United States v. Donaldson , 58 M.J. 477 ( 2003 )


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  •                           United States, Appellee
    v.
    David H. DONALDSON, JR., Sergeant
    U.S. Army, Appellant
    No. 02-0931
    Crim. App. No. 9900544
    ________________________________________________________________
    United States Court of Appeals for the Armed Forces
    Argued April 9, 2003
    Decided July 15, 2003
    BAKER, J. delivered the opinion of the Court, in which
    CRAWFORD, C.J., GIERKE, and ERDMANN, JJ., joined. EFFRON, J.,
    filed a separate opinion concurring in part and in the result.
    Counsel
    For Appellant: Captain Gregory M. Kelch (argued);
    Colonel Robert D. Teetsel, Lieutenant Colonel E. Allen Chandler,
    Jr. and Major Imogene M. Jamison (on brief).
    For Appellee: Captain Matthew J. Maclean (argued); Colonel
    Lauren B. Leeker, Lieutenant Colonel Margaret B. Baines, and
    Major Jennifer H. McGee (on brief).
    Military Judge: James J. Smith
    THIS OPINION IS SUBJECT TO EDITORIAL CORRECTION BEFORE FINAL PUBLICATION.
    United States v. Donaldson, No. 02-0931/AR
    Judge BAKER delivered the opinion of the Court.
    In accordance with his pleas, Appellant was convicted by a
    military judge, sitting as a general court-martial, of failure
    to report, disobeying an officer, disobeying a noncommissioned
    officer (three specifications), disrespect to a noncommissioned
    officer, failure to obey a lawful general regulation, driving
    while intoxicated, cocaine use (two specifications), assault
    (two specifications), adultery, breaking restriction, and
    disorderly conduct, in violation of Articles 86, 90, 91, 92,
    111, 112a, 128, and 134, Uniform Code of Military Justice
    [hereinafter UCMJ], 10 U.S.C. §§ 886, 890, 891, 892, 911, 912a,
    928, 934 (2000), respectively.    Contrary to his pleas, Appellant
    was convicted of indecent acts with a child less than sixteen
    years of age and communicating a threat, in violation of Article
    134.
    The adjudged sentence included seven years’ confinement, a
    reduction to the lowest enlisted grade, forfeiture of all pay
    and allowances, and a dishonorable discharge.    The convening
    authority reduced the confinement to seventy-eight months, but
    otherwise approved the adjudged sentence.    He also granted
    Appellant 239 days of credit against his sentence to
    confinement.    The Army Court of Criminal Appeals affirmed the
    findings of guilty and the sentence in an unpublished opinion.
    2
    United States v. Donaldson, No. 02-0931/AR
    United States v. Donaldson, ARMY No. 9900544 (A. Ct. Crim. App.
    June 10, 2002).     We granted review on the following issue:
    WHETHER THE ARMY COURT OF CRIMINAL APPEALS ERRED IN
    HOLDING THAT THE HEARSAY TESTIMONY OF BT WAS
    ADMISSIBLE UNDER MILITARY RULE OF EVIDENCE
    [HEREINAFTER M.R.E.] 803(2), THAT THE HEARSAY
    TESTIMONY OF DR. ROGERS WAS ADMISSIBLE UNDER M.R.E.
    803(4), AND THAT THE HEARSAY TESTIMONY OF DR. ROGERS
    AND INVESTIGATOR BASS-CAINE WAS ADMISSIBLE UNDER
    M.R.E. 803(24).∗
    We hold that the Court of Criminal Appeals did not err in
    holding J's statements to BT admissible as excited utterances
    under M.R.E. 803(2).      We further conclude that the court
    correctly held that J's statements to Dr. Carrie Rogers were
    admissible under M.R.E. 803(4) as statements made for purposes
    of medical diagnosis or treatment.         As such, we do not address
    whether these statements to Dr. Rogers would have been
    admissible under M.R.E. 807.        Finally, we hold that J's
    statements to Investigator Tracy Bass-Caine were properly
    admitted as residual hearsay under M.R.E. 807.           As a result, we
    affirm the lower court's opinion.
    ∗
    Pursuant to the June 1999 Amendments to the Military Rules of Evidence,
    M.R.E.s 803(24) and 804(b)(5) were combined and promulgated as M.R.E. 807.
    Stephen A. Saltzburg et al., Military Rules of Evidence Manual 228-29 (4th
    ed. & Supp. 2002). The change did not alter the meaning or application of
    the residual hearsay exception. 
    Id. Because of
    this change and to avoid
    confusion, this opinion will refer to M.R.E. 807 in lieu of 803(24), even
    though the military judge and the Court of Criminal Appeals referred to the
    rule as 803(24).
    3
    United States v. Donaldson, No. 02-0931/AR
    FACTS
    The alleged errors underlying this appeal relate to the
    military judge's decision to allow several witnesses to testify
    about the hearsay statements of a three-year-old victim, J. The
    relevant statements concerned indecent acts committed by
    Appellant on the victim and threats Appellant made to her to
    keep her from reporting his misconduct.
    At the time of the offenses J lived with her single mother,
    BT, and her brother John.   Also residing in the home was
    Appellant's girlfriend, SK, who rented a room and helped pay the
    bills.   Because SK lived with the family, Appellant frequently
    spent time in the home.
    At approximately 7:00 a.m. on November 11, 1996, BT was
    getting ready to go to a 9:00 a.m. doctor's appointment.    While
    she was getting ready, J was running back and forth in the
    hallway between her mother's bedroom and SK's bedroom.    SK was
    taking a shower and getting ready in another room, and Appellant
    was in SK's bedroom.   BT testified that she periodically called
    out to J to find out what she was doing.    In response to BT's
    inquiry, J responded, "I'm up here in [SK's] room."
    At about 8:00 a.m., BT was ready to depart her residence
    with J to go to the doctor's appointment.    At that time, she
    noticed that J was unusually quiet.   BT testified that
    throughout the rest of the day, J was very "cling[y]," would not
    4
    United States v. Donaldson, No. 02-0931/AR
    urinate, wanted to be carried, and would not let ”[me] get out
    of her sight."    After the doctor's appointment, BT and J went to
    the mall and then returned home.       Ms. Elaine Sandreth, a friend,
    accompanied BT and J to the doctor's office and to the mall.
