Client A v. Yoshinaka
Client A v. Yoshinaka
Opinion of the Court
¶1 On behalf of Washington’s Examining Board of Psychology, the state Department of Health initiated an investigation against psychologist Dr. T after receiving a complaint from the mother of one of Dr. T’s clients. To further its investigation, the Department requested Dr. T’s treatment records for the complainant’s son and her son’s wife, asserting that Washington’s Uniform Health Care Information Act, chapter 70.02 RCW, and Uniform Disciplinary Act, chapter 18.130 RCW, authorized it to obtain the records. Dr. T and the complainant’s son and daughter-in-law refused to provide the requested records.
¶2 On June 21, 2002, Washington’s Department of Health (Department) received a letter complaining about the professional practices of Dr. T, a psychologist who specializes in group couples’ counseling and who was treating the complainant’s son (Client A) and her son’s wife (Client B) in marital therapy. According to the complaint, Dr. T advised Clients A and B to sever all contacts between them and their families in order to improve their own relationship. As a result, Clients A and B have not communicated with their families for over one year. The complainant expressed concern that Clients A and B were somehow involved in a “ ‘cult situation,’ ” and requested an investigation of Dr. T’s professional practices and record to determine whether he was a legitimate advisor. Several months earlier, in February 2002, the Department had received a similar complaint against Dr. T from a former patient. That complaint was referred for investigation in March.
¶3 In July 2002, the Department notified Dr. T of the June complaint and referred the complaint to Jeffrey Yoshinaka, a Department investigator. Several weeks later, Yoshinaka interviewed the complainant by phone. On August 14, 2002, Yoshinaka mailed a letter of cooperation to Dr. T, notifying him of the complaint, providing a copy of the
¶4 One week after sending the letter of cooperation, Yoshinaka received a telephone call from Dr. T’s attorney, William Bishin, as well as letters from Clients A and B, indicating that the clients opposed disclosing their treatment records. Yoshinaka suggested to Bishin that Dr. T “request his clients to submit a letter re: the complaint, thereby allowing them [to] disclose what they feel comfortable with, and [Dr. T] address their treatment in general, and the underlying theory and principles of his practice.” On September 14, 2002, Yoshinaka received a letter from Bishin, wherein Bishin requested more time to respond to the letter of cooperation and asked for some indication of probable cause to justify the Department’s request for the clients’ records. One week later, Yoshinaka received another letter from Bishin. This one stated that Dr. T would provide general information about his practices but that he would not disclose Clients A and B’s treatment records. Bishin also told Yoshinaka that the investigation was interfering with the clients’ ongoing therapeutic relationship with Dr. T.
¶5 On October 1, 2002, Yoshinaka responded, stating that he had consulted with the Department’s staff attorney and that he was renewing his request for the clients’
The purpose of my request for a detailed response and the treatment records is to provide the Examining Board of Psychology with sufficient information to make a determination regarding the disposition of the complaint. The department recognizes the confidentiality of the documents requested is of paramount importance, and maintains such records in strict accordance with RCW 70.02.020, Disclosure By Health Care Provider.
Two weeks later, on October 15, 2002, Yoshinaka received a letter from Bishin that outlined the general nature of Dr. T’s practice and his professional reasons for occasionally recommending that clients temporarily cease familial communication. The letter also stated that at the beginning of their work with Dr. T, Clients A and B signed written acknowledgements that they did not want Dr. T to keep any treatment records, so there were no treatment records for them. Bishin asserted that Dr. T had therefore fully complied with Yoshinaka’s request for information.
¶6 On November 25, 2002, Yoshinaka submitted his investigation report to the state Examining Board of Psychology (Board). A Board panel recommended additional investigation for both the February and June complaints, and in April 2003, the Department’s supervising investigator sent Dr. T a second letter of cooperation. That letter did not ask for any client records but instead asked about Dr. T’s education and training, the sources supporting Dr. T’s theories, what portion of clients request that no records be kept, and what portion of clients are advised to sever family contact. On June 19, 2003, the additional investigation was completed. In November of that year, the Board panel closed both complaints, and one month later, it advised Dr. T that no violation had been found. It also advised Dr. T that the Board could later reconsider the complaint if it received additional information. Dr. T’s professional license expired in October 2004, and he has not renewed it.
