Brandon M. was taken to Riverside County Medical Center by the Corona Police
Department for an involuntary hold, pursuant to Welfare and Institutions Code 1 section
5150. He was released before 72 hours had elapsed, and he returned home, where he
bludgeoned three people to death with a baseball bat. Surviving family members, who
are successors in interest or heirs, (collectively Respondents) filed lawsuits against the
County of Riverside (County) for his release, alleging negligence. The County filed a
special motion to dismiss under Code of Civil Procedure section 425.16, the anti-SLAPP
statute. The County contended the complaints should be struck because they alleged
harm arising from protected activity and because Respondents could not show a
reasonable probability their suit would be successful on the merits. Respondents
countered that the County's actions did not arise from any petition or speech-related
1 All further section references are to the Welfare and Institutions Code unless otherwise noted. 2
activity and so were not subject to the anti-SLAPP statute. The trial court denied the
County's motion, and the County appealed.
The County contends the trial court improperly denied its special motion to strike
because (1) the procedures outlined in the Lanterman-Petris-Short Act (LPS Act)
constitute an "official proceeding authorized by law," as that term is used in Code of
Civil Procedure section 425.16, subdivision (e)(1) or (2); (2) the County's activity in
connection with section 5152 is a statement made before or in connection with an issue
under consideration by an official proceeding; and (3) Respondents cannot demonstrate
they have a probability of success on the merits. While we briefly address the County's
interpretation of the LPS Act as an official proceeding authorized by law, we find it
unnecessary to draw a conclusion on that issue to reach a decision in this matter. Instead,
we affirm the trial court's ruling on the basis that the alleged activity is not protected
speech and, therefore, does not give rise to application of the anti-SLAPP statute.
Because we conclude the County has not met its burden on the first prong of the anti-
SLAPP statute, there is no need to evaluate the evidence to determine if Respondents
have met their burden of demonstrating their claims have a probability of success on the
merits.
3
BACKGROUND AND PROCEDURAL FACTS 2
On September 15, 2015, Brandon was admitted to Riverside County Regional
Medical Center on a 72-hour involuntary hold after he attacked his mother with a pair of
scissors. The medical center released Brandon on September 17, 2015, before the
expiration of 72 hours. Brandon returned to his family's home, where he bludgeoned his
father, his uncle, and an alarm company technician who was installing an alarm system in
the family home at the time. All three victims died from their injuries.
Respondents filed complaints against the County of Riverside in separate lawsuits
on September 13, 2016 and October 4, 2016. The complaint filed by the Swansons and
Andersens included causes of action for negligence per se, negligent hiring or
supervision, and negligence. This complaint alleged the County left Brandon in a waiting
room and discharged him for lack of space before the expiration of the 72-hour period,
then provided him a bus pass to return home. The complaint also alleged on information
and belief that Brandon had never been assigned a room. It alleged the County failed to
evaluate Brandon, failed to assess Brandon to determine if he could be served without
detention, allowed Brandon to be released prior to the expiration of 72 hours without
being seen by a psychiatrist, and allowed Brandon to be released for reasons other than
his treating psychiatrist's personal observations.
2 The parties stipulated to a protective order in the trial court. As a result, unredacted versions of Respondents' appellate briefs, along with the court transcripts were filed with this court under seal. (Cal. Rules of Court, rules 8.46(b) & 8.46(g).) Because we have reached a decision that does not depend on the factual details of the case, we have limited our discussion of the facts to those already publicly disclosed in the lower court filings and in the redacted versions of the briefs. 4
The Andersen-Martins and the Martins' wrongful death complaint included causes
of action for negligence per se and negligent hiring or supervision. It alleged the County
told Brandon's mother on September 17, 2015, that Brandon would likely be discharged
from the medical facility, and there was nothing it could do to prevent the discharge. It
further alleged on information and belief that Brandon was never given a room; nor did
he receive the treatment or evaluations from the medical center. Like the other
complaint, this one alleged the County failed to evaluate Brandon, failed to assess
Brandon to determine if he could be served without detention, allowed Brandon to be
released prior to the expiration of 72 hours without being seen by a psychiatrist, and
allowed Brandon to be released for reasons other than his treating psychiatrist's personal
observations.
