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322 Or. App. 760

State v. C. J.

Court of Appeals of Oregon

Decided November 23, 2022

Court of Appeals of Oregon · decided 2022-11-23

Applies OR 426 § 426.005 · OR 426 § 426.130

Affirmed · Decided 2022-11-23

                                       760

                 Submitted June 1, affirmed November 23, 2022


                      In the Matter of C. J.,
             a Person Alleged to have Mental Illness.
                      STATE OF OREGON,
                           Respondent,
                                v.
                              C. J.,
                            Appellant.
                Clackamas County Circuit Court
                      21CC05044; A176929
                                   
522 P3d 540

    Appellant contests an order committing her to the Oregon Health Authority
based on a finding that she had a mental disorder and constituted a danger to
herself and to others. Appellant argues that the evidence was not legally sufficient to support that determination. Held: The trial court found that appellant
had homicidal ideations toward a specific person, took specific actions toward
that person—including driving to that person’s home while in possession of a
wood-splitting maul and pepper spray—and also researched bomb making materials and methods. Each of those actions took place after appellant was receiving
intensive outpatient mental health care following a previous hospitalization for
suicidal ideations. In the context of this case, the trial court did not err by concluding that absent commitment, appellant was highly likely to engage in future
acts of violence.
    Affirmed.



    Thomas J. Rastetter, Judge.
   Joseph R. DeBin and Multnomah Defenders, Inc., filed
the brief for appellant.
   Ellen F. Rosenblum, Attorney General, Benjamin Gutman,
Solicitor General, and Rebecca M. Auten, Assistant Attorney
General, filed the brief for respondent.
  Before Shorr, Presiding Judge, and Mooney, Judge, and
Pagán, Judge.
    PAGÁN, J.
    Affirmed.
Cite as 
322 Or App 760
 (2022)                                            761

          PAGÁN, J.
         Appellant seeks reversal of an order involuntarily
committing her to the Oregon Health Authority for a period
of not more than 180 days, arguing that the evidence was
not legally sufficient to establish that she had a mental disorder that caused her to be a danger to herself or to others.
ORS 426.130(1)(a)(C); ORS 426.005(1)(f)(A). We conclude
that there was legally sufficient evidence to support the
trial court’s conclusion that appellant was a danger to others within the meaning of ORS 426.005(1)(f)(A); we therefore need not reach the question of whether the evidence was
also sufficient to support the court’s determination that she
was a danger to herself. We affirm.
         In an appeal from an involuntary commitment
order, we view the evidence and draw permissible inferences in favor of the trial court’s disposition, and determine
whether the record was legally sufficient to permit the outcome.1 State v. S. E., 
313 Or App 678, 679
, 
496 P3d 1140
(2021). We state the facts in accordance with that standard.
         Appellant had been diagnosed with major depression and post-traumatic stress disorder (PTSD) and had
been involved with “intensive outpatient” mental health
care. During an interview shortly before the commitment
hearing, the county mental health investigator observed
symptoms including “rapid and pressured speech, increased
goal-directed activity, increased energy, decreased need
for sleep, some paranoia, [and] potentially some delusional
thought content that remains to be verified.” The symptoms
started between four and six months before the hearing and
“have kind of continually progressed since then.”
        In the days before the commitment hearing, appellant drove to what she believed was the home of a prominent
conservative internet journalist. Appellant located the home
during some internet research and drove to the home with
a wood-splitting maul and pepper spray. Appellant knocked
on the door of the home and when no one answered the door,
    1
      Neither party requested de novo review of the record and this is not the
type of exceptional case where we would exercise our discretion to conduct a
de novo review. ORAP 5.40(8)(c).
762                                              State v. C. J.

she left. During interviews with the county mental health
investigator, appellant minimized the danger of confronting
the journalist—an individual she believes to incite violence
in the Portland area—despite her slight stature and wrist
injury. Although appellant characterized going to the journalist’s home as “more of a fantasy,” one of the psychiatrists
who interviewed appellant noted that “when a fantasy has
been stretched to the point where you’re physically showing
up at someone’s door is incredibly concerning.”
         In addition to the incident with the maul and pepper spray, there have been “several mentions of suicidal ideation, including a prior hospitalization [a few months prior]
for suicidal ideation.” In the time before the hearing, appellant expressed “significant hopelessness” and feelings “typically associated with suicidal ideation or at least a desire to
be dead, which is seen as a precursor.” Entries in appellant’s
medical record, recounted through the investigator and a
psychiatrist, referenced “going out in a blaze of glory” and
that appellant had said “Listen, if I’m going to kill myself,
I’m going to take a bad person out with me.” One psychiatrist noted, “[i]t would be different if this was all hypothetical and she wasn’t actually gathering items, gathering an
axe, gathering Mace, and physically showing up on somebody’s door. That’s next level stuff.” That psychiatrist also
thought that “[appellant is] just as angry as she was when
she was engaged in these activities initially.”
         The investigator and a psychiatrist also explained
references in appellant’s medical records to her “researching bomb making” that were “associated with threats made
specifically toward different political figures.” That conduct
included “writing down items that [appellant] would need to
construct a bomb,” but appellant minimized that as related
to her interests as a science teacher.
        Finally, although neither the county mental health
investigator nor the interviewing psychiatrist was sure that
appellant would carry out the plan to attack the journalist,
both were concerned that absent intervention, the likelihood
appellant would attempt to harm others was “concerning.”
Both also expressed concern that the journalist episode happened while appellant was on the “highest level of outpatient
Cite as 
322 Or App 760
 (2022)                                763