    That evening, at approximately 7:00 p.m., BT gave J a bath.
    At one point, BT attempted to wash between J's legs, but J
    resisted saying, "No, no, no."    After getting J out of the
    bathtub, BT started drying J off.      When BT attempted to dry J's
    vaginal area, J began to cry.    BT attempted to look between J's
    legs to see what was wrong.    According to BT, J again resisted,
    held her legs together, and became "really hysterical, crying
    and even more."   After several minutes, BT was able to calm J
    down and look between her legs.    She testified that the skin in
    the vaginal area was "real raw, red and irritated."      She further
    stated that J became "very, very hysterical . . . screaming and
    crying."   When BT asked her what was the matter, J stated, "Him
    touched me."   When BT asked her who had touched her, J stated
    "Him, Dave."   BT then asked her, "What do you mean Dave touched
    you?"   J responded by pointing to the top part of her vaginal
    area with her little finger.    J also stated that the touching
    had occurred that morning.    When BT asked J why she did not tell
    her that Appellant had touched her, J responded, "Him said he
    would kill you, John and me, if I told you."      Appellant was the
    only "Dave" J knew.
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    United States v. Donaldson, No. 02-0931/AR
    After J calmed down, BT called her sister to discuss J's
    statement.   Her sister advised her to call the police.   BT also
    called a friend who came over to discuss the situation.      BT then
    proceeded to call the police.    While waiting for the police to
    arrive, BT called SK at work and told her to come home because
    they needed to talk.
    The police eventually arrived and began filling out a
    report.   SK also came in, and SK and BT began arguing over
    Appellant's inappropriate touching of J.    J was present during
    the argument, and BT testified that J was "very nervous . . .
    [and] a little bit upset."    At one point, J put her hands over
    her ears while BT and SK yelled at each other.    Finally,
    Investigator Bass-Caine, a child abuse investigation specialist
    from the Fayetteville Police Department, arrived to help with
    the investigation.
    Investigator Bass-Caine took J into a bedroom and
    interviewed her privately.    Investigator Bass-Caine asked J who
    lived in the house.    J told her that her brother and mother
    lived in the house, as did SK and "Dave."    Investigator Bass-
    Caine testified that when J mentioned Appellant's name, she
    stated that she did not like him.     Investigator Bass-Caine asked
    her why she did not like Appellant, to which J responded,
    "Because Dave hurt me."    Investigator Bass-Caine testified that
    when she asked J how Appellant had hurt her, J pointed to her
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    United States v. Donaldson, No. 02-0931/AR
    vaginal area and stated, "He touched me.    He touched me there."
    When Investigator Bass-Caine asked her whether Appellant had
    touched "the inside or the outside," J "laid back on the bed,
    pulled her panties to the side, and stuck her finger . . . real
    close in her vaginal area."    Investigator Bass-Caine testified
    that she was surprised at J's reaction in leaning over and
    revealing her private parts.    She stated that she had never seen
    another child abuse victim respond in such an "animated" manner.
    She further testified that J did not appear to be upset at the
    time she related this information to her.
    After Investigator Bass-Caine completed her report, the
    officers left.    BT did not take J to the doctor that evening,
    but waited until the next morning to have a physician examine
    her.    An examination revealed that there "was no evidence of
    bruising, no evidence of any discharge, no evidence of any
    swelling or any laceration."    The examination further noted that
    J's "anatomy was normal, only some minor erythema or redness.”
    The doctor was unable to determine whether there was any digital
    penetration.    The doctor further testified that the redness
    could have been caused by any number of things.
    In the months following the incident, BT noticed a change
    in J.    J began "wetting the bed, walking in her sleep, having
    nightmares, [she] did not want to be alone, didn't want [BT] out
    of her sight."    In addition, J began throwing things, acting
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    United States v. Donaldson, No. 02-0931/AR
    out, and physically hurting herself.     Finally, J was still very
    clingy, and was traumatized each time she saw a black Nissan
    pickup truck, similar to the one driven by Appellant.
    Because of J's declining behavior, BT took J to see a child
    clinical psychologist, Dr. Rogers.     BT told J that they "were
    going to see a doctor who would help her get better and get over
    the nightmares and the rages, the crying."     In January 1997, J
    had her first meeting with Dr. Rogers.     Dr. Rogers testified
    that she told J that she was "not a shot doctor and not a doctor
    that looks in ears and at teeth; but a doctor that talks about
    feelings and worries.”    Her testimony in this respect, however,
    was contradicted by her answers on cross-examination and re-
    cross-examination.   In response to several of defense counsel's
    questions, Dr. Rogers stated that she did not remember exactly
    what she told J.   She added that she was not sure whether J knew
    why her mother had brought her or what kind of doctor she was.
    J met with Dr. Rogers in the early part of 1997 and then
    again in late 1998, in all meeting with her 13 times.     During
    the sessions, Dr. Rogers talked with J.     She also frequently
    played with J on the floor or drew pictures with her.     Dr.
    Rogers testified that during the second session, J told her that
    "Dave" had touched her.   She further testified that, in a later
    session, J told her, while pointing to her vaginal area, that
    "[Dave] put his finger on [her]."     The doctor stated that a
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    United States v. Donaldson, No. 02-0931/AR
    "recurring theme" during these sessions "was that [Dave] had
    said if [J] talked about what had happened, he was going to get
    her, hurt her, her family."   To aid J in discussing the abuse,
    Dr. Rogers would have J draw pictures about the incident.       On
    several occasions, J drew pictures of Appellant, "describing him
    as mean and ugly, drew him as a worm, as a monster[.]”     On
    occasion, J would yell at these drawings or stomp on them.
    Appellant was eventually charged with committing indecent
    acts upon J and communicating a threat to her.   At trial, the
    Government sought to have BT, Investigator Bass-Caine, and Dr.
    Rogers testify regarding J's statements to them under various
    exceptions to the hearsay rule.   To prevent the hearsay
    testimony, Appellant submitted a motion in limine, arguing that
    J's hearsay statements were not admissible under M.R.E.s 803(2),
    807, or 803(4).   During a hearing on the motion, pursuant to
    Article 39(a), UCMJ, 10 U.S.C. § 839(a) (2000), the Government
    argued that J's statements to her mother and Investigator Bass-
    Caine were admissible as excited utterances under M.R.E. 803(2).