The cases were consolidated in November 2016. In January 2017, the County
filed a special motion to strike (anti-SLAPP motion) against both complaints. The
County argued the procedure set forth in Welfare and Institutions Code
section 5150 et seq. is an "official proceeding," as the term is employed in Code of Civil
Procedure section 425.16, subdivision (e). The County further argued that Respondents
could not make the necessary evidentiary showing required by Code of Civil Procedure
section 425.16, subdivision (b)(2). Respondents argued that the matter did not implicate
any interference with a person's right to petition or free speech and that they could meet
their prima facie burden to support a judgment.
5
The County submitted declarations in support of its motion to strike, 3 including
one by the treating psychiatrist of record, Dr. Debbie Ann Imperial Rosario, and another
by Dr. Erick H. Cheung, a licensed psychiatrist retained by the County as an expert. In
Dr. Rosario's declaration, she stated Brandon was assessed by qualified professionals
who analyzed his medical, psychological, educational, social, financial, and legal
conditions. She also stated a licensed psychiatrist performed a psychiatric evaluation on
Brandon early in the morning on September 16, 2015, and determined admission was
appropriate. After Brandon was admitted, a psychiatric in-patient physician assessment
was performed, and checks on Brandon were documented every 15 minutes. She
explained that the chart containing multidisciplinary progress notes, along with other
relevant information, was used to determine if Brandon should be detained. Based on her
personal observations as Brandon's attending psychiatrist and the other information at the
time, she concluded Brandon did not meet the criteria to remain detained under section
5152, and he was permitted to discharge.
Dr. Cheung's declaration explained the process followed when a person has been
referred for an evaluation under section 5150. He noted that records showed Brandon's
admission in the early morning on September 16, 2015, where he received "a full
multidisciplinary assessment by appropriate licensed personnel," including a psychiatric
evaluation. He also confirmed 15-minute safety checks were recorded.
3 Declarations are permissible in lieu of affidavits as long as the statements are made under penalty of perjury in California. (Sweetwater Union High School Dist. v. Gilbane Building Co. (2019) 6 Cal.5th 931, 941.) 6
The parties stipulated to limited discovery of Brandon's medical records, as well as
the deposition of Brandon's treating psychiatrist. In June 2017, Respondents submitted
their oppositions to the motion to strike. Respondents challenged the veracity of Dr.
Rosario's declaration, in particular her statement that she personally observed Brandon
and determined no evaluation or treatment was necessary. Respondents offered a
transcript of Dr. Rosario's deposition and identified inconsistencies between statements in
her declaration and deposition that they contend show she did not personally observe
Brandon before discharging him. Respondents also argued in the trial court, as they do
before us, that their suit did not arise from an act in furtherance of the rights of petition or
free speech.
The court heard oral arguments in June 2017 and denied the motion to strike,
concluding the anti-SLAPP statute was not applicable to the commitment procedure
outlined in section 5150 et seq. The court also concluded the commitment procedures did
not involve a matter of public interest, and section 5152 does not involve interference
with a person's right to petition or free speech. It further concluded the facts in the
complaint did not indicate the cause of action arose from a written or oral statement in
connection with an issue under consideration before an authorized proceeding. The court
did not reach the issue of whether Respondents showed a sufficient likelihood of success
on the merits. The County timely appealed.
7
DISCUSSION
A.
Legal Principles
1. Lanterman-Petris-Short Act
The LPS Act (§ 5000 et seq.) provides the framework for the involuntary
treatment of people with a mental health disorder. (Conservatorship of Susan T. (1994)
8 Cal.4th 1005, 1008.) The purpose of the act, among other things, is to eliminate the
inappropriate, indefinite, and involuntary commitment of people with mental health
disorders, provide prompt evaluation and treatment of people with mental health
disorders, and protect public safety. (§ 5001, subds. (a)-(c).)
