Michael LaHood v. Lorie Davis, Director , 653 F. App'x 253 ( 2016 )


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  •      Case: 15-20169      Document: 00513556582         Page: 1    Date Filed: 06/21/2016
    IN THE UNITED STATES COURT OF APPEALS
    FOR THE FIFTH CIRCUIT
    United States Court of Appeals
    Fifth Circuit
    No. 15-20169                          FILED
    June 21, 2016
    Lyle W. Cayce
    MICHAEL GEORGE LAHOOD,                                                      Clerk
    Petitioner - Appellee
    v.
    LORIE DAVIS, DIRECTOR, TEXAS DEPARTMENT OF CRIMINAL
    JUSTICE, CORRECTIONAL INSTITUTIONS DIVISION,
    Respondent - Appellant
    Appeal from the United States District Court
    for the Southern District of Texas
    USDC No. 4:13-CV-1874
    Before DENNIS, ELROD, and GRAVES, Circuit Judges.
    JAMES E. GRAVES, JR., Circuit Judge:*
    This is a federal habeas corpus case brought by a state prisoner, Michael
    George LaHood. The district court found that confidence in the outcome of the
    trial was undermined because of the evidence supporting at least a strong
    suspicion that LaHood was incompetent. The district court entered final
    judgment granting conditional habeas relief in the event that the state of Texas
    * Pursuant to 5TH CIR. R. 47.5, the court has determined that this opinion should not
    be published and is not precedent except under the limited circumstances set forth in 5TH
    CIR. R. 47.5.4.
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    did not retry LaHood within sixty days. The district court stayed the order
    pending completion of all appeals or the expiration of time for seeking any
    appeal. We REVERSE.
    I.    BACKGROUND AND PROCEDURAL HISTORY
    LaHood was charged by indictment in Harris County, Texas with the
    first-degree felony offenses of aggravated kidnapping and aggravated sexual
    assault. LaHood pleaded not guilty, but a jury found him guilty as charged of
    both offenses. On the question of punishment, the jury found the state of
    Texas’s enhancement allegation to be true and sentenced LaHood to thirty
    years of imprisonment on each conviction to be served concurrently.
    On direct appeal in Texas, LaHood claimed that the trial court erred
    under Pate v. Robinson, 
    383 U.S. 375
    (1966) in failing to sua sponte conduct an
    inquiry into LaHood’s legal competency. See LaHood v. State, 
    171 S.W.3d 613
    ,
    618 (Tex. Ct. App. 2005). The Fourteenth Court of Appeals of Texas, however,
    affirmed his convictions by written opinion. 
    Id. Subsequently, LaHood
    filed
    applications for a state writ of habeas corpus challenging his convictions. The
    state habeas trial court entered written findings of fact and recommended that
    relief be denied. The Texas Court of Criminal Appeals (the “TCCA”) remanded
    the matter to the state habeas trial court for further findings of fact after
    LaHood provided the affidavits of two medical experts who concluded that
    there was evidence in the record showing that LaHood was incompetent to
    stand trial.
    Nevertheless, the TCCA ultimately denied his applications on June 26,
    2013. See Ex parte LaHood, 
    401 S.W.3d 45
    (Tex. Ct. Crim. App. 2013). The
    TCCA found that LaHood’s trial counsel was deficient for failing to investigate
    LaHood’s mental-health history. 
    Id. at 52−57.
    Nevertheless, the TCCA found
    that LaHood still failed to prove prejudice under Strickland v. Washington, 466
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    U.S. 668 (1984) because he had not shown a reasonable probability that the
    fact finder would have found him incompetent to stand trial. 
    Id. Thereafter, on
    June 26, 2013, LaHood filed a federal petition for a writ
    of habeas corpus. LaHood’s present federal habeas petition argues: (1) that
    trial counsel was ineffective for failing to investigate his severe ongoing illness
    and clear indicators of incompetency; and (2) that the trial court denied him
    his due process right to a fair trial by failing to sua sponte inquire into his
    competency. The district court conditionally granted LaHood’s petition after
    finding him entitled to relief on both claims.
