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A Federal Prisoner’s Challenge to Indefinite Civil Commitment

Cariann Vialva and Clarence Watson
Journal of the American Academy of Psychiatry and the Law Online June 2024, 52 (2) 252-254; DOI: https://doi.org/10.29158/JAAPL.240027L1-24
Cariann Vialva
Fellow in Forensic Psychiatry
DO
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Clarence Watson
Director, Forensic Psychiatry FellowshipClinical Associate Professor of PsychiatryDepartment of PsychiatryPerelman School of MedicineUniversity of PennsylvaniaPhiladelphia, Pennsylvania
JD, MD
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  • dangerousness
  • civil commitment
  • mental incapacity
  • prisoner rights
  • risk assessments

The Eighth Circuit Affirms the Indefinite Civil Commitment of a Federal Inmate Prior to Release

In United States v. Becerra, 73 F.4th 966 (8th Cir. 2023), Erik Becerra argued that a district court judge erroneously granted a civil commitment petition against him prior to his scheduled prison release. In affirming the lower court’s decision, the Eighth Circuit Court of Appeals held that the evidence was sufficient to establish the requisite causal nexus between Mr. Becerra’s mental condition and his dangerousness for indefinite civil commitment under 18 U.S.C § 4246(a) (1997). The court also found that the government officials’ ability to monitor an inmate following release was irrelevant to the civil commitment dispute.

Facts of the Case

Mr. Becerra was diagnosed with various mental disorders, including schizophrenia, dating back to 2013. In 2017, he was convicted of firearm and ammunition possession as a felon. He received an 80-month prison sentence and was scheduled for release in January 2021. During his incarceration, he assaulted and threatened prison staff and other inmates. He was evaluated and found incompetent and not responsible for those acts because of his mental illness. In December 2020, a risk assessment review panel at the Federal Medical Center in Rochester, Minnesota (FMC Rochester) determined that Mr. Becerra’s mental condition created a substantial risk of bodily injury to others or serious damage to property if released to the community.

Accordingly, the government filed a civil commitment petition under 18 U.S.C. § 4246(a), which permits indefinite hospitalization of a federal prisoner who is due for release but poses a significant danger to the public because of mental illness. The petition included the review panel’s report and the FMC Rochester warden’s certification that suitable state custody placement was unavailable. Per statute, the matter was referred to a magistrate judge for consideration.

During the magistrate judge’s proceedings, Mr. Becerra motioned to proceed pro se. Following two hearings addressing his motion, the judge found that Mr. Becerra was unable to perform the basic tasks necessary to present his defense unassisted by counsel. The judge then heard testimony from an FMC Rochester psychologist, who was involved in preparing the review panel’s report. The psychologist reiterated that Mr. Becerra’s release would create a substantial risk of bodily injury to others and indicated that her opinion was based on clinical interviews, behavioral observations, and the structured instrument, HCR-20. Subsequently, Mr. Becerra testified and questioned his underlying conviction and the validity of the § 4246 proceedings. His testimony included delusions that the U.S. Congress approved his violent acts, and that England granted him a license to kidnap people. Thereafter, the magistrate judge issued a report and recommendation (R&R) advising the district court to grant the government’s petition.

During the district court’s proceedings, Mr. Becerra filed five objections to the R&R. He argued that, because his 2003 and 2005 convictions occurred before his mental illness onset in 2013, the R&R improperly relied on them when establishing his violence history. He also claimed that the R&R improperly relied on assaultive behaviors stemming from minor altercations that were not abnormal for the prison population. He contended that the R&R ignored the nonviolent nature of his underlying conviction of firearm possession and ignored that he had never acted on his delusions. Finally, he argued that the R&R failed to adequately acknowledge that, if released, the government could monitor him during his mandated supervision period, thereby reducing safety concerns.

The district court rejected Mr. Becerra’s objections, finding that his first four challenges were inconsistent with the available evidence. Regarding his last objection, the district court agreed with the magistrate judge’s view that the pertinent question was not if Mr. Becerra could be returned to prison later, if necessary, but instead, if, given the documented risks, the court could allow his release in the first place. Mr. Becerra appealed the district court’s decision granting the civil commitment petition and challenged the court’s reliance on his criminal record, history of possessing weapons, violent acts in prison, and substance use history and medication noncompliance. Overall, he argued that the government’s evidence failed to establish that he posed a substantial risk of danger to others if released.