Under the LPS Act, an individual may be brought to a psychiatric facility for an
evaluation when there is probable cause to believe the person is a danger to himself or
herself or others, or is gravely disabled as a result of a mental disorder. (§ 5150,
subd. (a).) The facility may detain an admitted individual for up to 72 hours for treatment
and evaluation. (§ 5151.) Once admitted, the patient must receive an evaluation as soon
as possible, as well as treatment and care for the full length of the detention. (§ 5152,
subd. (a).) The person may be released before the expiration of 72 hours if the
psychiatrist responsible for the person's treatment believes, as a result of personal
8
observations, that the person no longer requires evaluation or treatment. 4 (§ 5152,
subd. (a).) When the provisions of section 5152 are followed, the person in charge of the
facility, its medical director, and the psychiatrist responsible for the person's treatment
have immunity from civil or criminal liability for an action by the person released before
the expiration of 72 hours. (§ 5154, subd. (a).)
Although there is no private right of action for a violation of section 5152,
"aggrieved individuals can enforce the Act's provisions through other common law and
statutory causes of action, such as negligence, medical malpractice, false imprisonment,
assault, battery, declaratory relief, United States Code section 1983 for constitutional
violations, and Civil Code section 52.1. [Citations.]" (Julian v. Mission Community
2. Code of Civil Procedure Section 425.16, the Anti-SLAPP Statute
We review an order denying a motion to strike brought pursuant to Code of Civil
Procedure section 425.16 de novo. (Sweetwater Union High School Dist. v. Gilbane
Building Co., supra, 6 Cal.5th at p. 940; Park v. Board of Trustees of California State
University (2017) 2 Cal.5th 1057, 1067 (Park).) We evaluate an anti-SLAPP motion
through a two-step process. First, the moving party bears the burden of establishing the
4 In situations where a psychologist has also personally observed the person and the psychologist has a collaborative treatment relationship with the psychiatrist, either the psychiatrist or the psychologist may authorize an early release after consulting the other practitioner. (§ 5152, subd. (a).) Both professionals enter findings, concerns, and objections into the person's medical record. (Ibid.) When there is a collaborative treatment relationship and the psychiatrist and psychologist disagree about releasing the person before 72 hours have elapsed, the hold is maintained unless the facility's medical director overrules the decision. (Ibid.) 9
An " 'act in furtherance of a person's right of petition or free speech under the
United States or California Constitution in connection with a public issue' includes:
(1) any written or oral statement or writing made before a legislative, executive, or
judicial proceeding, or any other official proceeding authorized by law, [or] (2) any
written or oral statement or writing made in connection with an issue under consideration
or review by a legislative, executive, or judicial body, or any other official proceeding
authorized by law." (Code of Civ. Proc., § 425.16, subd. (e)(1) & (2).)
If the defendant meets the first prong by demonstrating the challenged act was one
in furtherance of a person's right of petition or free speech, the burden shifts to the
plaintiff to show the claims have "minimal merit." (Navellier, supra, 29 Cal.4th at p. 89.)
In reviewing a special motion to strike, we do not weigh credibility or compare the
weight of the evidence. (Soukup v. Law Offices of Herbert Hafif (2006) 39 Cal.4th 260,
269, fn. 3.) Instead, we "accept as true the evidence favorable to the plaintiff [citation]
and evaluate the defendant's evidence only to determine if it has defeated that submitted
by the plaintiff as a matter of law." (HMS Capital, Inc. v. Lawyers Title Co. (2004) 118
10
Cal.App.4th 204, 212.) Only claims that meet both prongs of the anti-SLAPP statute are
subject to being stricken. (Navellier, at p. 89.)
B.
