O'Connor v. Donaldson
O'Connor v. Donaldson
Concurring Opinion
concurring.
Although I join the Court’s opinion and judgment in this case, it seems to me that several factors merit more emphasis than it gives them. I therefore add the following remarks.
I
With respect to the remand to the Court of Appeals on the issue of official immunity from liability for monetary damages,
Perhaps more important to the issue of immunity is a factor referred to only obliquely in the Court’s opinion. On numerous occasions during the period of his confinement Donaldson unsuccessfully sought release in the Florida courts; indeed, the last of these proceedings was terminated only a few months prior to the bringing of this action. See 234 So. 2d 114 (1969), cert, denied, 400 U. S. 869 (1970). Whatever the reasons for the state courts’ repeated denials of relief, and regardless of whether they correctly resolved the issue tendered to them, petitioner and the other members of the medical staff at Florida State Hospital would surely have been justified in considering each such judicial decision as an approval of continued confinement and an independent intervening reason for continuing Donaldson’s custody. Thus, this fact is inescapably related to the issue of immunity and must be considered by the Court of Appeals on remand and, if a new trial on this issue is ordered, by the District Court.
As the Court points out, ante, at 570 n. 6, the District Court instructed the jury in part that “a person who is involuntarily civilly committed to a mental hospital does have a constitutional right to receive such treatment as will give him a realistic opportunity to he cured” (emphasis added), and the Court of Appeals unequivocally approved this phrase, standing alone, as a correct statement of the law. 493 F. 2d 507, 520 (CA5 1974). The Court’s opinion plainly gives no approval to that holding and makes clear that it binds neither the parties to this case nor the courts of the Fifth Circuit. See ante, at 577-578, n. 12. Moreover, in light of its importance for future litigation in this area, it should be emphasized that the Court of Appeals’ analysis has no basis in the decisions of this Court.
A
There can be no doubt that involuntary commitment to a mental hospital, like involuntary confinement of an individual for any reason, is a deprivation of liberty which the State cannot accomplish without due process of law. Specht v. Patterson, 386 U. S. 605, 608 (1967). Cf. In re Gault, 387 U. S. 1, 12-13 (1967). Commitment must be justified on the basis of a legitimate state interest, and the reasons for committing a particular individual must be established in an appropriate proceeding. Equally important, confinement must cease when those reasons no longer exist. See McNeil v. Director, Patuxent Institution, 407 U. S. 245, 249-250 (1972); Jackson v. Indiana, 406 IT. S. 715, 738 (1972).
The Court of Appeals purported to be applying these principles in developing the first of its theories support
''[W]here, as in Donaldson’s case, the rationale for confinement is the ‘parens patriae’ rationale that the patient is in need of treatment, the due process clause requires that minimally adequate treatment be in fact provided. . . . 'To deprive any citizen of his or her liberty upon the altruistic theory that the confinement is for humane therapeutic reasons and then fail to provide adequate treatment violates the very fundamentals of due process.’ ” 493 F. 2d, at 521.
The Court of Appeals did not explain its conclusion that the rationale for respondent’s commitment was that he needed treatment. The Florida statutes in effect during the period of his confinement did not require that a person who had been adjudicated incompetent and ordered committed either be provided with psychiatric treatment or released, and there was no such condition in respondent’s order of commitment. Cf. Rouse v. Cameron, 125 U. S. App. D. C. 366, 373 F. 2d 451 (1967). More important, the instructions which the Court of Appeals read as establishing an absolute constitutional right to treatment did not require the jury to make any findings regarding the specific reasons for respondent’s confinement or to focus upon any rights he may have had under state law. Thus, the premise of the Court of Appeals’ first theory must have been that, at least with respect to persons who are not physically dangerous, a State has no power to confine the mentally ill except for the purpose of providing them with treatment.
That proposition is surely not descriptive of the power traditionally exercised by the States in this area.