    A. LAHOOD’S COMPETENCE AT TRIAL
    LaHood points to several statements and actions at trial which he argues
    should have alerted his attorney and the court to his incompetence. When
    questioned by his attorney regarding his decision to testify, he indicated that
    he felt coerced. He then noted that his attorney advised him not to take the
    stand, but he wanted to give his “side of the story.” Ultimately, LaHood
    testified and explained his relationship with the victim along with their prior
    drug use and sexual history. He contradicted the victim’s assertion that she
    had been kidnapped by testifying that the victim drove the car the entire way
    to Houston and noted that they stopped in multiple populated areas where
    theoretically she could have alerted someone if she felt endangered. He also
    testified that the purpose of the trip was to purchase materials for making
    methamphetamine and that the victim purchased ammonia for its
    manufacture.
    Following LaHood’s direct testimony, the court conducted an on-the-
    record conference regarding the State’s intent to impeach LaHood with his
    prior convictions. LaHood interrupted the State’s attorney by calling a prior
    conviction “incorrect.” The trial court stated, “Mr. LaHood, I don’t want to hear
    from you anymore.” The parties continued their discussion and LaHood again
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    interrupted by stating, “I need my medicine.” The trial court called the jury
    into the courtroom and the State began LaHood’s cross-examination. In
    response to the prosecutor’s first question, LaHood stated, “I’m not sure I
    understand the question. I didn’t get my psych meds today. I’m having trouble
    understanding things, sir.” LaHood then said that he was “[v]ery nervous
    again.” The State resumed questioning and LaHood stated, “I need my
    medication. This is ridiculous. I am so uncomfortable. I’m seeing the lights
    blink. I take medication for manic depression, schizophrenia.” The trial court
    then removed the jury from the courtroom. Outside of the jury’s presence,
    LaHood continued, “I haven’t had it. This is not right.” The trial court then
    conducted an off-the-record conference. The following day the court conducted
    an on-the-record conference in which LaHood again attempted to speak to the
    court directly. LaHood accused the judge of wanting to find him in contempt.
    LaHood’s trial counsel, Leah Borg, conducted a re-direct examination
    during which she addressed his behavior at trial the previous day. He told the
    jury that he had trouble testifying because he is “manic depressive schizo-
    affective” and takes medication. When asked if he had received his medication
    on that day he stated, “Not for four days in a row. Twice I take it. I only received
    part of it.” He testified that he did not receive his medication on the first day
    of trial and only received part of his medication on the second. When asked
    how he reacts when he doesn’t take his medication, he stated, “I get very
    stressed out, shaky and I hallucinate. Sometime auditory . . .” He noted that
    the day before he had not received his medication, nor during the prior evening.
    He then testified that the morning of the present testimony he was given only
    some of his medications. He added that a prison employee had given him “triple
    doses” the night before, so he was “a lot calmer.” Borg continued questioning
    LaHood regarding the offense, the prosecutor conducted a re-cross and then
    the jury was removed.
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    Outside of the jury’s presence, the trial court began a hearing to
    determine the admissibility of certain evidence. LaHood made several out-of-
    turn remarks regarding the falsity of the State’s information and his
    innocence. The jury deliberated and returned a guilty verdict. The court’s
    docket sheet noted that LaHood had attempted suicide while the jury was
    deliberating punishment.
    During the penalty phase of the trial, LaHood blurted out “Shelley is
    using drugs right now.” During the prosecution’s questioning of a witness, he
    interrupted again with several outbursts. LaHood then took the stand as a
    punishment witness for the defense and testified regarding his mental illness,
    his medications, and his drug addictions.
    During the defense’s closing argument at punishment, his attorney cited
    his mental illness and addictive personality. She cited his suicide attempt, past
    hospitalizations, and outbursts at trial. LaHood later told the court, “Your
    Honor, I wasn’t mentally competent. I mean, when it happened and during the
    trial, and for that matter, right now. I mean, I’m still not getting my medication
    right. . . . I really would like an evaluation through the state hospital.”