    The Government further maintained that J's statements to Dr.
    Rogers were admissible under M.R.E. 803(4) as statements made
    for the purpose of medical diagnosis or treatment.
    J testified during the hearing and on the merits, but
    neither trial counsel on direct examination, nor defense counsel
    on cross-examination, could get her to discuss the facts
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    United States v. Donaldson, No. 02-0931/AR
    relevant to the charged offenses.    She discussed general details
    about her life and family, but was unable or unwilling to
    elaborate on her relationship with Appellant, SK, or Dr. Rogers.
    After the Article 39(a) session, the military judge denied
    the defense motion.   The military judge concluded that J's
    statements to her mother and Investigator Bass-Caine were
    admissible as excited utterances.    In reaching this conclusion,
    the judge found that the statements related to a startling event
    (Appellant's indecent touching and threat) and that "they were
    made while [J] was still under the stress and excitement caused
    by the event, and they were not the result of reflection or
    fabrication."
    As to J's statements to Dr. Rogers, the judge determined
    that they were admissible under M.R.E. 803(4).   In reaching this
    conclusion, the military judge made several findings.   First, he
    found that Dr. Rogers "told the victim that her role was to help
    the victim feel better."   He also found that "J understood that
    Dr. Rogers was her doctor, and that she went to Dr. Rogers to
    feel better."   The judge therefore reasoned that J made the
    statements for the purpose of medical diagnosis with "some
    expectation of receiving a medical benefit."   Finally, in the
    alternative, the judge determined that all three statements were
    admissible as residual hearsay under M.R.E. 807.   In making this
    10
    United States v. Donaldson, No. 02-0931/AR
    determination, the judge did not make specific findings of fact,
    but stated:
    In the alternative, all of these statements were
    admissible because the victim testified at trial, was
    subject to confrontation and cross-examination, and
    the totality of the circumstances indicated that the
    statements were trustworthy. The court determined
    that (A) the statements were offered as evidence of
    material facts; (B) the statements were more probative
    on the points for which they were offered than any
    other evidence the government could procure through
    reasonable efforts; and (C) the general purpose of the
    rules of evidence and the interests of justice were
    best served by admission of the statements into
    evidence[.]
    The Army Court of Criminal Appeals in affirming the
    military judge's decision, held that J's statements to her
    mother were excited utterances under M.R.E. 803(2).      Donaldson,
    ARMY No. 9900544, slip op. at 5-6.     The court also agreed that
    J's statements to Dr. Rogers were admissible under M.R.E.
    803(4).    The court, however, held that J's statements to
    Investigator Bass-Caine were not excited utterances.      The court
    found that J made the statements "in a calm, matter-of-fact
    manner and, thus, [the statements were] made as a result of
    recall not as a result of the event."     
    Id. at 7.
      The court
    therefore concluded: "The circumstances surrounding [J's]
    statement and the nature of her responses to Investigator Bass-
    Caine's questioning, convinces us that they were reflective and
    not made under the stress or excitement of events from the
    past."    
    Id. (citing United
    States v. LeMere, 
    22 M.J. 61
    , 68
    11
    United States v. Donaldson, No. 02-0931/AR
    (C.M.A. 1986)).    Nevertheless, the court affirmed the military
    judge's conclusion that J's statements to Investigator Bass-
    Caine were admissible as residual hearsay under M.R.E. 807.       
    Id. at 9.
    In his appeal to this Court, Appellant again asserts that
    J's statements to her mother, Dr. Rogers, and Investigator Bass-
    Caine are inadmissible hearsay statements.     He argues that J's
    statements to her mother were not made under the stress or
    excitement of a startling event.      Specifically, he asserts that
    considering the significant time gap between the event and J's
    statement, J's statements to her mother were made upon
    reflection.    Second, Appellant maintains that J's statements to
    Dr. Rogers "were not made with the understanding that if she
    were truthful, she would be helped."     Finally, Appellant asserts
    that J's statements to Investigator Bass-Caine lacked
    "equivalent circumstantial guarantees of trustworthiness
    comparable to other hearsay exceptions."     As such, Appellant
    argues that the military judge and the lower court erred in
    admitting these statements under M.R.E.s 803(2), 803(4), and
    807.
    We review a military judge's ruling on the admissibility of
    evidence for abuse of discretion.     United States v. Moolick, 
    53 M.J. 174
    , 176 (C.A.A.F. 2000)(citing United States v. Hyder, 
    47 M.J. 46
    , 48 (C.A.A.F. 1997)).    An abuse of discretion occurs
    12
    United States v. Donaldson, No. 02-0931/AR
    when a military judge either erroneously applies the law or
    clearly errs in making his or her findings of fact.    United
    States v. Humpherys, 
    57 M.J. 83
    , 90 (C.A.A.F. 2002).
    DISCUSSION
    A.   Admissibility of J's Statement to BT Under M.R.E. 803(2).
    An otherwise inadmissible hearsay statement is admissible
    under M.R.E. 803(2), even though the declarant is available as a
    witness, if (1) the statement relates to a startling event, (2)
    the declarant makes the statement while under the stress of
    excitement caused by the startling event, and (3) the statement
    is "‘spontaneous, excited or impulsive rather than the product
    of reflection and deliberation.’" United States v. Feltham, __
    M.J. ___ (C.A.A.F. 2003); United States v. Arnold, 
    25 M.J. 129
    ,
    132 (C.M.A. 1987)(quoting United States v. Iron Shell, 
    633 F.2d 77
    , 86 (8th Cir. 1980), cert. denied, 
    450 U.S. 1001
    (1981)).
    Appellant does not dispute that sexual abuse accompanied by
    a threat of harm would constitute a startling event.   Nor does
    Appellant dispute that J’s statements related to sexual abuse
    and a threat of harm.   Appellant contests the military judge’s
    finding that J’s statements to BT were spontaneous statements
    made under the stress or excitement of a startling event.