As the trend toward state care of the mentally ill expanded, eventually leading to the present statutory schemes for protecting such persons, the dual functions of institutionalization continued to be recognized. While one of the goals of this movement was to provide medical treatment to those who could benefit from it, it was acknowledged that this could not be done in all cases and that there was a large range of mental illness for which no known “cure” existed. In time, providing places for the custodial confinement of the so-called “dependent insane” again emerged as the major goal of the States’ programs in this area and remained so well into this century. See id., at 228-271; D. Rothman, The Discovery of the Asylum 264-295 (1971).
In short, the idea that States may not confine the mentally ill except for the purpose of providing them with treatment is of very recent origin,
Of course, an inevitable consequence of exercising the parens patriae power is that the ward’s personal freedom will be substantially restrained, whether a guardian is appointed to control his property, he is placed in the custody of a private third party, or committed to an institution. Thus, however the power is implemented, due process requires that it not be invoked indiscriminately. At a minimum, a particular scheme for protection of the mentally ill must rest upon a legislative determination that it is compatible with the best interests of the affected class and that its members are unable to act for themselves. Cf. Mormon Church v. United States, supra. Moreover, the use of alternative forms of protection may be motivated by different considerations, and the justifications for one may not be invoked to rationalize another. Cf. Jackson v. Indiana, 406 U. S., at 737-738. See also American Bar Foundation, The Mentally Disabled and the Law 254-255 (S. Brakel & R. Rock ed. 1971).
However, the existence of some due process limitations on the parens patriae power does not justify the further conclusion that it may be exercised to confine a mentally
B
Alternatively, it has been argued that, a Fourteenth Amendment right to treatment for involuntarily confined mental patients derives from the fact that many of the safeguards of the criminal process are not present in civil commitment. The Court of Appeals described this theory as follows:
a[A] due process right to treatment is based on the principle that when the three central limitations on the government's power to detain- — that detention be in retribution for a specific offense; that it be limited to a fixed term; and that it be permitted after a proceeding where the fundamental procedural safeguards are observed — are absent, there must be a quid pro quo extended by the government to justify confinement. And the quid pro quo most commonly recognized is the provision of rehabilitative treatment.” 493 F. 2d, at 522.
To the extent that this theory may be read to permit a State to confine an individual simply because it is willing to provide treatment, regardless of the subject's ability to function in society, it raises the gravest of constitutional problems, and I have no doubt the Court of Appeals would agree on this score. As a justification for a constitutional right to such treatment, the quid pro quo theory suffers from equally serious defects.
It is too well established to require extended discussion that due process is not an inflexible concept. Rather, its requirements are determined in particular instances by identifying and accommodating the inter
The quid pro quo theory is a sharp departure from, and cannot coexist with, due process principles. As an initial matter, the theory presupposes that essentially the same interests are involved in every situation where a State seeks to confine an individual; that assumption, however, is incorrect. It is elementary that the justification for the criminal process and the unique deprivation of liberty which it can impose requires that it be invoked only for commission of a specific offense prohibited by legislative enactment. See Powell v. Texas, 392 U. S. 514, 541-544 (1968) (opinion of Black, J.).
C
In sum, I cannot accept the reasoning of the Court of Appeals and can discern no basis for equating an involuntarily committed mental patient’s unquestioned constitutional right not to be confined without due proc
I have difficulty understanding how the issue of immunity can be resolved on this record and hence it is very likely a new trial on this issue may be required; if that is the case I would hope these sensitive and important issues would have the benefit of more effective presentation and articulation on behalf of petitioner.
The Court’s reference to “milieu therapy,” ante, at 569, may be construed as disparaging that concept. True, it is capable of being used simply to cloak official indifference, but the reality is that some mental abnormalities respond to no known treatment. Also, some mental patients respond, as do persons suffering from a variety of physiological ailments, to what is loosely called “milieu treatment,” i. e., keeping them comfortable, well nourished, and in a protected environment. It is not for us to say in the baffling field of psychiatry that “milieu therapy” is always a pretense.
That petitioner’s counsel failed to raise this issue is not a reason
See Editorial, A New Right, 46 A. B. A. J. 516 (1960).