    B. DIRECT APPEAL
    On direct appeal, LaHood claimed that the trial court erred by failing to
    sua sponte conduct a competency hearing despite LaHood’s statements and
    behavior at trial, which LaHood asserts entitled him to a competency hearing.
    LaHood v. State, 
    171 S.W.3d 613
    , 617–18 (Tex. Ct. App. 2005). The Fourteenth
    Court of Appeals of Texas explained that under Texas Code of Criminal
    Procedure, a defendant is presumed competent to stand trial unless proven
    incompetent by a preponderance of the evidence, and incompetence is proven
    by showing that the defendant “does not have (1) sufficient present ability to
    consult with his attorney with a reasonable degree of rational understanding,
    or (2) rational as well as factual understanding of the proceedings against
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    him.” 
    Id. at 618.
    See also Dusky v. United States, 
    362 U.S. 402
    , 402 (1960) (test
    for incompetency is whether the defendant has “sufficient present ability to
    consult with his lawyer with a reasonable degree of rational understanding—
    and whether he has a rational as well as factual understanding of the
    proceedings against him”); Indiana v. Edwards, 
    554 U.S. 164
    , 170 (2008)
    (same).
    The Fourteenth Court of Appeals of Texas concluded that LaHood’s
    evidence was not sufficient to show the trial court abused its discretion by not
    sua sponte holding a competency hearing for the following reasons:
    The fact that appellant made outbursts during trial is not evidence
    of an inability to communicate with counsel or to appreciate the
    proceedings against him. [Moore v. State, 
    999 S.W.2d 385
    , 395
    (Tex. Crim. App. 1999)).] Although inappropriate, the outbursts
    were immediate and logical responses to statements made or
    questions asked during trial. 
    Id. If such
    actions were enough to
    demonstrate incompetency, a defendant could easily avoid
    prosecution through immature behavior. 
    Id. Similarly, the
    fact
    that he may have been on psychiatric medication during trial and
    had a history of mental problems did not mandate a competency
    inquiry absent evidence of a present inability to communicate or
    understand the proceedings. See 
    id. at 395–96.
    The only time during trial that there was any indication appellant
    was having difficulty understanding the proceedings was on his
    second day of testimony when he stated that he was uncomfortable
    and seeing the lights blink and had not had his medication. The
    judge immediately recessed the proceedings. The next day,
    appellant continued testifying without any apparent difficulty,
    and he explained that he was doing much better because he had
    received his medication the night before. Because it appears from
    the record that the trial court acted appropriately in dealing with
    appellant’s difficulty in testifying on the second day, and there is
    no indication in the record that appellant did not understand the
    proceedings or had trouble communicating during any other
    portion of the trial, we find that the trial court did not abuse its
    discretion in failing to sua sponte inquire into appellant’s
    competency to stand trial.
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    LaHood, 171 S.W.3d at 619
    . The court also noted that the trial court “was in a
    much better position . . . to assess appellant’s demeanor both during his alleged
    period of confusion and during the rest of the trial,” and “beyond his own
    testimony, appellant cites no other evidence regarding incompetency.” 
    Id. at 619
    n.2.
    C. STATE HABEAS PROCEEDINGS
    During the state habeas proceeding, LaHood submitted his mental
    health, medical, and medication records from the Harris County Jail as well as
    affidavits from mental health experts. LaHood’s inmate medical records reflect
    that he had been diagnosed with bipolar and schizoaffective disorder. A
    notation in LaHood’s prison medical records shows that he was “somehow
    missing” his evening medications and becoming “manic.” LaHood’s father
    submitted an affidavit, averring that LaHood suffered from mental illness and
    complained to him during trial that he was not properly receiving his
    medication. LaHood’s former fiancée, Elizabeth Patterson, submitted an
    affidavit stating that she had informed trial counsel that she had important
    information regarding LaHood’s mental health. LaHood provided the affidavits
    of two medical experts who each concluded he was incompetent to stand trial.
    According to the experts, that conclusion was supported by evidence in the trial
    transcripts and medical records.