    Citing United States v. Grant, 
    42 M.J. 340
    , 343 (C.A.A.F. 1995),
    United States v. Richmond, 
    26 M.J. 226
    (C.M.A. 1988), and
    several service courts, Appellant argues that there is a
    13
    United States v. Donaldson, No. 02-0931/AR
    difference between an utterance made under stress and excitement
    and one made upon sad reflection or under the trauma of having
    to retell events after one has calmed down.    Under these cases,
    and Judge Everett’s dissent in 
    Arnold, 25 M.J. at 135
    , he
    contends that the latter statements do not qualify as excited
    utterances.   Appellant places particular emphasis on the time
    lag between the startling event and J's statement to her mother.
    He asserts that J clearly had time to calm down, and her later
    excitement, if any existed, was the product of trauma upon
    reflection and was not an excited utterance.   Further, Appellant
    distinguishes his case from Arnold by arguing that, unlike the
    victim in Arnold, J “had no reason to wait until that evening to
    find a ‘compassionate adult [that she could] trust.’”    He
    asserts that because she was with her mother all day, she had an
    opportunity to discuss the event earlier in the day.    He
    therefore maintains that J’s statements were prompted by her
    mother's questioning and not the stress and excitement of a
    startling event.
    The argument that statements made after one has calmed down
    can never be excited utterances presents an unsettled legal
    question.   The "implicit premise" underlying the excited
    utterance exception is "that a person who reacts 'to a startling
    event or condition' while 'under the stress of excitement
    caused' thereby will speak truthfully because of the lack of
    14
    United States v. Donaldson, No. 02-0931/AR
    opportunity to fabricate."   United States v. Jones, 
    30 M.J. 127
    ,
    129 (C.M.A. 1990).   This premise becomes more tenuous where the
    exciting influence has dissipated and one has had the
    opportunity to deliberate or fabricate.   Even if one were to
    have a renewal of the stress involved in the original exciting
    event, the existence of a deliberative period increases the
    concern that subsequent statements will be inaccurate or
    contrived.   On the other hand, some courts and commentators have
    accepted the premise that even after the excitement of a
    startling event has dissipated, a subsequent statement may
    constitute an excited utterance if a renewal of the excitement
    provides an adequate safeguard against fabrication.   See United
    States v. Napier, 
    518 F.2d 316
    , 317-18 (9th Cir. 1975)
    (admitting a statement as an excited utterance where the
    declarant was "suddenly and unexpectedly confronted with a
    photograph of her alleged assailant," even though the statement
    related to a startling event that occurred a week prior); 4
    Christopher B. Mueller & Laird C. Kirkpatrick, Federal Evidence
    § 435, at 401-02 (2d ed. 1994)(noting the risks associated with
    applying the exception after the "stress subsides," but
    implicitly accepting that admission may occur under the right
    conditions).
    We ultimately need not resolve the question of whether the
    excited utterance exception can apply to statements made after
    15
    United States v. Donaldson, No. 02-0931/AR
    the original stress of excitement caused by the event has
    subsided.   We are convinced there was sufficient evidence for
    the military judge to conclude that J made the statements to her
    mother while she "was under the stress of excitement caused by
    the event, and they were not the result of reflection or
    fabrication."
    In determining whether a declarant was under the stress of
    a startling event at the time of his or her statement, courts
    have looked to a number of factors.   These may include: “the
    lapse of time between the startling event and the statement,
    whether the statement was made in response to an inquiry, the
    age of the declarant, the physical and mental condition of the
    declarant, the characteristics of the event, and the subject
    matter of the statement.”   Reed v. Thalacker, 
    198 F.3d 1058
    ,
    1061 (8th Cir. 1999).   See Morgan v. Foretich, 
    846 F.2d 941
    , 947
    (4th Cir. 1988).   A lapse of time between a startling event and
    an utterance, while a factor in determining whether the
    declarant was under the stress of excitement caused by the
    event, is not dispositive of that issue.   
    Arnold, 25 M.J. at 132
    (citing Garcia v. Watkins, 
    604 F.2d 1297
    , 1300 (10th Cir.
    1979)); United States v. Scarpa, 
    913 F.2d 993
    , 1017 (2d Cir.
    1990); Iron 
    Shell, 633 F.2d at 85
    .
    As a general proposition, where a statement relating to a
    startling event does not immediately follow that event, there is
    16
    United States v. Donaldson, No. 02-0931/AR
    a strong presumption against admissibility under M.R.E. 803(2).
    
    Jones, 30 M.J. at 129
    .    However, courts have been more flexible
    in cases in which the declarant is young, particularly where the
    statement was made during the child's first opportunity alone
    with a trusted adult.    See 
    id. (acknowledging that
    children may
    stay excited longer than adults); 
    Arnold, 25 M.J. at 132
    (statement of 16-year-old rape victim held admissible despite at
    least a 12-hour lapse between the rape and the statement);
    United States v. Farley, 
    992 F.2d 1122
    , 1126 (10th Cir.
    1993)(admitting statements of five-year old though one statement
    was made two hours after the assault and the other at least 12
    hours after the assault); 
    Morgan, 846 F.2d at 947
    (finding that
    a four-year old’s three-hour lapse in reporting an assault was
    “well within the bounds of reasonableness” for an excited
    utterance); Goss v. Greer, 
    773 F.2d 116
    , 119-20 (7th Cir.
    1985)(holding that a lower court properly admitted a four-year
    old's hearsay statement although she made it 12-15 hours after
    the startling event); Iron 
    Shell, 633 F.2d at 86
    (admitting
    statement of nine-year-old victim as an excited utterance
    although she made the statement one hour after the assault);
    but see 
    Thalacker, 198 F.3d at 1062
    (questioning the rationale
    for applying the excited utterance exception differently for
    children and adults).
    17
    United States v. Donaldson, No. 02-0931/AR
    In Appellant's case, the military judge found that J made
    the statements to her mother while she "was under the stress and
    excitement caused by the event.”     This finding is supported by
    the facts.   It is undisputed that J was three years old at the
    time of the event.   She was able to demonstrate exactly where
    she claimed Appellant had touched her.    J's mother testified
    that J's behavior throughout the day was abnormal.    She stated
    that J was unusually quiet and clingy.    Furthermore, she
    testified that when she attempted to wash J's vaginal area, J
    became “hysterical.”