Indeed, there is considerable debate concerning the threshold questions of what constitutes “mental disease” and “treatment.” See Szasz, The Right to Health, 57 Geo. L. J. 734 (1969).
Indeed, respondent may have shared both of these characteristics. His illness, paranoid schizophrenia, is notoriously unsusceptible to treatment, see Livermore, Malmquist, & Meehl, On the Justifications for Civil Commitment, 117 U. Pa. L. Rev. 75, 93, and n. 52 (1968), and the reports of the Florida State Hospital staff which were introduced into evidence expressed the view that he was unwilling to acknowledge his illness and was generally uncooperative.
This is not to imply that I accept all of the Court of Appeals’ conclusions regarding the limitations upon the States’ power to detain persons who commit crimes. For example, the notion that confinement must be “for a fixed term” is difficult to square with the widespread practice of indeterminate sentencing, at least where the upper limit is a life sentence.
Even advocates of a right to treatment have criticized the quid pro quo theory on this ground. E. g., Developments in the Law— Civil Commitment of the Mentally 111, 87 Harv. L. Rev. 1190, 1325 n. 39 (1974).
It should be pointed out that several issues which the Court has touched upon in other contexts are not involved here. As the Court’s opinion makes plain, this is not a case of a person’s seeking release because he has been confined “without ever obtaining a judicial determination that such confinement is warranted.” McNeil v. Director, Patuxent Institution, 407 U. S. 245, 249 (1972). Although respondent’s amended complaint alleged that his 1956 hearing before the Pinellas County Court was procedurally defective and ignored various factors relating to the necessity for commitment, the persons to whom those allegations applied were either not served with process or dismissed by the District Court prior to trial. Respondent has not sought review of the latter rulings, and this case does not involve the rights of a person in an initial competency or commitment proceeding. Cf. Jackson v. Indiana, 406 U. S. 715, 738 (1972); Specht v. Patterson, 386 U. S. 605 (1967); Minnesota ex rel. Pearson v. Probate Court, 309 U. S. 270 (1940).
Further, it was not alleged that respondent was singled out for discriminatory treatment by the staff of Florida State Hospital or that patients at that institution were denied privileges generally available to other persons under commitment in Florida. Thus, the question whether different bases for commitment justify differences in conditions of confinement is not involved in this litigation. Cf. Jackson v. Indiana, supra, at 723-730; Baxstrom v. Herold, 383 U. S. 107 (1966).
Finally, there was no evidence whatever that respondent was abused or mistreated at Florida State Hospital or that the failure to provide him with treatment aggravated his condition. There was testimony regarding the general quality of life at the hospital, but the jury was not asked to consider whether respondent’s confinement was in effect “punishment” for being mentally ill. The record provides no basis for concluding, therefore, that respondent was denied rights secured by the Eighth and Fourteenth Amendments. Cf. Robinson v. California, 370 U. S. 660 (1962).
Opinion of the Court
delivered the opinion of the Court.
The respondent, Kenneth Donaldson, was civilly committed to confinement as a mental patient in the Florida State Hospital at Chattahoochee in January 1957. He was kept in custody there against his will for nearly 15 years. The petitioner, Dr. J. B. O’Connor, was the hospital’s superintendent during most of this period.
I
Donaldson’s commitment was initiated by his father, who thought that his son was suffering from “delusions.” After hearings before a county judge of Pinellas County, Fla., Donaldson was found to be suffering from “paranoid schizophrenia” and was committed for “care, main
The evidence sit the trial showed that the hospital staff had the power to release a patient, not dangerous to himself or others, even if he remained mentally ill and had been lawfully committed.
The testimony at the trial demonstrated, without contradiction, that Donaldson had posed no danger to others during his long confinement, or indeed at any point in his life. O’Connor himself conceded that he had no personal or secondhand knowledge that Donaldson had ever committed a dangerous act. There was no evidence that Donaldson had ever been suicidal or been thought likely to inflict injury upon himself. One of O’Connor’s codefendants acknowledged that Donaldson could have earned his own living outside the hospital. He had done so for some 14 years before his commitment, and immediately upon his release he secured a responsible job in hotel administration.