DISCUSSION
¶8 In reviewing a trial court’s decision to grant summary judgment, we consider all facts and reasonable inferences in the light most favorable to the nonmoving party.
¶9 In Washington, psychologists are regulated by the Department.
¶10 Anyone may submit to the Board a written complaint charging a psychologist with unprofessional conduct.
¶11 While investigating a complaint of unprofessional conduct, the Board may access information about the health professional’s patients. Under the Uniform Health
I. Mootness
¶12 As a preliminary matter, the State argues that this case is moot because Dr. T kept no treatment records for Clients A and B, the Board closed the investigation without receiving any records, Dr. T is not the subject of any pending investigation or disciplinary proceeding, and Dr. T’s license has expired and he has not attempted to renew it. A case is moot if a court could no longer provide effective relief,
¶13 We agree that this case is moot, as a court could not now provide effective injunctive or declaratory
II. Violation of Statutory Procedures
¶14 Although Dr. T focused his briefing on his constitutional challenges to RCW 18.130.180(8) and RCW
¶15 In this case, Department employees initiated the investigation against Dr. T without first submitting the complaint to the Board and obtaining a Board merit determination. Rather than seek a determination, from trained professionals, that the complaint merited investigation, the Department demanded access to medical records in clear violation of the statute. The fact that the Board dismissed the case against Dr. T after conducting its own, less-intrusive investigation illustrates the problems with allowing Department employees unfettered access to medical
¶16 The State argues that the Board orally delegated to the Department permission to initiate certain investigations without first obtaining the Board’s authorization. But this oral delegation of statutory power is insufficient. The Board has the authority to adopt rules as necessary,
¶17 We recognize that there may be complaints involving real danger to the public in which the State must have the ability to access information expeditiously. When properly followed, the procedural safeguards provided by the UDA, and the requirement in RCW 70.02.050(2)(a) that providers disclose health records without patient consent only under enumerated circumstances, strike an appropriate balance between adequately allowing the State to obtain pertinent records when needed while preventing it from having unfettered access to health records. First, an investigation should not be conducted, and records should not be obtained, until the Board determines that the complaint merits investigation, consistent with RCW 18.130.080. Second, the Board should obtain only the records that are reasonably related to the violation alleged in the complaint, consistent with RCW 70.02.050(2)(a). And third, the Board must ensure that the privacy of health records obtained in an investigation is protected, as required in RCW 42.17.312, RCW 70.02.050(3), and WAC 246-08-390. Finally, the board has authority to issue sub
¶18 By demaliding mental health records without following the statutory safeguards, the State violated the UDA. We therefore reverse and remand this case for an attorney fee award in Dr. T’s favor.
Coleman and Baker, JJ., concur.
Reconsideration granted and opinion modified September 16, 2005. (’
Because of this lawsuit, the Board assigned pro tempore members to handle the complaints against Dr. T.
Mason v. Kenyon Zero Storage, 71 Wn. App. 5, 8-9, 856 P.2d 410 (1993).
Condor Enters., Inc. v. Boise Cascade Corp., 71 Wn. App. 48, 54, 856 P.2d 713 (1993) (citing CR 56(c); Marincovich v. Tarabochia, 114 Wn.2d 271, 274, 787 P.2d 562 (1990)).
Mains Farm Homeowners Ass’n v. Worthington, 121 Wn.2d 810, 813, 854 P.2d 1072 (1993).
RCW 18.120.020(4); ch. 18.122 RCW.
RCW 18.83.020(1).
RCW 18.122.030(1)(c).
RCW 18.83.080.
RCW 18.83.035.
RCW 18.83.121; RCW 18.130.160.
Ch. 18.130 RCW. See also RCW 18.83.054 (psychologists are subject to the UDA).
RCW 18.130.040(2)(b)(xiii), .050.
RCW 18.130.060(1).
RCW 18.130.095.