Whether Section 5152 Establishes an Official Proceeding Authorized by Law
The County contends it meets the first prong of the anti-SLAPP statute
requirements because the lawsuit involves an official proceeding authorized by law. Its
theory is the LPS Act established an "official proceeding authorized by law" and,
therefore, actions taken in connection with Welfare and Institutions Code section 5152
cannot properly be challenged, pursuant to Code of Civil Procedure section 425.16. In its
reply brief, the County explains its "conduct is actually a written statement made in
connection with the LPS Act's official proceeding that is authorized by law," and it states,
"the written statement is actually the evaluation and discharge order by the County's
supervising psychiatrist under the LPS Act. . . ."
The fact that a statute governs a given set of procedures does not make it an
" 'official proceeding authorized by law.' " (Century 21 Chamberlain & Associates v.
Haberman (2009) 173 Cal.App.4th 1, 9.) However, the County contends the procedure
detailed in section 5152 is an official proceeding authorized by law, comparing it to the
hospital peer review proceedings detailed in the Business Professions Code (Bus. & Prof.
Code, § 809 et seq.) and discussed in Kibler v. Northern Inyo County Local Hospital
Dist. (2006) 39 Cal.4th 192 (Kibler).
"Peer review is the process by which a committee comprised of licensed medical
personnel at a hospital 'evaluate[s] physicians applying for staff privileges, establish[es]
11
standards and procedures for patient care, assess[es] the performance of physicians
currently on staff,' and reviews other matters critical to the hospital's functioning."
(Kibler, supra, 39 Cal.4th at p. 199, quoting Arnett v. Dal Cielo (1996) 14 Cal.4th 4, 10;
Bus. & Prof. Code, § 805, subd. (a)(1)(A)(i)-(ii).)
Business and Professions Code section 809 explains that the peer review process is
"essential to preserving the highest standards of medical practice," and "fairly
conducted," it "aid[s] the appropriate state licensing boards in their responsibility to
regulate and discipline errant healing arts practitioners." (Bus. & Prof. Code, § 809,
subds. (a)(3) & (5).) The purpose of the peer review process is "[t]o protect the health
and welfare of the people of California" by excluding practitioners who "provide
substandard care or who engage in professional misconduct," and the Legislature expects
peer review to "be done efficiently, on an ongoing basis." (Bus. & Prof. Code, § 809,
subds. (a)(6) & (7).)
In Kibler, the Supreme Court concluded a hospital's peer review proceeding
qualifies as an " 'official proceeding authorized by law' " under Code of Civil Procedure
section 425.16, subdivision (e)(2). (Kibler, supra, 39 Cal.4th at p. 198.) The court
reasoned that the proceedings were statutorily mandated and heavily regulated, and that
hospitals were required to report the results of the proceedings to state licensing boards,
showing their proceedings play a "significant role" in regulation and discipline of
12
practitioners. 5 (Id. at pp. 199-200.) The court also commented that the decisions
resulting from the proceedings are subject to judicial review by administrative mandate,
making the proceedings quasi-judicial. (Id. at p. 200.)
The LPS Act sets forth requirements for releasing an individual before 72 hours
has expired in section 5152. However, the procedure in section 5152 is different from
peer review both in purpose and form. The peer review process is intended to regulate
practitioners, thereby protecting public health. (Bus. & Prof. Code, § 809, subd. (a)(6).)
The purpose of the LPS Act is to ensure protection against improper detention; "the
Legislature [has] determined that the act's goal of ending indefinite confinements
outweighed the early release potential for harm." (Ford v. Norton (2001) 89 Cal.App.4th
974, 979; § 5001, subds. (a), (c).)
The procedures are also different. The peer review process contemplates the use
of a committee of professionals who meet to review information about a practitioner
(Bus. & Prof. Code, § 805, subd. (a)(1)(A)-(B)), while section 5152 generally relies on
the personal observations of a single medical professional. (§ 5152, subd. (a).) As part
of the peer review proceedings, practitioners must be given an opportunity for a noticed
hearing and the presentation of evidence before a proposed disciplinary action occurs.