Furthermore, Donaldson’s frequent requests for release had been supported by responsible persons willing to provide him any care he might need on release. In 1963, for example, a representative of Helping Hands, Inc., a halfway house for mental patients, wrote O’Connor asking him to release Donaldson to its care. The request was accompanied by a supporting letter from the Minneapolis Clinic of Psychiatry and Neurology, which a codefendant conceded was a “good clinic.” O’Connor rejected the offer, replying that Donaldson could be released only to his parents. That rule was apparently of O’Connor’s own making. At the time, Donaldson was 55 years old, and, as O’Connor knew, Donaldson’s parents
The evidence showed that Donaldson’s confinement was a simple regime of enforced custodial care, not a program designed to alleviate or cure his supposed illness. Numerous witnesses, including one of O’Connor’s codefendants, testified that Donaldson had received nothing but custodial care while at the hospital. O’Connor described Donaldson’s treatment as “milieu therapy.” But witnesses from the hospital staff conceded that, in the context of this case, “milieu therapy” was a euphemism for confinement in the “milieu” of a mental hospital.
At the trial, O’Connor’s principal defense was that he had acted in good faith and was therefore immune from any liability for monetary damages. His position, in short, was that state law, which he had believed valid,
The trial judge instructed the members of the jury that they should find that O’Connor had violated Donaldson’s constitutional right to liberty if they found that he had
“confined [Donaldson] against his will, knowing that he was not mentally ill or dangerous or knowing that if mentally ill he was not receiving treatment for his alleged mental illness.
“Now, the purpose of involuntary hospitalization is treatment and not mere custodial care or punishment if a patient is not a danger to himself or others. Without such treatment there is no justification from a constitutional stand-point for continued confinement unless you should also find that [Donaldson] was dangerous to either himself or others.”6
“reasonably believed in good faith that detention of*572 [Donaldson] was proper for the length of time he was so confined ....
“However, mere good intentions which do not give rise to a reasonable belief that detention is lawfully required cannot justify [Donaldson’s] confinement in the Florida State Hospital.”
The jury returned a verdict for Donaldson against O’Connor and a codefendant, and awarded damages of $38,500, including $10,000 in punitive damages.
The Court of Appeals affirmed the judgment of the District Court in a broad opinion dealing with “the far-reaching question whether the Fourteenth Amendment guarantees a right to treatment to persons involuntarily civilly committed to state mental hospitals.” 493 F. 2d, at 509. The appellate court held that when, as in Donaldson’s case, the rationale for confinement is that the patient is in need of treatment, the Constitution requires that minimally adequate treatment in fact be provided. Id., at 521. The court further expressed the view that, regardless of the grounds for involuntary civil commitment, a person confined against his will at a state mental institution has “a constitutional right to receive such individual treatment as will give him a reasonable opportunity to be cured or to improve his mental condition.” Id., at 520. Conversely, the court’s opinion implied that it is constitutionally permissible for a State to confine a mentally ill person against his will in order to treat his illness, regardless of whether his illness ren
II
We have concluded that the difficult issues of constitutional law dealt with by the Court of Appeals are not presented by this case in its present posture. Specifically, there is no reason now to decide whether mentally ill persons dangerous to themselves or to others have a right to treatment upon compulsory confinement by the State, or whether the State may compulsorily confine a nondangerous, mentally ill individual for the purpose of treatment. As we view it, this case raises a single, relatively simple, but nonetheless important question concerning every man’s constitutional right to liberty.
The jury found that Donaldson was neither dangerous to himself nor dangerous to others, and also found that, if mentally ill, Donaldson had not received treatment.
Given the jury’s findings, what was left as justification for keeping Donaldson in continued confinement? The fact that state law may have authorized confinement of the harmless mentally ill does not itself establish a constitutionally adequate purpose for the confinement. See Jackson v. Indiana, supra, at 720-723; McNeil v. Director, Patuxent Institution, 407 U. S. 245, 248-250. Nor is it enough that Donaldson’s original confinement was
A finding of “mental illness” alone cannot justify a State’s locking a person up against his will and keeping him indefinitely in simple custodial confinement. Assuming that that term can be given a reasonably precise content and that the “mentally ill” can be identified with reasonable accuracy, there is still no constitutional basis for confining such persons involuntarily if they are dangerous to no one and can live safely in freedom.