RCW 18.130.080.
RCW 18.130.080.
RCW 18.130.090(1).
RCW 18.130.160.
Ch. 70.02 RCW.
RCW 70.02.020.
Arnold, v. Dep’t of Ret. Sys., 74 Wn. App. 654, 659, 875 P.2d 665 (1994) (citing In re Cross, 99 Wn.2d 373, 376-77, 662 P.2d 828 (1983)), rev’d on other grounds, 128 Wn.2d 765, 912 P.2d 463 (1996).
Id. (citing Harvest House Rest., Inc. v. City of Lynden, 102 Wn.2d 369,373, 685 P.2d 600 (1984)).
See Biggers v. City of Bainbridge Island, 124 Wn. App. 858, 863,103 P.3d 244 (2004) (a plaintiff is not entitled to declaratory relief if he or she is unable to allege
Arnold, 74 Wn. App. at 659 (courts should consider moot questions if they are of substantial or continuing public interest) (citing Harvest House Rest., 102 Wn.2d at 373).
Id. at 659-60 (citing Harvest House Rest., 102 Wn.2d at 373).
In re Marriage of Horner, 151 Wn.2d 884, 893 n.8, 93 P.3d 124 (2004) (a court reviews moot cases where the matter is capable of repetition but evades review) (citing Weinstein v. Bradford, 423 U.S. 147,148-49, 96 S. Ct. 347,46 L. Ed. 2d 350 (1975)).
Id. (citing Weinstein, 423 U.S. at 148-49).
“[I]t is a well-established rule of judicial restraint that the issue of the constitutionality of a statute will not be passed upon if the case can be decided without reaching that issue.” State v. Rodgers, 146 Wn.2d 55, 60, 43 P.3d 1 (2002) (citing State v. Peterson, 133 Wn.2d 885, 894, 948 P.2d 381 (1997) (Talmadge, J., concurring)).
And failure to comply with the UDA’s statutory protections raises serious unreasonable search and seizure issues under both the United States and Washington Constitutions.
See RCW 18.130.040(2)(b)(xiii), .080.
RCW 18.130.080 (emphasis added).
RCW 18.130.080.
RCW 18.130.060(1).
RCW 18.130.050(1).
RCW 18.130.050(3).
RCW 18.130.050(4).
See CR 26(c) (a party from whom discovery is sought may seek a protective order in court).
On remand, the trial court should determine an appropriate fee award based on the rules set forth in Hensley v. Eckerhart, 461 U.S. 424,103 S. Ct. 1933, 76 L. Ed. 2d 40 (1983); Kastanis v. Education Employees Credit Union, 122 Wn.2d 483, 859 P.2d 26, 865 P.2d 507 (1993); Nordstrom, Inc. v. Tampourlos, 107 Wn.2d 735, 733 P.2d 208 (1987); and Blair v. Washington State University, 108 Wn.2d 558,740 P.2d 1379 (1987).
We reject Dr. T’s challenge to the trial court’s decision to dismiss the Department, Board, Attorney General, and Secretary of Health as defendants. Section 1983 suits may not be brought in state court against the state or against a state official acting in his or her official capacity because a state is not a “person” subject to suit under 42 U.S.C. § 1983. Wash State Republican Party v. Pub. Disclosure Comm’n, 141 Wn.2d 245, 285-86, 4 P.3d 808 (2000) (citing Will v. Mich. Dep’t of State Police, 491 U.S. 58, 66-67,109 S. Ct. 2304,105 L. Ed. 2d 45 (1989)). It is true that this rule does not apply in suits for injunctive relief, id. at 286 n.17 (citing Will, 491 U.S. at 71 n.10), but no records exist for Clients A and B and thus no injunctive relief could be granted in this case. Dr. T also challenges the court’s dismissal of Joanne Ito, a former Board member. But this was not error because Ito is no longer active on the Board.
Reference
- Full Case Name
- Client A v. Jeffrey Yoshinaka, in his Official Capacity as an Investigator for the Washington State Examining Board of Psychology
- Cited By
- 7 cases
- Status
- Published