    As to the lapse in time, the military judge’s findings
    indicate that J must have made her statement within roughly 11
    to 12 hours of the abuse.   Although the lapse in time is
    significant, it is made less significant by the fact that there
    was evidence indicating that Appellant threatened to kill J, her
    brother and her mother if she told about the abuse.    See 
    Arnold, 25 M.J. at 132
    .   Under the circumstances, the delay was not so
    long that it was clearly erroneous for the judge to find that J
    was still under the stress of a startling event.
    Finally, contrary to Appellant's contention, there were
    facts supporting the military judge's finding that J and her
    mother were not alone during the day.    BT testified that her
    friend, Ms. Sandreth, accompanied her and J to the doctor's
    office and to the mall.   She also stated that on their way home
    18
    United States v. Donaldson, No. 02-0931/AR
    from the mall, they picked up J's brother.        Appellant has failed
    to show that this finding was clearly erroneous.
    While the facts of United States v. Grant, 
    42 M.J. 340
    (C.A.A.F. 1995), are similar to those present in this case,
    there are significant differences that distinguish it from this
    case.     Unlike the present case, the victim in Grant appeared to
    be happy, was not acting abnormally, and was "'telling . . .
    about all the Christmas presents she had received'" just prior
    to making her hearsay statement.        
    Id. at 341.
      Moreover, the
    victim in Grant made her statement 36 to 48 hours after the
    alleged startling event, three to four times the lapse in this
    case.     
    Id. Finally, unlike
    J's distressed response in this
    case, the victim in Grant appeared "'very sad and teary eyed'"
    when she made her statements.      
    Id. These distinctions
    suggest
    that Appellant's reliance on Grant is misplaced.
    On the facts of this case, the military judge did not
    clearly err in finding that J was still under the excitement and
    stress of a startling event when she made the incriminating
    statements about Appellant to her mother.        Therefore, there was
    no abuse of discretion in admitting the statements as excited
    utterances.
    B.   Admissibility of J's Statements to Dr. Rogers Under M.R.E.
    803(4).
    19
    United States v. Donaldson, No. 02-0931/AR
    Under M.R.E. 803(4), certain hearsay statements made to
    medical personnel are admissible even though the declarant is
    available as a witness.    Those statements include:
    Statements made for purposes of medical diagnosis or
    treatment and described medical history, or past or
    present symptoms, pain, or sensation, or the inception
    or general character of the cause or external source
    thereof insofar as reasonably pertinent to diagnosis
    or treatment.
    M.R.E. 803(4) is not limited to statements made to licensed
    physicians.   In United States v. Welch, 
    25 M.J. 23
    , 25 (C.M.A.
    1987), this Court held that a victim's statements to a
    psychologist fell within the scope of M.R.E. 803(4).    Several
    years later, in United States v. Morgan, 
    40 M.J. 405
    (C.M.A.
    1994), we stated that under the “proper circumstances,
    statements made to psychologists, social workers, and other
    health care professionals may well fall within the purview of
    the medical-treatment exception to the hearsay rule.”    
    Id. at 408
    (citing 
    Welch, 25 M.J. at 25
    ).     See United States v. Haner,
    
    49 M.J. 72
    , 77 (C.A.A.F. 1998).    We ultimately held in Morgan
    that a victim's statements to two social workers qualified as
    statements of medical diagnosis or treatment under M.R.E.
    803(4).   
    Id. at 409.
      Our position is consistent with a number
    of federal circuits who have held that statements to
    psychologists are admissible as statements for the purpose of
    medical diagnosis or treatment under Fed. R. Evid. 803(4).    See
    20
    United States v. Donaldson, No. 02-0931/AR
    United States v. Yellow, 
    18 F.3d 1438
    , 1442 (8th Cir. 1994);
    United States v. Newman, 
    965 F.2d 206
    , 210 (7th Cir. 1992);
    
    Morgan, 846 F.2d at 949
    n.17.
    Statements offered under M.R.E. 803(4) must satisfy two
    requirements to be admissible: “first the statements must be
    made for the purposes of ‘medical diagnosis or treatment’; and
    second, the patient must make the statement ‘with some
    expectation of receiving medical benefit for the medical
    diagnosis or treatment that is being sought.’”   United States v.
    Edens, 
    31 M.J. 267
    , 269 (C.M.A. 1990)(quoting United States v.
    Deland, 
    22 M.J. 70
    , 75 (C.M.A. 1986), cert. denied, 
    479 U.S. 856
    (1986)).   While both requirements must be met, the "critical
    question [in this inquiry] is whether [the patient] had some
    expectation of treatment when she talked to the caregivers.”
    
    Haner, 49 M.J. at 76
    .   "The key factor in determining whether a
    particular statement is embraced by the medical-treatment
    exception is 'the state of mind or motive of the patient in
    giving the information to the physician and the expectation or
    perception of the patient that if he or she gives truthful
    information, it will help him or her to be healed.'"   
    Morgan, 40 M.J. at 408
    (quoting United States v. White, 
    25 M.J. 50
    , 51
    (C.M.A. 1987)).   In United States v. Siroky, 
    44 M.J. 394
    , 400
    (C.A.A.F. 1996), we recognized that "a small child may not be
    able to articulate that he or she expects some benefit from
    21
    United States v. Donaldson, No. 02-0931/AR
    treatment."    Thus, we stated that where a child is involved, "it
    is often important for their caretakers to explain to them the
    importance of the treatment in terms that are understandable to
    the child."    
    Id. (citing United
    States v. Avila, 
    27 M.J. 62
    , 66
    (C.M.A. 1988)).   A military judge’s determination that a patient
    made a statement for the purpose of medical diagnosis or
    treatment out of an expectation of receiving medical benefit is
    a question of fact that we review for clear error.   
    Siroky, 44 M.J. at 399
    .
    Looking only at J's visits with Dr. Rogers, there is little
    evidence that J would have understood that Dr. Rogers was a
    doctor from whom she could have expected some medical benefit.