May the State confine the mentally ill merely to ensure them a living standard superior to that they enjoy in the private community? That the State has a proper interest in providing care and assistance to the unfortunate goes without saying. But the mere presence of mental illness does not disqualify a person from preferring his home to the comforts of an institution. Moreover, while the State may arguably confine a person to save him from harm, incarceration is rarely if ever a necessary condition for raising the living standards of those capable of surviving safely in freedom, on their own or with the help of family or friends. See Shelton v. Tucker, 364 U. S. 479, 488-490.
May the State fence in the harmless mentally ill solely to save its citizens from exposure to those whose ways are different? One might as well ask if the State, to avoid public unease, could incarcerate all who are physically unattractive or socially eccentric. Mere public intolerance or animosity cannot constitutionally justify the deprivation of a person’s physical liberty. See, e. g., Cohen v. California, 403 U. S. 15, 24-26; Coates v. City of
In short, a State cannot constitutionally confine without more a nondangerous individual who is capable of surviving safely in freedom by himself or with the help of willing and responsible family members or friends. Since the jury found, upon ample evidence, that O’Con-nor, as an agent of the State, knowingly did so confine Donaldson, it properly concluded that O’Connor violated Donaldson’s constitutional right to freedom.
Ill
O’Connor contends that in any event he should not be held personally liable for monetary damages because his decisions were made in “good faith.” Specifically, O’Connor argues that he was acting pursuant to state law which, he believed, authorized confinement of the mentally ill even when their release would not compromise their safety or constitute a danger to others, and that he could not reasonably have been expected to know that the state law as he understood it was constitutionally invalid. A proposed instruction to this effect was rejected by the District Court.
The District Court did instruct the jury, without objection, that monetary damages could not be assessed against O’Connor if he had believed reasonably and in good faith that Donaldson’s continued confinement was
Under that decision, the relevant question for the jury is whether O’Connor “knew or reasonably should have known that the action he took within his sphere of official responsibility would violate the constitutional rights of [Donaldson], or if he took the action with the malicious intention to cause a deprivation of constitutional rights or other injury to [Donaldson].” Id., at 322. See also Scheuer v. Rhodes, 416 U. S. 232, 247-248; Wood v. Strickland, supra, at 330 (opinion of Powell, J.). For purposes of this question, an official has, of course, no duty to anticipate unforeseeable constitutional developments. Wood v. Strickland, supra, at 322.
Accordingly, we vacate the judgment of the Court of Appeals and remand the case to enable that court to consider, in light of Wood v. Strickland, whether the District Judge’s failure to instruct with regard to the effect of O’Connor’s claimed reliance on state law rendered inadequate the instructions as to O’Connor’s liability for compensatory and punitive damages.
It is so ordered.
Donaldson’s original complaint was filed as a class action on behalf of himself and all of his fellow patients in an entire department of the Florida State Hospital at Chattahoochee. In addition to a damages claim, Donaldson’s complaint also asked for habeas corpus relief ordering his release, as well as the release of all members of the class. Donaldson further sought declaratory and injunctive relief requiring the hospital to provide adequate psychiatric treatment.
After Donaldson’s release and after the District Court dismissed the action as a class suit, Donaldson filed an amended complaint, repeating his claim for compensatory and punitive damages. Although the amended complaint retained the prayer for declaratory and injunctive relief, that request was eliminated from the case prior to trial. See 493 F. 2d 507, 512-513.
The judicial commitment proceedings were pursuant to § 394.22 (11) of the State Public Health Code, which provided:
“Whenever any person who has been adjudged mentally incompetent requires confinement or restraint to prevent self-injury or violence to others, the said judge shall direct that such person be forthwith delivered to a superintendent of a Florida state hospital, for the mentally ill, after admission has been authorized under regulations approved by the board of commissioners of state institutions, for care, maintenance, and treatment, as provided in sections 394.09, 394.24, 394.25, 394.26 and 394.27, or make such other disposition of him as he may be permitted by law Fla. Laws 1955— 1956 Extra. Sess., c. 31403, § 1, p. 62.
