivered the opinion of the court:\nRespondent Eloy Sanchez was found not guilty by reason of insanity of homicide. Thereafter, a hearing was held to determine if Sanchez was in need of mental health treatment. (See Ill. Rev. Stat. 1981, ch. 38, par. 1005 \u2014 2\u20144.) He appeals from the trial court\u2019s order finding him in need of mental health services on an inpatient basis.\nRespondent shot and killed his wife and wounded his son and mother-in-law on August 21, 1981. Respondent was examined by three psychiatrists who concluded that at the time of the offense, respondent was suffering from a paranoid and persecutory delusion and that he was legally insane. The State presented no evidence in rebuttal. The trial court found respondent not guilty by reason of insanity.\nAs a result of this finding, a hearing was conducted to determine if respondent should be committed to a mental institution for treatment. (See Ill. Rev. Stat. 1981, ch. 38, par. 1005 \u2014 2\u20144.) At the outset of the hearing, respondent contested the constitutionality of the statute under which the hearing was being held. The parties filed memo-randa addressing the issue and the court found the statute to be constitutional. Dr. Joseph Mehr, chief psychologist at the Elgin Mental Health Center, testified at this hearing on December 21, 1982. Dr. Mehr had interviewed respondent the day prior to the hearing and on September 3, 1982. Mehr testified that in his opinion respondent was not subject to involuntary admission under section 5 \u2014 2\u20144(a) of the Unified Code of Corrections (Ill. Rev. Stat. 1981, ch. 38, par. 1005\u2014 2 \u2014 4(a)(1)(A), but that he was in need of inpatient services (Ill. Rev. Stat. 1981, ch. 38, par. 1005 \u2014 2\u20144(a)(1)(B)). Mehr believed that respondent\u2019s need of inpatient care stemmed from the danger that respondent could resort to violent behavior when placed in a stressful interpersonal situation, such as contact with his family.\nOn cross-examination, Dr. Mehr conceded that respondent\u2019s condition had been down-graded from schizophrenia to schizoid personality disorder to paranoid personality disorder and that respondent exhibited no evidence of hallucinations or disorganization of personality. Respondent had also exhibited no agitative or aggressive behavior.\nOver respondent\u2019s objection, the State was permitted to reopen its case after Dr. Mehr\u2019s testimony and to present the testimony of Dr. Eduardo Machado, who examined respondent on December 17, 1982. Basically, Dr. Machado concluded that respondent suffered from schizophrenia and was in need of inpatient hospitalization. On cross-examination, Dr. Machado conceded that respondent had not exhibited violent behavior for quite some time.\nAt the close of the hearing, counsel for respondent urged that the experts\u2019 \u201cequivocal\u201d testimony failed to meet the standard of clear and convincing evidence and urged conditional release under whatever conditions the court felt were appropriate. The court found that respondent was in need of inpatient mental health services. Respondent was committed for an indefinite period of time not to exceed 40 years. Respondent appeals.\nRespondent first contends that, for several reasons, the standard for involuntary admission set forth in section 5 \u2014 2\u20144(a)(2)(B) of the Unified Code of Corrections (Ill. Rev. Stat. 1981, ch. 38, par. 1005\u2014 2 \u2014 4(a)(1)(B)) is unconstitutionally vague and therefore violative of due process.\nInitially, respondent contends that subsection (B) is tautological or circular. In support of this contention, respondent cites Goldy v. Beal (M.D. Pa. 1976), 429 F. Supp. 640. Goldy involved a Pennsylvania statute which allowed for involuntary and indefinite commitment of a person \u201cin need of care and treatment\u201d because of a mental disability. \u201cMental disability,\u201d in turn, was defined as a condition \u201c[making] it necessary or advisable for him to be under care.\u201d Because of the circuitous nature of the statute, there was nothing to prevent its arbitrary enforcement. Accordingly, the court in Goldy struck the statute down as violative of due process.\nRespondent attempts to draw a parallel between the statute in the instant case and that confronted in Goldy. A cursory reading of the statute in the instant case, however, reveals that it is not circular. The statute states:\n\u201c \u2018In need of mental health services on an inpatient basis\u2019 means: a defendant who has been found not guilty by reason of insanity who is not subject to involuntary admission but who is reasonably expected to inflict physical harm upon himself or another and who would benefit from inpatient care or is in need of inpatient care.\u201d (Emphasis added.) (Ill. Rev. Stat. 1981, ch. 38, par. 1005-2-4(a)(l)(B).)\nThe highlighted phrase prevents this provision from being circular. Respondent must be found to be \u201creasonably expected to inflict physical harm upon himself or another\u201d before a determination is made as to whether he would benefit from or is in need of inpatient care. Thus, contrary to respondent\u2019s assertion, the statute does not circuitously define \u201cin need of mental health services on an inpatient basis\u201d as a need for inpatient care.\nRespondent\u2019s second due process attack concerns the absence from subsection (B) of the phrase \u201cmental illness.