    The state habeas trial court initially found that the record left
    unresolved issues as to trial counsel’s assistance and ordered trial counsel,
    Leah Borg, to submit a responsive affidavit. She described her client as having
    a “misogynistic attitude with a need to dominate and exercise control over
    women. . . .” She also stated that LaHood is a malingerer and “engaged in . . .
    antics designed to create the illusion of incompetency, but which appeared to
    be nothing more than an act.” To support her assertions, she cited to pages of
    cogent notes written by LaHood during trial, although she could no longer
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    locate the notes in question. Borg admitted that LaHood was on medications
    for his mental illness and that, without his medication, he could become
    incompetent. Nevertheless, LaHood’s attorney maintained that the fact that
    he was taking medication was further support for her conclusion that he was
    legally competent.
    Borg stated in her affidavit that LaHood was able to make an informed,
    knowing, and intelligent decision to testify and that they were able to
    thoroughly discuss trial procedures. She noted that he knew the difference
    between “no contest” and “not guilty” and asserted that at trial. She indicated
    that they discussed the potential for impeachment. She also averred that his
    suicide attempt after the verdict was designed to manipulate because he “made
    a big show of it” and did it in a public setting rather than waiting until he
    returned to jail. The state habeas trial court recommended that the TCCA deny
    relief.
    The TCCA considered LaHood’s behavior during the trial. Ex parte
    
    Lahood, 401 S.W.3d at 54
    −55. The TCCA noted that during the first day of
    trial, LaHood testified for about an hour “with no problems”—LaHood “was
    able to shift back and forth to different time periods in his story,” “relayed a
    detailed account of his version of events in a constant effort to undermine the
    victim’s testimony,” and, at one point, even stated that he did not want to
    incriminate       himself   when     asked   about    his    involvement      with
    methamphetamine production. 
    Id. On the
    second day, LaHood’s behavior
    changed. 
    Id. LaHood stated
    that the lights were blinking. 
    Id. at 56.
    He asked
    for medication. 
    Id. However, between
    those “outbursts,” LaHood rationally
    advised the court that he wanted certain medical records subpoenaed as part
    of his defense. 
    Id. After LaHood
    stated that his medication had been withheld,
    the trial court recessed for the day. 
    Id. On the
    third day, LaHood continued to
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    interrupt the trial with comments, according to the TCCA, intended to
    introduce reasonable doubt. 
    Id. at 56
    n.9.
    The TCCA considered LaHood’s expert’s testimony that LaHood’s lack of
    medication while in jail, as well as the increase in dosage at the time of trial,
    caused LaHood to mentally decompensate such that LaHood’s decision to
    testify on his own behalf was not made with a reasonable degree of rational
    understanding. 
    Id. at 54.
    The TCCA also considered the sworn affidavit of
    LaHood’s defense counsel. 
    Id. at 54–55.
    She said that LaHood had decided to
    testify prior to the trial and while he was properly medicated. 
    Id. The TCCA
    also reviewed the trial court record to see if LaHood showed signs of a lack of
    rational understanding when he took the stand. 
    Id. At trial,
    defense counsel
    asked LaHood about whether he had previously stated that he intended to
    testify on his own behalf, to which LaHood responded on the stand that he only
    intended to do so as “a last result (sic)” after hearing all the evidence. 
    Id. at 55.
    LaHood explained that after hearing the evidence, if he thought the defense
    had not established reasonable doubt, then he wanted to testify on his own
    behalf. 
    Id. He stated
    that he otherwise did not want to testify because the
    prosecutor was going to cross-examine him. 
    Id. The TCCA
    explained that
    LaHood’s testimony at trial showed that he “engaged in a reasoned choice of
    legal strategies and options,” as he understood he faced a “risky choice of
    testifying in his own defense if counsel could not establish reasonable doubt”
    and “acknowledged that he understood the adversarial nature of the
    proceedings, when he stated that he knew he would be exposed to cross-
    examination if he testified.” 
    Id. The TCCA
    noted that LaHood’s experts testified that his behavior was
    consistent with the mis-administration of psychoactive medications. See 
    id. at 56.
