The Supreme Judicial Court issued a recent decision – Commonwealth v. Accime – bearing directly on the intersection of criminal law and mental health law.
The background was as follows. “[T]he defendant was brought by ambulance and against his will to the [psychiatric area of a hospital’s] emergency department,” where he was detained in a small room. “Although this detention was purportedly pursuant to G. L. c.123, §12, which allows the temporary restraint and hospitalization of persons posing a serious risk of harm by reason of mental illness,” there was “no evidence [at trial] of compliance with the procedures required by § 12(a).” When medical staff in the emergency department told the defendant that “he would likely be held in the hospital for two or three days, the defendant began to shout” that he did not want to be medicated and that he wanted to leave. The staff requested assistance and five security officers arrived. They told the defendant that he would be pepper sprayed if he did not permit medical personnel to medicate him. The defendant, who was six feet, four inches in height and weighed about 270 pounds, responded, “‘[I]f anybody puts their hands on me, I’m going to fuck them up’; and ‘if anybody pepper sprays me I’m going to beat the fuck out of them.’…. Other patients were ‘looking on’; as a precautionary measure, officers directed anyone in the hallway to an alternate route ‘just in case something happened if [the confrontation] spilled out’ of the room.” At some point, as “officers … approached the defendant, [he] ‘put his hands out like he wanted to fight.’ At least three, and as many as six, officers then directed pepper spray at the defendant’s head and face,” thereby subduing him so he could be handcuffed. “There was no evidence … that any aspect of the disturbance … ever extended beyond the confines of the room.”
The defendant was convicted of disorderly conduct under G. L. c.272, § 53. A conviction under the statute “requires proof that a person, ‘with purpose to cause public inconvenience, annoyance or alarm, or recklessly creating a risk thereof,’ engage[d] in ‘fighting or threatening, or in violent or tumultuous behavior’…. Commonwealth v. Sholley, 432 Mass. 721, 727 n.7 (2000), cert. denied, 532 U.S. 980 (2001), quoting Model Penal Code §250.2 (Official Draft and Revised Comments, 1980).” Continue reading →