(Bus. & Prof. Code, §§ 809.1-809.4.) No corollary exists for 72-hour detentions under
5 The County relies on Julian for the proposition the LPS Act "sets forth a comprehensive scheme for its enforcement" (Julian, supra, 11 Cal.App.5th at p. 381) and to explain the purpose of the LPS Act is to provide " 'prompt evaluation and treatment of persons with mental health disorders.' " (Id. at pp. 374-375.) Julian does not address the applicability of the anti-SLAPP statute to the LPS Act. 13
the Welfare and Institutions Code. (§ 5152.) While the peer review process provides for
judicial review by administrative mandate (Bus. & Prof. Code, §§ 809.1-809.4), the
Welfare and Institutions Code only expressly provides for judicial review of a decision to
detain a person. 6 (§§ 5256, 5275.) Here, the challenged decision was to discharge
Brandon, not to detain him beyond 72 hours.
Moreover, the procedure detailed in section 5152 does not give rise to the exercise
of petition or free speech, which the anti-SLAPP statute is designed to protect. The
Supreme Court has explained that "[a]ny matter pending before an official proceeding
possesses some measure of 'public significance' owing solely to the public nature of the
proceeding, and free discussion of such matters furthers effective exercise of the petition
rights [Code of Civil Procedure] section 425.16 was intended to protect." (Briggs v. Eden
Council for Hope & Opportunity (1999) 19 Cal.4th 1106, 1117.) Thus, the reason an
allegation raised pursuant to subdivisions (e)(1) and (2) does not require a showing that
the issue is one of public importance is because the Legislature "equated a public issue
with the authorized official proceeding to which it connects." (Braun, supra, 52
Cal.App.4th at p. 1047.)
Yet section 5152 does not involve presumptively public proceedings, and the
confidentiality provisions of the LPS Act indicate that decisions related to sections 5150
6 "After the initial 72-hour detention, the 14-day and 30-day commitments each require a certification hearing before an appointed hearing officer to determine probable cause for confinement unless the detainee has filed a petition for the writ of habeas corpus. (§[§] 5256, 5256.1, 5262, 5270.15, 5275, 5276.) A 180-day commitment requires a superior court order. (§ 5301.)" (Conservatorship of Susan T., supra, 8 Cal.4th at p. 1009.) 14
and 5152 must remain confidential barring an enumerated exception providing for limited
disclosure. (§§ 5118, 5328; see People v. Dixon (2007) 148 Cal.App.4th 414, 427-428
[LPS Act proceedings aimed at determining status of person's mental health, which is
primarily personal and confidential]; see, e.g., Sorenson v. Superior Court (2013)
conservatorship proceedings and hearings presumptively non-public].) Because
proceedings under the LPS Act are not presumptively public in nature, speech in
connection with it is not the type of speech the anti-SLAPP statute is designed to protect.
Given the differing purposes of the peer review process and the LPS Act, as well
as clear distinctions in the rights afforded to the parties who are subject to the peer review
proceedings and the procedures detailed in section 5152, we doubt the LPS Act
procedures like section 5152 can properly be characterized as an official proceeding
authorized by law. However, we need not make this determination because, as we
explain, the claims against the County do not arise from any written or oral statements
subject to the anti-SLAPP statute.
C.
Whether the Decision Statement Is a Protected Activity
To justify an order to strike the complaints, the County must demonstrate its
actions arose from a protected activity. (Park, supra, 2 Cal.5th at p. 1069, citing
Young v. Tri-City Healthcare Dist. (2012) 210 Cal.App.4th 35, 58.) "In the anti-SLAPP
context, the critical consideration is whether the cause of action is based on the
defendant's protected free speech or petitioning activity." (Navellier, supra, 29 Cal.4th at
15
p. 89.) The County contends the "evaluation and recommendation that Brandon be
discharged" is "a statement made in an official proceeding and is subject to the anti-
SLAPP statute." We disagree.