Donaldson had been adjudged “incompetent” several days earlier under §394.22 (1), which provided for such a finding as to any person who was
“incompetent by reason of mental illness, sickness, drunkenness, excessive use of drugs, insanity, or other mental or physical condition, so that he is incapable of caring for himself or managing his property, or is likely to dissipate or lose his property or become the victim of designing persons, or inflict harm on himself or others Fla. Gen. Laws 1955, c. 29909, § 3, p. 831.
It would appear that § 394.22 (11) (a) contemplated that involuntary commitment would be imposed only on those “incompetent” persons who “require [d] confinement or restraint to prevent self-injury or violence to others.” But this is not certain, for § 394.22 (11) (c) provided that the judge could adjudicate the person a “harmless incompetent” and release him to a guardian upon a finding that he did “not require confinement or restraint to prevent self-injury or violence to others and that treatment in the Florida State Hospital is unnecessary or would be without benefit to such person Fla. Gen. Laws 1955, c. 29909, § 3, p. 835 (emphasis added). In this regard, it is noteworthy that Donaldson’s “Order for Delivery of Mentally Incompetent” to the Florida State Hospital provided that he required “confinement or restraint to prevent self-injury or violence to others, or to insure proper treatment.” (Emphasis added.) At any rate, the Florida commitment statute provided no judicial procedure whereby one still incompetent could
Whether the Florida statute provided a “right to treatment” for involuntarily committed patients is also open to dispute. Under §394.22 (11) (a), commitment “to prevent self-injury or violence to others” was “for care, maintenance, and treatment.” Recently Florida has totally revamped its civil commitment law and now provides a statutory right to receive individual medical treatment. Fla. Stat. Ann. § 394.459 (1973).
The sole statutory procedure for release required a judicial reinstatement of a patient’s “mental competency.” Public Health Code §§ 394.22 (15) and (16), Fla. Gen. Laws 1955, c. 29909, § 3, pp. 838-841. But this procedure could be initiated by the hospital staff. Indeed, it was at the staff’s initiative that Donaldson was finally restored to competency, and liberty, almost immediately after O’Connor retired from the superintendency.
In addition, witnesses testified that the hospital had always had its own procedure for releasing patients — for “trial visits,” “home visits,” “furloughs,” or “out of state discharges” — even though the patients had not been judicially restored to competency. Those conditional releases often became permanent, and the hospital merely closed its books on the patient. O’Connor did not deny at trial that he had the power to release patients; he conceded that it was his “duty” as superintendent of the hospital “to determine whether that patient having once reached the hospital was in such condition as to request that he be considered for release from the hospital.”
There was some evidence that Donaldson, who is a Christian Scientist, on occasion refused to take medication. The trial judge instructed the jury not to award damages for any period of confinement during which Donaldson had declined treatment.
At the close of Donaldson’s case in chief, O’Connor moved for a directed verdict on the ground that state law at the time of Donaldson’s confinement authorized institutionalization of the mentally ill even if they posed no danger to themselves or others. This motion was denied. At the close of all the evidence, O’Connor asked that the jury be instructed that "if defendants acted pursuant to a statute which was not declared unconstitutional at the time, they cannot be held accountable for such action.” The District Court declined to give this requested instruction.
The District Court defined treatment as follows:
“You are instructed that a person who is involuntarily civilly committed to a mental hospital does have a constitutional right to receive such treatment as will give him a realistic opportunity to be cured or to improve his mental condition.” (Emphasis added.)