\u201d By omitting the mental illness requirement, respondent contends that the statute dispenses with any requirement that there be a causal connection between respondent\u2019s potential dangerousness and the mental illness suffered at the time of the offense. Respondent concludes that because of the lack of a finding of causality between an identifiable mental illness and the potential for dangerousness, the statute allows for impermissible preventive detention.\nThe legislature\u2019s failure to use the phrase \u201cmental illness\u201d in enacting subsection (B) is not constitutionally fatal. We have previously noted that the requirement that there be a finding that an acquittee \u201cwould benefit from inpatient care\u201d provides a sufficient foundation for commitment. (See People v. Gamble (1983), 117 Ill. App. 3d 543, 546-47, 453 N.E.2d 839.) This requirement, together with the requirement that there be a finding that respondent is \u201creasonably expected to inflict physical harm upon himself or another,\u201d are meaningful criteria which preclude arbitrary commitment decisions. Accordingly, we find that section 5 \u2014 2\u20144(a)(1)(B) does not violate the due process clause.\nWe also find that subsection (B) implicitly requires that a respondent\u2019s potential dangerousness directly relate to the mental illness which led to respondent\u2019s acquittal. This implication derives from the procedures set forth in the statute. The statute provides that after a verdict of not guilty by reason of insanity, the defendant shall be examined to determine if he should be involuntarily admitted or if he is in need of mental health services. (Ill. Rev. Stat. 1981, ch. 38, par. 1005 \u2014 2\u20144.) Following this examination, the court is to hold a hearing to determine if the defendant should be admitted or whether his needs could be dealt with adequately on an out-patient basis. In making this determination, the court is guided in part by subsection (B), which provides for inpatient care upon a finding of a reasonable expectation of dangerousness. Given that the procedures under section 5 \u2014 2\u20144 follow only from a finding of not guilty by reason of insanity, it is evident that the focus of those procedures would be on the mental disorder which led to the acquittal. Any use of the provisions of section 5 \u2014 2\u20144 to secure a commitment for a mental disorder different from that which led to the acquittal would be an improper attempt to secure a civil commitment, which is properly covered by section 1 \u2014 119 of the Mental Health and Developmental Disabilities Code. Ill. Rev. Stat. 1981, ch. 9D/2, par. 1-119.\nRespondent also lodges an attack on section 5 \u2014 2\u20144 on equal protection grounds. This attack, however, is grounded on a misapprehension of Illinois law. Respondent first contends that there is no rational basis for distinguishing between insanity acquittees and civil committees. Respondent\u2019s argument and the cases he cites indicate that this contention is based on the belief that an insanity acquittal in Illinois results in a presumption of mental illness at the subsequent hearings under section 5 \u2014 2\u20144. See Allen v. Radack (S.D. 1977), 426 F. Supp. 1052; Matter of Torsney (1979), 47 N.Y.2d 667, 394 N.E.2d 262; Bolton v. Harris (D.C. Cir. 1968), 395 F.2d 642.\nHowever, it is clear that no presumption of mental illness results from an insanity acquittal and no such presumption exists in a section 5 \u2014 2\u20144 commitment hearing. The insanity acquittal does not constitute an adjudication of a defendant\u2019s sanity; all that has been determined is that a reasonable doubt as to sanity exists. (See People v. Gamble (1983), 117 Ill. App. 3d 543, 546, 453 N.E.2d 839.) The fact that an acquittal occurred is relevant evidence at a section 5 \u2014 2\u20144 commitment hearing, but it is the State that bears the burden of proving, by clear and convincing evidence, that an insanity acquittee is in need of mental treatment. (See People v. Czyz (1980), 92 Ill. App. 3d 21, 25, 416 N.E.2d 1.) In proving its case, the State must produce a current evaluation of the acquittee\u2019s state of mind and the commitment decision must be based on the acquittee\u2019s present conduct and state of mind. See People v. Czyz (1980), 92 Ill. App. 3d 21, 25, 416 N.E.2d 1; People v. Butler (1979), 69 Ill. App. 3d 556, 559, 387 N.E.2d 908.\nRespondent\u2019s second contention is likewise grounded upon the mistaken belief that there is a presumption of mental illness in a section 5 \u2014 2\u20144 commitment hearing. Under this contention, respondent alleges that there is no rational basis for the disparate treatment of insanity acquittees and those committed under the sexually dangerous persons Act. Respondent states that sexually dangerous persons can be committed only upon a finding of a current mental disorder, whereas insanity acquittees can be committed \u201cupon a presumption derived from past conduct.\u201d But given the fact that there is no presumption of mental illness as a result of an insanity acquittal, respondent\u2019s premise for charging disparate treatment is erroneous and accordingly, his contention fails.