"[A] claim is not subject to a motion to strike simply because it contests an action
or decision that was arrived at following speech or petitioning activity, or that was
thereafter communicated by means of speech or petitioning activity. Rather, a claim may
be struck only if the speech or petitioning activity itself is the wrong complained of, and
not just evidence of liability or a step leading to some different act for which liability is
asserted." (Park, supra, 2 Cal.5th at p. 1060.) Conduct arises from protected activity if
" 'the gravamen or principal thrust' " of the cause of action is the protected conduct.
(Episcopal Church Cases (2009) 45 Cal.4th 467, 477.) This is because "to deny
protection to individuals weighing in on a public entity's decision might chill
participation from a range of voices desirous of offering input on a matter of public
importance. But no similar concerns attach to denying protection for the ultimate
decision itself, and none of the core purposes the Legislature sought to promote when
enacting the anti-SLAPP statute are furthered by ignoring the distinction between a
government entity's decisions and the individual speech or petitioning that may contribute
to them." (Park, at p. 1071.)
"In deciding whether the initial 'arising from' requirement is met, a court considers
'the pleadings, and supporting and opposing affidavits stating the facts upon which the
liability or defense is based.' ([Code of Civil Procedure] § 425.16, subd. (b).)"
(Navellier, supra, 29 Cal.4th at p. 89.)
16
Respondents have not sued the County because of the substance of statements
made in connection with the section 5152 procedures. They have sued the County to
challenge as negligent the decision to release Brandon before the expiration of 72 hours.
Thus, the gravamen of the complaint is negligence.
As Respondents note, their allegations related to whether the County engaged in
misconduct and violated statutory provisions. Respondents do not seek recovery for the
County's act of communicating information on Brandon's medical records. Instead, their
allegations regard the County's alleged inaction and failure to comply with section 5152
and the decision to release Brandon before 72 hours expired. There is nothing in the
County's decision to release Brandon before the 72-hour hold that implicates the rights of
free speech or petition. Therefore, it is not protected by the anti-SLAPP statute.
D.
Probability of Success
The County identifies several immunity claims to demonstrate why Respondents
cannot meet their burden under the second prong of the anti-SLAPP statute by showing
probability of success. Having concluded the first prong of the statute is not met, we
need not evaluate the evidence to determine whether Respondents could meet their
burden of proof. 7
7 We note the immunity claims raised under Government Code sections 820.2, 854.8, and 855.6 each appear to hinge on factual disputes in the matter. 17
DISPOSITION
The order is affirmed. Costs are awarded to Respondents on appeal.
HUFFMAN, Acting P. J.
WE CONCUR:
IRION, J.
GUERRERO, J.
18
AI Brief
AI-generated · verify before citing
Holding. The court held that the County's decision to release a patient from an involuntary psychiatric hold does not constitute protected activity under the anti-SLAPP statute, as the gravamen of the plaintiffs' negligence claims is the decision itself rather than any protected speech or petitioning activity.
Issues
Whether the involuntary commitment and discharge procedures under the Lanterman-Petris-Short Act constitute an 'official proceeding authorized by law' under Code of Civil Procedure section 425.16.
Whether the County's decision to discharge a patient constitutes protected speech or petitioning activity under the anti-SLAPP statute.
Disposition. Affirmed
Quotations verified verbatim against the opinion
“we affirm the trial court's ruling on the basis that the alleged activity is not protected speech and, therefore, does not give rise to application of the anti-SLAPP statute.”
“a claim may be struck only if the speech or petitioning activity itself is the wrong complained of, and not just evidence of liability or a step leading to some different act for which liability is asserted.”
“There is nothing in the County's decision to release Brandon before the 72-hour hold that implicates the rights of free speech or petition.”