treatment available.” The county investigator noted that
there had been some “significant difficulties” with appellant taking the prescribed medications, but the psychiatrist
remarked that appellant had been “cooperative with medications during the course of the [present] hospitalization.”
         Appellant testified on her own behalf and explained
that she only had a “visualization” to “put pepper spray on
the doorknob” but that she did not follow through with that
visualization and instead went to an appointment with her
clinical psychologist. Appellant did not think that hospitalization would happen as a result of going to the journalist’s
home, and now knowing that, she would “absolutely not” do
that again.
         Ultimately, the trial court concluded that appellant
suffered from a mental disorder and that she was a danger
to both herself and to others. The court noted that appellant
was already on intensive outpatient treatment when she
went to the journalist’s home and researched bomb making.
         On appeal, appellant contends that the record lacks
sufficient evidence that due to a mental health condition
that she was a danger to herself or others. According to
appellant, because she had not taken any suicidal actions,
lacked a history of any actual violent behavior, and was
cooperative during her hospitalization before the hearing,
the court’s findings were erroneous.
         In Oregon, a person may not be involuntarily committed unless the trial court finds by clear and convincing
evidence that the person is a “person with mental illness,”
and that institutional treatment is in the best interest of the
person. ORS 426.130(1)(a)(C). A “person with mental illness”
is someone who suffers from a “mental disorder” and that as
a result of that disorder, is a danger to self or others. ORS
426.005(1)(f)(A). A person is a danger to others if their
   “mental disorder makes [them] highly likely to engage in
   future violence toward others, absent commitment. That
   determination is based on the person’s condition at the time
   of the hearing as understood in the context of [their] history. Further, conclusions about appellant’s dangerousness
   based on conjecture are not enough; actual future violence
   must be highly likely. Evidence of past violent acts must
764                                              State v. C. J.

   provide a foundation to predict future dangerousness, not
   merely describe past isolated incidents.”

         State v. S. E., 
313 Or App at 682
. In view of the
clear-and-convincing-evidence standard of proof that applies
in civil commitment proceedings, the question for us as
the reviewing court is whether a rational factfinder could
have found that it was highly probable that appellant was
a danger to others because of a mental disorder. 
Id. at 683
.
Viewing the record in the light most favorable to the trial
court’s determination, we conclude that the record contains
legally sufficient evidence to support the determination that
appellant was dangerous to others.

         Appellant had homicidal ideations toward the journalist, researched the apparent location of his home, and
then went to his home with a maul and pepper spray. There
was also evidence in the record that appellant researched
bomb making and recorded a list of required materials in
connection with her statements about various political figures. Appellant “still [had] a tremendous amount of anger
within her,” and the anger was the same as when the dangerous conduct started. And during the “incredibly concerning” episode—going to the journalist’s home with a maul
and pepper spray—appellant was already on “intensive outpatient” mental health care.

          Appellant’s mental illness symptoms progressively
increased in the months leading up to the time of the hearing. Shortly before the hearing, appellant took affirmative
steps to locate and physically go to the journalist’s home,
armed with a maul and pepper spray. She did not actually
harm the journalist because he did not answer the door
when she knocked. That sequence of behavior in the context
of appellant’s increasing symptoms of depression and PTSD,
and her reluctance to take her prescribed psychiatric medications on an outpatient basis, is clear evidence that she
was highly likely to engage in future violence toward others
if not involuntarily committed. Therefore, the trial court did
not err in committing appellant based on a determination
that she was a danger to others within the meaning of ORS
426.005(1)(f)(A).
Cite as 
322 Or App 760
 (2022)                              765

         In arguing for reversal of the order, appellant
characterizes the conduct as “delusional,” but without the
required nexus to “actual harm to others” required to support a commitment order under ORS 426.005 and ORS
426.130. Although the record does not contain evidence of
actual acts of violence toward others, specific acts of violence
are not required to establish dangerousness. State v. C. L.,
313 Or App 539, 542
, 
495 P3d 748
 (2021). As we explained
in State v. B. P., 
229 Or App 487, 493
, 
211 P3d 975
 (2009)
(citations omitted), threats of future violence “accompanied
by some overt act indicating intent to follow through on the
threat[s], or  made under unusual circumstances that
make actual future violence highly likely” can constitute
clear and convincing evidence of dangerousness. When such
circumstances exist, as they did here, a trial court is not
required to “wait until appellant actually harm[s] someone
before finding [them] a danger to others.” State v. K. S., 
223 Or App 476, 486
, 
196 P3d 30
 (2008).
        Because we conclude that the trial court correctly
found that appellant was a danger to others, appellant’s
argument regarding the trial court’s finding that she was
a danger to herself under ORS 426.005(1)(f)(A) would not
change the outcome of this appeal.
        Affirmed.

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