    Even so, the TCCA explained that the record evidence indicated that
    LaHood “was competent during his testimony because (1) he was able to
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    disclose pertinent facts and events of the case, (2) he understood the
    adversarial nature of the proceedings, and (3) he put on a defense with a
    competing theory of the events that would have resulted in a not guilty verdict
    if the jury believed him.” 
    Id. The TCCA
    emphasized that even if a person is
    “suffering from a severe mental disease or defect or . . . [is] highly medicated,
    . . . he will be competent to stand trial if he still has the ability to meaningfully
    consult with his attorney and he has a rational as well as factual
    understanding of the charged offense and trial proceedings.” 
    Id. at 56
    (internal
    quotation marks omitted).
    The TCCA agreed with the habeas trial court, which found that LaHood’s
    “direct examination showed considerable clarity of thought,” 1 that his
    “outbursts regarding medication and lack of comprehension began only on
    cross-examination,” and that “the only opportunity for the victim’s testimony
    to be rebutted was by [LaHood],” such that his decision to testify made sense.
    
    Id. at 56
    –57. The TCCA stated: “Even if [LaHood] failed to receive some of his
    medication, there is nothing in the record that leads us to believe [LaHood] lost
    the ability to understand the proceedings or rationally confer with his
    counsel.” 2 
    Id. at 56.
           The TCCA concluded that LaHood’s counsel rendered deficient
    representation, but that LaHood had not shown Strickland prejudice. 
    Id. at 51,
    1 The TCCA explained: “He testified that the victim drove the car to Houston (directly
    contradicting her assertion that she had been kidnapped), that they stopped in multiple
    populated areas where the victim could have alerted someone if she was in trouble, and that
    the victim packed for the trip (directly contradicting her assertion that the fact she had a
    hairbrush, clothes, and a toothbrush was merely coincidental).” Ex parte 
    LaHood, 401 S.W.3d at 57
    .
    2  The TCCA also noted that its conclusion did not ignore LaHood’s expert’s opinion
    that it is common for individuals with severe mental illness to appear lucid for portions of
    proceedings, yet be incompetent during other portions of the proceeding. 
    Id. at 57.
    The TCCA
    explained that “neither habeas counsel nor [LaHood]’s experts have provided specific
    examples of [LaHood]’s [allegedly incompetent] behavior sufficient to meet [LaHood]’s burden
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    57. The TCCA explained that the “focus of the prejudice inquiry here is
    whether an applicant can show that there was a reasonable probability that he
    would have been found incompetent to stand trial if the issue of competency
    had been raised and fully considered,” as “[a]nything less than a finding of
    incompetence would not have changed the outcome.” 
    Id. at 54.
    In a thorough
    opinion discussing the record evidence, the TCCA concluded that LaHood had
    not met his burden of proof for Strickland prejudice—i.e., LaHood had not
    presented evidence to establish a “reasonable probability that a fact-finder
    would have found him incompetent to stand trial.” 
    Id. at 54–57.
                                     II.    JURISDICTION
    This is a federal habeas corpus case brought by a state prisoner pursuant
    to 28 U.S.C. §§ 2241, 2254. This court has jurisdiction over this appeal
    pursuant to 28 U.S.C. § 1291.
    III.    STANDARD OF REVIEW
    A federal petition for habeas relief is governed by the applicable
    provisions of the Anti-Terrorism and Effective Death Penalty Act (“AEDPA”).
    “In reviewing a grant of the writ of habeas corpus, we review the district court’s
    findings of fact for clear error.” Valdez v. Cockrell, 
    274 F.3d 941
    , 946 (5th Cir.
    2001). “This court reviews the district court’s legal determinations and
    application of AEDPA de novo.” Buntion v. Quarterman, 
    524 F.3d 664
    , 670 (5th
    Cir. 2008) (citing Foster v. Quarterman, 
    466 F.3d 359
    , 368 (5th Cir. 2006)). “We
    review de novo the district court’s disposition of pure issues of law and mixed
    issues of law and fact.” 