    Dr. Rogers testified that she did not wear a doctor’s coat, she
    did not do a physical examination, she did not give shots or
    take J’s temperature or blood pressure.   Further her office was
    in a shopping center and not a medical facility like a hospital
    or an outpatient treatment office, which might otherwise have
    suggested to J that Dr. Rogers was a doctor.   Finally, she
    testified that J's visits often consisted of the two of them
    playing or drawing together.
    Moreover, Dr. Rogers' testimony regarding what she told J
    was contradictory.   At one point she stated that she told J she
    was a doctor, but not a shot doctor.   On cross-examination,
    though, she stated that she did not remember exactly what she
    22
    United States v. Donaldson, No. 02-0931/AR
    told J.    She added that she was not sure whether J knew what
    kind of doctor she was or why J was there.    Still later in her
    testimony, the doctor testified that she was confident she told
    J that she was a doctor and that her role was to help J deal
    with what was bothering her and to help make things better.
    Yet, on re-cross-examination, she again stated that she did not
    recall what she told J.   Further, Dr. Rogers stated that she did
    not know whether J understood that she was a doctor or whether J
    knew why she came to Dr. Rogers' office.
    On the other hand, J's mother's testimony strongly supports
    a conclusion that J had an expectation of medical benefit when
    she visited with Dr. Rogers.    BT testified that before she took
    J to Dr. Rogers, she told J that she was going to take her to
    "see a doctor who would help her get better and get over the
    nightmares and the rages, the crying."   She further stated that
    J "seemed to understand" why she needed to see Dr. Rogers.
    Although a child's testimony about his or her expectation
    of receiving medical benefit would normally be given great
    weight, J's in-court affirmation that she went to Dr. Rogers to
    get better, while relevant, is not conclusive for several
    reasons.   First, she initially was unable or unwilling to
    testify about why she went to see Dr. Rogers.   It was only after
    trial counsel asked her whether she went to see Dr. Roger "to
    feel better" that she nodded her head in the affirmative.
    23
    United States v. Donaldson, No. 02-0931/AR
    Second, when asked why she needed to get better, J was unable to
    answer and only shrugged her shoulders.   Finally, it is unclear
    from J's statement whether, at the time she began her counseling
    sessions with Dr. Rogers, she expected a medical benefit as
    required by M.R.E. 803(4).
    Based on the above testimony, the military judge made the
    following findings:
    Prior to going to see Dr. Rogers, the victim’s
    mother told her that they were going to see a doctor
    who would help her get better and get over the rages,
    crying and nightmares . . . . At the beginning of the
    first session, Dr. Rogers explained to the victim that
    she was not a doctor who gives shots or looks in ears
    or at teeth, but she was a doctor who talks about
    “feelings” and “worries.” Dr. Rogers told the victim
    that her role was to help the victim feel better. The
    victim understood that Dr. Rogers was her doctor, and
    that she went to Dr. Rogers to feel better.
    Based on the totality of the evidence presented, we hold
    that the military judge did not clearly err in finding that Dr.
    Rogers told J she was a doctor and that she would help J feel
    better.   Moreover, while we recognize that this is a close case,
    the testimony of J, and particularly that of her mother, support
    the judge's finding that J understood that Dr. Rogers was a
    doctor and that she was going to help J get over her problems.
    Appellant argues that this case is similar to United States
    v. Faciane, 
    40 M.J. 399
    (C.M.A. 1994) and Siroky, both cases in
    which we concluded that there was insufficient evidence to find
    that a child/declarant had an expectation of receiving a medical
    24
    United States v. Donaldson, No. 02-0931/AR
    benefit by talking with mental health professionals.         However,
    we believe this case is distinguishable from Faciane and Siroky.
    In Faciane, a mother suspected her ex-husband of sexually
    abusing their three-year-old 
    daughter. 40 M.J. at 399-400
    .     She
    decided to file a police report and take her daughter to a
    children's counselor at an area hospital.      
    Id. at 401.
       She
    testified that she told her daughter that “she was going to go
    see a doctor there and there would be a lady there for her to
    talk to.”    
    Id. However, she
    later admitted that she could not
    recall exactly what she told her daughter.      
    Id. The counselor
    who interviewed the child was not dressed like a doctor, did not
    conduct any physical examination, and met with the child in an
    office filled with toys.    
    Id. The counselor
    was unable to
    remember exactly what she told the child she was there for,
    except that she thought she told the child that she was “going
    to talk and play with her.”      
    Id. Based on
    these facts, we held that there was insufficient
    evidence to support the military judge’s conclusion that the
    child’s statements were admissible under M.R.E. 803(4).        
    Id. at 403.
       In so doing we stated:
    Although the child may have associated a hospital with
    treatment and may have known that she was in a
    hospital when she talked with Mrs. Thornton, there is
    no evidence indicating that the child knew that her
    conversation “with a lady” in playroom surroundings
    was in any way related to medical diagnosis or
    treatment. Mrs. Thornton testified that she did not
    25
    United States v. Donaldson, No. 02-0931/AR
    present herself as a doctor or do anything medical.
    There is no evidence that Mrs. Thornton was dressed or
    otherwise identified as a medical professional. The
    interview took place in a room filled with toys.
    There is nothing suggesting that the child made the
    statements with the expectation that if she would be
    truthful, she would be helped.
    
    Id. (emphasis added).
    Similarly, in Siroky, a mother took her two-and-a-half-
    year-old daughter to a psychotherapist, claiming that the child
    had been sexually abused by the child’s 
    father. 44 M.J. at 395
    .
    The doctor was unable to remember whether she introduced herself
    as a doctor.    
    Id. She testified
    that she generally introduced
    herself to her patients as a “helper” and was there to talk
    about “feelings and to help” the child.        
    Id. The doctor
    and the
    child played with toys together.       
    Id. When asked
    on cross-
    examination whether she believed the child was aware of why the
    family visited her office, the doctor stated, the child's
    “family and mother . . . would refer to me as ‘the lady’ or ‘the
    doctor.’”   
    Id. at 397.
       She also stated that she did not think a
    child so young would understand what a counselor was, although
    the child would understand that she was a helper.        