Ruling and Reasoning

The Eighth Circuit Court of Appeals, applying a clearly erroneous standard analysis, held that the district court’s findings were not erroneous and affirmed the lower court’s decision. The court rejected Mr. Becerra’s argument that his pre-2013 criminal history lacked nexus between his disorders and dangerousness because Mr. Becerra did not grasp that the requisite nexus was to be found between his current mental condition and his dangerousness, and not during an earlier timeframe. The judge highlighted evidence showing that, when Mr. Becerra’s mental illness deteriorated in prison, his delusionally-based aggression toward peers and correctional staff escalated. The court emphasized expert testimony delineating a clear connection between Mr. Becerra’s incidents of aggression and his mental illness, including situations where he was deemed Not Competent, Not Responsible.

The court rejected Mr. Becerra’s argument that his underlying weapons possession conviction was nonviolent and, therefore, was improperly considered. Although it was ultimately a nonviolent offense, Mr. Becerra misunderstood the significance of the weapon possession evidence. The court noted Mr. Becerra’s delusional reasons for carrying the firearm caused by his mental illness, his expressed intent to execute law enforcement agents and anyone he deemed fit in 2020, and his belief that his assaultive behaviors were legally authorized. The court found the evidence of illegal gun possession and beliefs of legal authority to kill as relevant and sufficient to establish his dangerousness.

The court rejected Mr. Becerra’s argument that the lower court failed to credit his improvement and decreased aggression in prison after his medication adherence. The circuit court observed that the lower court had considered his recent improvements but found that those improvements did not negate the overall finding of dangerousness. The circuit court was not persuaded by Mr. Becerra’s assertion that the district court improperly disregarded the sentencing court’s and probation officials’ authority to monitor him and mandate him to participate in treatment following his release, focusing on his substance abuse and medication noncompliance.

Considering that point, the court highlighted the government’s legal obligation to present evidence demonstrating a mental disease or defect, dangerousness if released, and a direct causal nexus between the mental disease and dangerousness. The court explained that the district court’s legal obligation was to assess that evidence utilizing a clear and convincing evidence standard in reaching a decision. The court stressed that the civil commitment determination was not bound by any legal authority to consider government officials’ ability to monitor and control an individual after release in lieu of commitment. Ultimately, the circuit court rejected Mr. Becerra’s overall assertion that the government’s evidence failed to establish that he experienced a mental illness creating a substantial risk of danger to others, if released.

Discussion

Becerra addresses the civil commitment of a federal prisoner at the end of his sentence, and whether a district court erred in weighing various historical factors without accounting for possible community monitoring alternatives to commitment. The case hints at the inherent tensions involved in assessing the risk of future dangerousness versus constitutionally derived liberty rights of individual citizens. Necessarily, such rights are balanced against governmental interests in protecting the public from foreseeable danger associated with active mental illness. Yet, the certainty of accurate prediction of dangerousness remains an elusive target, given the limitations of actuarial and clinical approaches in assessing future behavior. The challenges to civil commitment in Becerra, in some ways, spoke to those limitations.

Risk assessments typically rely on the consideration of static and dynamic risk factors. In this case, a risk review panel combined clinical judgment with a structured instrument, the HCR-20. Given the limited predictive accuracy of clinical judgment alone, including the potential for bias and subjectivity, the inclusion of a structured instrument likely strengthened the government’s opposition to the prisoner’s objections. Most important, in this case, was the effectiveness of expert testimony in establishing the requisite nexus between the prisoner’s mental condition and the risk of future dangerousness. The expert’s clear delineation of the connection between the individual’s historical risk factors, his active symptoms and behaviors, and the likelihood of future dangerousness was central to the circuit court’s decision to affirm the lower court’s ruling. With those factors considered together and effectively communicated to the court, Mr. Becerra’s objections to the risk assessment approach were unlikely to be successful.

  • © 2024 American Academy of Psychiatry and the Law
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Journal of the American Academy of Psychiatry and the Law Online: 52 (2)
Journal of the American Academy of Psychiatry and the Law Online
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1 Jun 2024
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A Federal Prisoner’s Challenge to Indefinite Civil Commitment
Cariann Vialva, Clarence Watson
Journal of the American Academy of Psychiatry and the Law Online Jun 2024, 52 (2) 252-254; DOI: 10.29158/JAAPL.240027L1-24

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A Federal Prisoner’s Challenge to Indefinite Civil Commitment
Cariann Vialva, Clarence Watson
Journal of the American Academy of Psychiatry and the Law Online Jun 2024, 52 (2) 252-254; DOI: 10.29158/JAAPL.240027L1-24
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Keywords

  • dangerousness
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