    Valdez, 274 F.3d at 946
    (citing Barrientes v. Johnson,
    
    221 F.3d 741
    , 750 (5th Cir. 2000); Bledsue v. Johnson, 
    188 F.3d 250
    , 254 (5th
    Cir. 1999)).
    of proof that he failed to understand the proceedings or that he had an inability to rationally
    communicate with his counsel.” 
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    The AEDPA provision that guides this court’s review is 28 U.S.C. §
    2254(d). It provides:
    (d) An application for a writ of habeas corpus on behalf of a person
    in custody pursuant to the judgment of a State court shall not be
    granted with respect to any claim that was adjudicated on the
    merits in State court proceedings unless the adjudication of the
    claim-
    (1) resulted in a decision that was contrary to, or involved an
    unreasonable application of, clearly established Federal law,
    as determined by the Supreme Court of the United States; or
    (2) resulted in a decision that was based on an unreasonable
    determination of the facts in light of the evidence presented in
    the State court proceeding.
    28 U.S.C. § 2254(d); see also Harrington v. Richter, 
    562 U.S. 86
    , 97–98 (2011).
    As this section is applied, questions of law and mixed questions of law and fact
    are reviewed under subsection (d)(1) of § 2254. Kitchens v. Johnson, 
    190 F.3d 698
    , 700 (5th Cir. 1999) (citing Drinkard v. Johnson, 
    97 F.3d 751
    , 767−68 (5th
    Cir. 1996)).
    A state court’s application of clearly established federal law is
    “unreasonable” under subsection (d)(1) if the state court “identifies the correct
    governing principle from Supreme Court precedent, but applies that principle
    to the case in an objectively unreasonable manner.” Nelson v. Quarterman, 
    472 F.3d 287
    , 292 (5th Cir. 2006) (en banc). “[S]o long as ‘fairminded jurists could
    disagree’ on the correctness of the state court’s decision,” the decision is not an
    unreasonable application of federal law. 
    Harrington, 562 U.S. at 101
    . The
    “unreasonable application” standard under § (d)(1) of AEDPA is meant to be
    “difficult to meet” such that “even a strong case for relief does not mean the
    state court’s contrary conclusion was unreasonable.”           
    Id. at 102.
    This
    deferential standard applies because “[s]ection 2254(d) . . . is a ‘guard against
    extreme malfunctions in the state criminal justice systems,’ not a substitute
    for ordinary error correction through appeal.” 
    Id. at 102–03.
    “The question
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    under AEDPA is not whether a federal court believes the state court’s
    determination    was    incorrect    but    whether    that   determination     was
    unreasonable—a substantially higher threshold.” Schriro v. Landrigan, 
    550 U.S. 465
    , 473 (2007). When reviewing a state court’s legal determination under
    the “unreasonable application” prong, a federal court may issue habeas relief
    only “where there is no possibility fairminded jurists could disagree that the
    state court’s decision” was an unreasonable application of clearly established
    Supreme Court precedent. 
    Harrington, 562 U.S. at 102
    (emphasis added).
    Under subsection (d)(2), a factual determination made by a state court is
    “‘presumed to be correct’ unless the habeas petitioner rebuts the presumption
    through ‘clear and convincing evidence.’” 
    Nelson, 472 F.3d at 292
    (quoting 28
    U.S.C. § 2254(e)(1)). “[F]ederal habeas courts must make as the starting point
    of their analysis the state courts’ determinations of fact, including that aspect
    of a ‘mixed question’ that rests on a finding of fact.” Williams v. Taylor, 
    529 U.S. 362
    , 386, 
    120 S. Ct. 1495
    , 1509, 
    146 L. Ed. 2d 389
    (2000). The Supreme
    Court added that “AEDPA plainly sought to ensure a level of ‘deference to the
    determinations of state courts,’ provided those determinations did not conflict
    with federal law or apply federal law in an unreasonable way.” 
    Id. (citing H.R.
    Conf. Rep. No. 104–518, p. 111 (1996)).