    Id. Based on
    this testimony, we held that M.R.E. 803(4) was
    inapplicable.    In so holding we explained:
    Even if there was clearly sufficient evidence to meet
    the requirement that the statements were made for the
    purposes of treatment, there is simply insufficient
    evidence in the record to support the expectation-of-
    treatment prong. As this prong focuses on the
    26
    United States v. Donaldson, No. 02-0931/AR
    declarant’s state of mind, we recognize that a small
    child may not be able to articulate that he or she
    expects some benefit from treatment. Thus it is often
    important for their caretakers to explain to them the
    importance of the treatment in terms that are
    understandable to the child. Not only did [the child]
    not testify in this trial, but also there is no
    evidence on the record that her mother explained the
    importance of treatment to [the child]. Specifically,
    the record does not give us any indication that the
    statements made by [the child] concerning her father
    on July 24, 1992, were believed by her to be pertinent
    to treatment. Further as in Faciane, there is
    insufficient evidence for us to draw the inference
    that [the child] must have known that any statement
    she made would help her in treatment. [The counselor]
    did not present herself as a doctor and did not engage
    in any activity which [the child] could have construed
    as treatment. Further, the interviews with [the
    child] were conducted in a room filled with toys.
    
    Id. at 400-01
    (emphasis added).
    Unlike Faciane and Siroky, there is evidence in this case
    to indicate that J understood that Dr. Rogers was a doctor.
    Taken together, the testimony of Dr. Rogers, BT, and J, provided
    the military judge with sufficient facts for him to find that J
    expected some medical benefit from discussing her problems with
    Dr. Rogers.   We therefore hold that the judge did not abuse his
    discretion by admitting J's statement to Dr. Rogers under M.R.E.
    803(4), and therefore, in response to the granted issue,
    conclude that the Court of Criminal Appeals did not err in
    affirming the military judge's admission of J's statements to
    Dr. Rogers.
    27
    United States v. Donaldson, No. 02-0931/AR
    Because we hold that the military judge did not err in
    admitting J's statements to Dr. Rogers under M.R.E. 803(4), we
    need not reach whether the statements were also admissible as
    residual hearsay under M.R.E. 807.
    C.   Applicability of J's Statements to Investigator Bass-Caine
    Under M.R.E. 807.
    Appellant's final argument is that J's statements to
    Investigator Bass-Caine were inadmissible under M.R.E. 807.
    M.R.E. 807 is a residual hearsay exception rule, permitting a
    party to introduce hearsay evidence that does not otherwise fall
    under the exceptions contained in M.R.E.s 803 and 804, where
    certain requirements are met.   The rule states:
    A statement not specifically covered by Rule 803 or
    804 but having equivalent circumstantial guarantees of
    trustworthiness, is not excluded by the hearsay rule,
    if the court determines that (A) the statement is
    offered as evidence of a material fact; (B) the
    statement is more probative on the point for which it
    is offered than other evidence which the proponent can
    procure through reasonable efforts; and (C) the
    general purposes of these rules and the interests of
    justice will best be served by admission of the
    statement into evidence. However, a statement may not
    be admitted under this exception unless the proponent
    of it makes known to the adverse party sufficiently in
    advance of the trial or hearing to provide the adverse
    party with a fair opportunity to prepare to meet it,
    the proponent’s intention to offer the statement and
    the particulars of it, including the name and address
    of the declarant.
    (Emphasis added.)
    Appellant argues that the lower court erred in concluding
    that J's statements to Investigator Bass-Caine were reliable
    28
    United States v. Donaldson, No. 02-0931/AR
    because they were accompanied by circumstantial guarantees of
    trustworthiness like those supporting the other hearsay
    exceptions.
    In United States v. Giambra, 
    33 M.J. 331
    , 334 (C.M.A.
    1991), we stated that for a hearsay statement to be admissible
    under the residual hearsay exception it "must have 'equivalent
    circumstantial guarantees of trustworthiness' as do the first 23
    exceptions."   In determining whether a statement is supported by
    circumstantial guarantees of trustworthiness, we look to a
    number of indicia of reliability.    These may include, among
    other things: (1) the mental state of the declarant; (2) the
    spontaneity of the statement; (3) the use of suggestive
    questioning; and (4) whether the statement can be corroborated.
    United States v. Grant, 
    42 M.J. 340
    , 343-44 (C.A.A.F. 1995); see
    United States v. Kelley, 
    45 M.J. 275
    , 281 (C.A.A.F. 1996);
    United States v. Cox, 
    45 M.J. 153
    , 157 (C.A.A.F. 1996).      Other
    indicators of reliability may include the declarant’s age or the
    circumstances under which the statement was made.    
    Kelley, 45 M.J. at 281
    ; see 
    Cox, 45 M.J. at 157
    .    A court's factual
    findings on the existence of circumstantial guarantees of
    trustworthiness are reviewed for clear error.    United States v.
    Workman, 
    860 F.2d 140
    , 144 (4th Cir. 1988).    We accord a
    military judge "considerable discretion" in admitting evidence
    as residual hearsay.   
    Kelley, 45 M.J. at 281
    -82.
    29
    United States v. Donaldson, No. 02-0931/AR
    In this case, the Army Court of Criminal Appeals made
    several findings to support its conclusion J's statements to
    Investigator Bass-Caine had the kind of guarantees of
    trustworthiness found in other hearsay exceptions.    First, it
    found that “the ‘spontaneity’ of [J's] nonverbal adjustment of
    her clothing prior to touching her vagina indicates
    trustworthiness.”   Donaldson, ARMY No. 9900544, slip op. at 7.
    In addition to the spontaneity of the statement, the court found
    that less than sixteen hours had transpired between the incident
    and the interview with the investigator, and the “events were
    still fresh in [J's] young memory.”   
    Id. at 8.
      The court
    further found that J had no motive to fabricate.    
    Id. Finally, the
    lower court determined that J's statements to Investigator
    Bass-Caine were corroborated by J’s statements to BT and Dr.
    Rogers.
    Appellant challenges these findings on several bases.
    First, he asserts that J's action in adjusting her clothing to
    show where Appellant touched her is not an indication of
    reliability because "[i]t is not uncommon for a child of this
    age to remove her clothing in front of an adult."    Appellant
    particularly notes that J's actions and her statement were not
    surprising in light of the fact that J was present when her
    mother recounted J's initial statement on at least three
    30
    United States v. Donaldson, No. 02-0931/AR
    occasions--to Ms. Sandreth, Officer Hagen, and SK, the latter
    discussion culminating in a heated argument.