O’Connor argues that this statement suggests that a mental patient has a right to treatment even if confined by reason of dangerousness to himself or others. But this is to take the above paragraph out of context, for it is bracketed by paragraphs making clear the trial
In pertinent part, the instructions read as follows:
“The Plaintiff claims in brief that throughout the period of his hospitalization he was not mentally ill or dangerous to himself or others, and claims further that if he was mentally ill, or if Defendants believed he was mentally ill, Defendants withheld from him the treatment necessary to improve his mental condition. '
“The Defendants claim, in brief, that Plaintiff’s detention was legal and proper, or if his detention was not legal and proper, it was the result of mistake, without malicious intent.
“In order to prove his claim under the Civil Rights Act, the burden is upon the Plaintiff in this case to establish by a preponderance of the evidence in this case the following facts:
“That the Defendants confined Plaintiff against his will, knowing that he was not mentally ill or dangerous or knowing that if mentally ill he was not receiving treatment for his alleged mental illness.
“[T]hat the Defendants’ acts and conduct deprived the Plaintiff of his Federal Constitutional right not to be denied or deprived of his liberty without due process of law as that phrase is defined and explained in these instructions ....
“You are instructed that a person who is involuntarily civilly committed to a mental hospital does have a constitutional right to receive such treatment as will give him a realistic opportunity to be cured or to improve his mental condition.
“Now, the purpose of involuntary hospitalization is treatment and not mere custodial care or punishment if a patient is not a danger to himself or others. Without such treatment there is no justifica*572 tion from a constitutional stand-point for continued confinement unless you should also find that the Plaintiff was dangerous either to himself or others.”
The trial judge had instructed that punitive damages should be awarded only if “the act or omission of the Defendant or Defendants which proximately caused injury to the Plaintiff was maliciously or wantonly or oppressively done.”
Given the jury instructions, see n. 6 supra, it is possible that the jury went so far as to find that O’Connor knew not only that Donaldson was harmless to himself and others but also that he was not mentally ill at all. If it so found, the jury was permitted by the instructions to rule against O’Connor regardless of the nature of the “treatment” provided. If we were to construe the jury’s verdict in that fashion, there would remain no substantial issue in this case: That a wholly sane and innocent person has a constitutional right not to be physically confined by the State when his freedom will pose a danger neither to himself nor to others cannot be seriously doubted.
The judge’s instructions used the phrase “dangerous to himself.” Of course, even if there is no foreseeable risk of self-injury or suicide, a person is literally “dangerous to himself” if for physical or other reasons he is helpless to avoid the hazards of freedom either through his own efforts or with the aid of willing family members or friends. While it might be argued that the judge’s instructions could have been more detailed on this point, O’Connor raised no objection to them, presumably because the evidence clearly showed that Donaldson was not “dangerous to himself” however broadly that phrase might be defined.
O’Connor argues that, despite the jury’s verdict, the Court must assume that Donaldson was receiving treatment sufficient to justify his confinement, because the adequacy of treatment is a “nonjusticiable” question that must be left to the discretion of the psychiatric profession. That argument is unpersuasive. Where “treatment” is the sole asserted ground for depriving a person of liberty, it is plainly unacceptable to suggest that the courts are powerless to determine whether the asserted ground is present. See Jackson v. Indiana, 406 U. S. 715. Neither party objected to the jury instruction defining treatment. There is, accordingly, no occasion in this case to decide whether the provision of treatment, standing alone, can ever constitutionally justify involuntary confinement or, if it can, how much or what kind of treatment would suffice for that purpose. In its present posture this case involves not involuntary treatment but simply involuntary custodial confinement.
See n. 5, supra. During his years of confinement, Donaldson unsuccessfully petitioned the state and federal courts for release from the Florida State Hospital on a number of occasions. None of these claims was ever resolved on its merits, and no evidentiary hearings were ever held. O’Connor has not contended that he relied on these unsuccessful court actions as an independent intervening reason for continuing Donaldson’s confinement, and no instructions on this score were requested.
Upon remand, the Court of Appeals is to consider only the question whether O’Connor is to be held liable for monetary damages for violating Donaldson’s constitutional right to liberty. The
Of necessity our decision vacating the judgment of the Court of Appeals deprives that court’s opinion of precedential effect, leaving this Court’s opinion and judgment as the sole law of the case. See United States v. Munsingwear, 340 U. S. 36.
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