    IV.     ANALYSIS
    A. STRICKLAND CLAIM
    LaHood argues that his defense counsel rendered deficient performance
    by failing to investigate his mental health and that her failures caused him
    prejudice. The Supreme Court has elucidated the following standard for
    defective assistance claims:
    First, the defendant must show that counsel’s performance was
    deficient. This requires showing that counsel made errors so
    serious that counsel was not functioning as the “counsel”
    guaranteed the defendant by the Sixth Amendment. Second, the
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    defendant must show that the deficient performance prejudiced
    the defense. This requires showing that counsel’s errors were so
    serious as to deprive the defendant of a fair trial, a trial whose
    result is reliable. Unless a defendant makes both showings, it
    cannot be said that the conviction or death sentence resulted from
    a breakdown in the adversary process that renders the result
    unreliable.
    
    Strickland, 466 U.S. at 687
    .
    The Supreme Court has clarified the interaction between Strickland and
    habeas claims. The Court stated that the “standards created by Strickland and
    § 2254(d) are both highly deferential, and when the two apply in tandem,
    review is doubly so.” Premo v. Moore, 
    562 U.S. 115
    , 122 (2011) (internal
    citations and quotations omitted). Moreover, “[t]he Strickland standard is a
    general one, so the range of reasonable applications is substantial.” 
    Id. at 122−23
    (citation omitted).
    Both the TCCA and the district court found that LaHood’s counsel was
    ineffective 3―but this alone is not enough for LaHood to succeed. The TCCA
    concluded that LaHood had not met his burden of proof for Strickland
    prejudice—i.e., LaHood had not presented evidence to establish a “reasonable
    probability that a fact-finder would have found him incompetent to stand trial.”
    Ex parte 
    Lahood, 401 S.W.3d at 54
    –57. In order to meet this burden, “[t]he
    defendant must show that there is a reasonable probability that, but for
    counsel’s unprofessional errors, the result of the proceeding would have been
    different. A reasonable probability is a probability sufficient to undermine
    confidence in the outcome.” 
    Strickland, 466 U.S. at 694
    .
    3“Trial counsel provides deficient performance if he fails to investigate a defendant’s
    medical history when he has reason to believe that the defendant suffers from mental health
    problems.” Roberts v. Dretke, 
    381 F.3d 491
    , 498 (5th Cir. 2004) (citing Bouchillon v. Collins,
    
    907 F.2d 589
    , 597 (5th Cir. 1990)).
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    No. 15-20169
    The district court, however, disagreed with the TCCA’s conclusion
    regarding prejudice and focused on LaHood’s expert testimony. The district
    court determined that habeas relief was warranted because there was “strong
    evidence before the state habeas court that LaHood was, at best, intermittently
    competent.” The district court asserted that the TCCA’s determination was “in
    complete disregard of expert opinion.” The TCCA, however, considered expert
    opinions proffered by LaHood, but found that a review of all of the evidence
    revealed that he was competent. The TCCA noted LaHood’s ability to actively
    participate in his defense and his understanding of the adversarial nature of
    the proceedings. This is a reasonable conclusion that is neither contrary to nor
    an unreasonable application of Supreme Court precedent.
    Here, the district court based its grant of habeas relief on its assertion
    that the TCCA’s conclusion was “an unreasonable determination of the facts
    in light of the evidence presented in the State court proceeding.” As noted
    above, § 2254(d)(1) applies to conclusions of law, which includes mixed
    questions of law and fact. Section (d)(2) only applies to a “determination of the
    facts.” The TCCA was not making a “determination of the facts” but, rather,
    was making a legal conclusion—whether LaHood’s evidence showed a
    reasonable probability that he would have established that he was incompetent
    to stand trial. The TCCA did not determine that, in fact, LaHood was
    competent, or that LaHood’s counsel’s testimony was true—the TCCA was not
    making factual findings; it was making a legal conclusion about prejudice. The
    TCCA’s conclusion is well supported by the record and is not in error.
    B. DUE PROCESS CLAIM
    LaHood also contends that the federal district court correctly determined
    that he satisfied his burden regarding his due process violation claim. LaHood
    claims that the trial court erred under Pate, in failing to sua sponte conduct a
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    No. 15-20169
    competency hearing. LaHood argues that his statements and behavior at trial
    entitled him to a competency hearing.