    In addition, Appellant objects to the lower court's finding
    that despite the passage of time, the substance of the statement
    showed that the "events were still fresh in [J's] young memory."
    He argues that the lack of specificity in J's statement
    demonstrates that the events were not fresh in J's memory, but
    that she was relying on what her mother had told her.    Appellant
    further objects to the court's finding that J had no motive to
    fabricate.    He asserts that there is no support for this finding
    and it is persuasive only if one assumes that Appellant is
    guilty of the offense.    Next, Appellant objects to the lower
    court's reliance on United States v. Lingle, 
    27 M.J. 704
    , 708
    (A.F. Ct. Crim. App. 1988) in reaching its conclusion that J's
    tender age increased the probability that her statements were
    truthful.    Appellant argues that Lingle is inapplicable in this
    case because J's statements were not made to a playmate, but
    rather to an adult.    Finally, because Appellant contends that
    J's statements to her mother and Dr. Rogers are inadmissible, he
    maintains that J's statements to the investigator were not
    corroborated by admissible circumstantial evidence.
    On the one hand, this Court has generally treated hearsay
    statements solicited by police officers, particularly when they
    are elicited in private conversations, with caution.    United
    31
    United States v. Donaldson, No. 02-0931/AR
    States v. Ureta, 
    44 M.J. 290
    , 296 (C.A.A.F. 1995)(citing United
    States v. Pollard, 
    38 M.J. 41
    , 49 (C.M.A. 1993)).   In addition,
    in this case, J's statements to Investigator Bass-Caine were
    preceded by several emotionally charged conversations between BT
    and Ms. Sandreth, Officer Hagan, and SK, each of which J heard,
    raising the concern that J's recollection of the events could
    have been colored by her mother's view of the incident.   As
    Appellant notes, the lower court appears not to have considered
    this concern in reaching its determination nor substantiated its
    finding that J had no motive to fabricate.
    On the other hand, we agree with the lower court that J's
    spontaneous act of pulling her panties aside and placing her
    finger by her vaginal area was an unusual event that supports a
    finding of reliability.   Investigator Bass-Caine testified that
    she had never seen a child witness perform such an act.
    Moreover, because we conclude that the military judge did not
    err in admitting J's statements to her mother and Dr. Rogers, we
    disagree with Appellant that J's statements were not
    corroborated by admissible circumstantial evidence.    Lastly, we
    disagree with Appellant that J's statements did not contain the
    degree of specificity normally associated with reliable
    statements.   J was able to identify who touched her, where she
    was touched and the manner in which the touching occurred.
    32
    United States v. Donaldson, No. 02-0931/AR
    Therefore, while there are points to consider against
    admission of the statements as residual hearsay, Appellant has
    failed to demonstrate that the military judge abused his
    “considerable discretion” when he determined that the statements
    were accompanied by circumstantial guarantees of
    trustworthiness.   
    Kelley, 45 M.J. at 281
    -82.   We therefore
    conclude that the lower court did not err when it held that the
    military judge properly admitted J's statements to Investigator
    Bass-Caine under M.R.E. 807.
    CONCLUSION
    The decision of the United States Army Court of Criminal
    Appeals is affirmed.
    33
    United States v. Donaldson, No. 02-0931/AR
    EFFRON, Judge (concurring in part and in the result):
    I agree with the lead opinion with respect to the
    admissibility of the testimony of BT and Dr. Carrie Rogers.    I
    write separately regarding the lead opinion’s conclusion that
    the testimony of Investigator Tracy Bass-Caine was admissible
    under the residual hearsay exception, Military Rule of Evidence
    807 [hereinafter M.R.E.].
    As our Court noted in United States v. Kelley, 
    45 M.J. 275
    (C.A.A.F. 1996), the legislative history of the residual hearsay
    exception indicates that the exception should be used “very
    rarely, and only in exceptional circumstances."   
    Id. at 280
    (citations and internal quotations omitted).   The express
    exceptions to the hearsay rule are tightly drawn and are limited
    to circumstances that offer assurance of reliability.    M.R.E.
    807 requires that the circumstances of the making of a statement
    offered under the residual exception provide the same degree of
    assurance of reliability as is found under the specific
    exceptions.
    The present case involves hearsay testimony by Investigator
    Bass-Caine about the results of her interview with J, the 3-
    year-old victim.   In the few hours that preceded the interview,
    J heard her mother engage in five emotionally charged
    conversations in which her mother recounted details of the
    incident to her sister, her best friend, an acquaintance of her
    United States v. Donaldson, No. 02-0931
    friend who was a deputy sheriff, Appellant's girlfriend, and a
    police officer.   J was so distraught during her mother’s
    interchange with Appellant’s girlfriend that she covered her
    ears with her hands and cried while the two women yelled and
    cursed at each other.
    The repeated, emotional recounting of the details by the
    mother –- a person who would have the trust and confidence of
    the child -- created a substantial risk of reinforcing the
    mother’s description of the events in the mind of this 3-year
    old, as distinct from her own recollection of the events.    Under
    these circumstances, there is a significant risk that J’s
    responses to Investigator Bass-Caine involved an unreliable
    regurgitation of the mother’s recitation rather than her own
    recollection.
    The risk was not ameliorated in this case by evidence that
    would offer any objective assurance as to how the interview was
    conducted.   This is particularly important in view of the degree
    of skepticism applicable when statements are sought by, and made
    to, police investigators.   See, e.g., United States v. Ureta, 
    44 M.J. 290
    , 296 (C.A.A.F. 1995).   In the present case, the
    questioning of J was undertaken by the investigator in private,
    with no video or audio recording or other means of assessing the
    details of the interview.
    2
    United States v. Donaldson, No. 02-0931
    Under the circumstances of the case, this hearsay testimony
    does not present the type of special circumstance demonstrating
    guarantees of trustworthiness equivalent to the enumerated
    hearsay exceptions.   Nonetheless, in view of the admissibility
    of the balance of the evidence against Appellant, any error in
    admitting Investigator Bass-Caine’s testimony was harmless.
    3