\nFinally, respondent contends that the State failed to show, by clear and convincing evidence, that he was in need of mental health services on an inpatient basis. In support of this contention, respondent points primarily to evidence that he was not viewed as posing an immediate physical danger to himself or to others. Dr. Mehr diagnosed respondent as suffering from a paranoid personality disorder. This diagnosis stemmed from respondent\u2019s belief that there was a conspiracy against him, that grease was being applied to his windshield wipers to cause an accident, and that he thought his wife was meeting with a member of the KGB or the Cuban secret police. These delusions prevented respondent from understanding the crime he had committed to the point of believing that the killings were an accident and that a third party had fired the fatal shots. It was respondent\u2019s lack of insight as to the offense and his lingering doubts about the events surrounding the killings and his role in them that led Dr. Mehr to conclude that respondent was in need of inpatient care.\nDr. Machado\u2019s initial diagnosis was also paranoid personality. Dr. Machado testified that if paranoid personality were the only problem, inpatient hospitalization would not be recommended. Dr. Machado later changed his diagnosis to schizophrenia, although he had not observed any behavior indicative of such a disorder.\nCiting People v. Czyz (1980), 92 Ill. App. 3d 21, 416 N.E.2d 1, respondent argues that paranoid personality is not a mental illness and hence, an insufficient basis for inpatient hospitalization. But in Czyz, the trial court ordered the defendant hospitalized despite the recommendations to the contrary by all three psychology experts who testified. (See also People v. Smith (1984), 126 Ill. App. 3d 5, 10.) In light of the unanimous recommendations of the experts, the court on appeal reversed the trial court\u2019s hospitalization order.\nIn the instant case, the experts unanimously recommended inpatient hospitalization. This fact serves to distinguish the instant case from Czyz. Moreover, in addition to diagnosing respondent as a paranoid personality, the experts in the instant case concluded that he was potentially dangerous to himself or to others. This factor further distinguishes this case from Czyz. It also reduces the significance of Dr. Machado\u2019s testimony that paranoid personality alone is an insufficient basis for hospitalization. It was respondent\u2019s potential for dangerousness which prompted the recommendations for hospitalization, and the diagnosis of paranoid personality would not appear to dictate a contrary recommendation.\nRespondent also points to the fact that both experts in the instant case concluded that he was not expected to inflict serious physical harm in the near future. Both experts concluded that respondent was not capable of coping with a stressful interpersonal situation, such as a meeting with his son or his mother-in-law. Respondent likens this conclusion to the one reached in People v. Nunn (1982), 108 Ill. App. 3d 169, 438 N.E.2d 1342, wherein respondent was committed because he might not continue to take his medicine if treated on an outpatient basis. But unlike the possibility in Nunn that the defendant might stop taking his medicine, there is the probability in the instant case that respondent will act on his paternal instincts and attempt to contact his son upon his release. Such a meeting could lead to a regression of respondent\u2019s paranoid condition and possibly result in violent behavior.\nThe burden was upon the State to prove by clear and convincing evidence that respondent was in need of inpatient care. (People v. Turner (1978), 62 Ill. App. 3d 782, 784, 379 N.E.2d 377.) Toward this end, the State produced two experts who testified that respondent was potentially dangerous and that he was in need of inpatient care. These conclusions satisfied the requirements of section 5 \u2014 2\u20144(a)(l)(B) (Ill. Rev. Stat. 1981, ch. 38, par. 1005 \u2014 2\u20144(a)(l)(B)). Respondent had an opportunity to cross-examine these witnesses and to bring to the trial court\u2019s attention factors favoring outpatient treatment and weaknesses in the bases for the experts\u2019 conclusions. Upon the totality of the evidence presented, we find that the State proved respondent\u2019s need for inpatient care by clear and convincing evidence.\nFor the reasons expressed herein, the judgment of the circuit court is affirmed.\nAffirmed.\nHARTMAN, P.J., and PERLIN, J., concur.",
        "type": "majority",
        "author": "JUSTICE STAMOS"
      }
    ],
    "attorneys": [
      "James J. Doherty, Public Defender, of Chicago (Marilyn Martin, Assistant Public Defender, of counsel), for appellant.",
      "Richard M. Daley, State\u2019s Attorney, of Chicago (Michael E. Shabat, David A. Cuomo, and Thomas D. Bilyk, Assistant State\u2019s Attorneys, of counsel), for the People."
    ],
    "corrections": "",
    "head_matter": "THE PEOPLE OF THE STATE OF ILLINOIS, Petitioner-Appellee, v. ELOY SANCHEZ, Respondent-Appellant.\nFirst District (2nd Division)\nNo. 83-400\nOpinion filed August 7, 1984.\nRehearing denied September 5, 1984.\nJames J. Doherty, Public Defender, of Chicago (Marilyn Martin, Assistant Public Defender, of counsel), for appellant.\nRichard M. Daley, State\u2019s Attorney, of Chicago (Michael E. Shabat, David A. Cuomo, and Thomas D. Bilyk, Assistant State\u2019s Attorneys, of counsel), for the People."
  },
  "file_name": "0746-01",
  "first_page_order": 768,
  "last_page_order": 774
}