    “We start from the proposition that the conviction of a legally
    incompetent defendant violates constitutional due process.” Mata v. Johnson,
    
    210 F.3d 324
    , 329 (5th Cir. 2000). “It has long been accepted that a person
    whose mental condition is such that he lacks the capacity to understand the
    nature and object of the proceedings against him, to consult with counsel, and
    to assist in preparing his defense may not be subjected to a trial.” Drope v.
    Missouri, 
    420 U.S. 162
    , 171 (1975). “[I]f the defendant has presented evidence
    to the trial court, before or during trial, that raises a ‘bona fide doubt,’ of his
    competence, 
    Pate, 383 U.S. at 385
    , 86 S.Ct. at 
    842, 15 L. Ed. 2d at 822
    , the trial
    court’s failure to make further inquiry denies that defendant his constitutional
    right to a fair trial.” Davis v. Alabama, 
    545 F.2d 460
    , 464 (5th Cir. 1977).
    The test for incompetency is whether a defendant “‘has sufficient present
    ability to consult with his lawyer with a reasonable degree of rational
    understanding . . . [and] a rational as well as factual understanding of the
    proceedings against him.’” Cooper v. Oklahoma, 
    517 U.S. 348
    , 354 (1996)
    (quoting 
    Dusky, 362 U.S. at 402
    ). Mental illness and incompetence, however,
    are not necessarily coexistent conditions. See generally McCoy v. Lynaugh, 
    874 F.2d 954
    , 960―61 (5th Cir. 1989); United States v. Williams, 
    819 F.2d 605
    , 608
    (5th Cir. 1987).
    The Fourteenth Court of Appeals of Texas resolved LaHood’s Pate claim
    on state-law grounds—applying Texas standards for competency hearing
    procedures that are not contrary to clearly established U.S. Supreme Court
    precedent. The district court, despite acknowledging that “it is not this federal
    habeas court’s role to question a state court’s interpretation of state law,”
    nevertheless overruled the state court’s determination that LaHood was not
    entitled to a competency hearing under Texas law. We are not persuaded that
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    No. 15-20169
    that there was no possibility that reasonable jurists could disagree that the
    state court’s rejection of LaHood’s Pate claim was an unreasonable application
    of U.S. Supreme Court precedent. 
    Harrington, 562 U.S. at 102
    . The district
    court gave no deference to the state court’s view that there was no evidence
    that LaHood was unable to rationally communicate with his counsel or
    understand the proceedings rationally and factually, which is the standard for
    incompetence under both Texas law and U.S. Supreme Court precedent. See
    Turner v. State, 
    422 S.W.3d 676
    , 689 (Tex. Crim. App. 2013); 
    Drope, 420 U.S. at 171
    .
    The record supports the state court’s finding that during the entire trial,
    LaHood was able to rationally communicate with his counsel and understand
    the proceedings rationally and factually― the evidence showed that he
    understood the charges against him, the adversarial process, the government’s
    burden to prove its case beyond a reasonable doubt, and the risk of testifying
    on his own behalf. The trial court was able to observe LaHood and address
    LaHood’s demeanor. Further, his own attorney asserted that he understood
    legal strategy along with the risks of testifying. The district court improperly
    substituted its judgment for that of the state court.
    V.     CONCLUSION
    The district court has no authority under AEDPA to issue a writ of
    habeas corpus where the state courts’ decisions were neither contrary to nor
    an unreasonable application of Supreme Court precedent nor based on
    unreasonable factual determinations. The Supreme Court instructs that as a
    condition for procurement of habeas corpus relief from a federal court, “a state
    prisoner must show that the state court’s ruling on the claim being presented
    in federal court was so lacking in justification that there was an error well
    understood and comprehended in existing law beyond any possibility for
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    fairminded disagreement.” 
    Harrington, 562 U.S. at 103
    . This is not such a case.
    The judgment of the district court is REVERSED.
    18