P. Fekadu CA4/1 ( 2022 )


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  • Filed 2/1/22 P. Fekadu CA4/1
    NOT TO BE PUBLISHED IN OFFICIAL REPORTS
    California Rules of Court, rule 8.1115(a), prohibits courts and parties from citing or relying on opinions not certified for
    publication or ordered published, except as specified by rule 8.1115(b). This opinion has not been certified for publication
    or ordered published for purposes of rule 8.1115.
    COURT OF APPEAL, FOURTH APPELLATE DISTRICT
    DIVISION ONE
    STATE OF CALIFORNIA
    THE PEOPLE,                                                          D078696
    Plaintiff and Respondent,
    v.                                                         (Super. Ct. No. SCD109580)
    BERHU HADARA FEKADU,
    Defendant and Appellant.
    APPEAL from an order of the Superior Court of San Diego County,
    Peter L. Gallagher, Judge. Affirmed.
    Barbara A. Smith, under appointment by the Court of Appeal, for
    Defendant and Appellant.
    Rob Bonta, Attorney General, Lance E. Winters, Chief Assistant
    Attorney General, Julie L. Garland, Assistant Attorney General, Steve
    Oetting and Paige B. Hazard, Deputy Attorneys General, for Plaintiff and
    Respondent.
    Appellant Berhu Hadara Fekadu was committed to the California
    Department of State Hospitals in 1996 pursuant to Penal Code section 10261
    after he was found not guilty by reason of insanity (NGI) of several criminal
    charges in 1995. He appeals an order extending his commitment for an
    additional two years—until October 3, 2022—pursuant to section 1026.5.
    Fekadu contends that there was no substantial evidence to support the trial
    court’s finding that he would pose a risk of danger to others if released. We
    disagree and affirm the order.
    BACKGROUND
    A.    Commitment History
    On December 31, 1994, Fekadu approached two 13-year-old girls who
    were standing outside of a restaurant. He grabbed one girl from behind,
    fondled her breasts, stomach and neck, and asked for a kiss. When the first
    victim pushed him away, he approached the second girl. He tried to kiss her,
    grabbed her from behind, and groped her breasts. When the girls ran inside
    the restaurant, Fekadu followed. The mother of one of the girls picked up a
    knife and told Fekadu to leave. Fekadu, who also had a knife, held it over his
    head and screamed, “ ‘Don’t come close to me. I’m God.’ ” The girls and the
    mother escaped and locked themselves in an office.
    A jury found Fekadu NGI in December 1995 of two counts of lewd acts
    upon a child under the age of 14 (§ 288, subd. (b)) and three counts of assault
    with a deadly weapon likely to cause great bodily injury (§ 245, subd. (a)(1)).
    The trial court thereafter found that Fekadu had not recovered his sanity and
    committed him in 1996 to the State Department of Mental Health for
    treatment. His maximum term of commitment was set at six years and 10
    1     Further statutory references are to the Penal Code unless otherwise
    stated.
    2
    months, including only periods of actual confinement. Fekadu was released
    under the conditional release program (CONREP) for community-based
    treatment in 1998, but was recommitted in 1999 after he ceased taking his
    psychotropic medication and decompensated. His commitment was
    subsequently extended eight times pursuant to section 1026.5.
    B.       Current Petition for Recommitment
    At the request of the medical director for the state hospital where
    Fekadu is currently committed, the People petitioned in June 2020 to again
    extend Fekadu’s commitment, which was scheduled to expire on October 3,
    2020. The medical director declared that Fekadu qualified for an extension of
    his commitment because he represents a substantial danger of physical harm
    to others by reason of his mental disease or disorder.
    The recommitment trial was delayed until 2021 due to issues related to
    the COVID-19 pandemic. Three experts testified at the bench trial. Fekadu
    testified on his own behalf.
    1.    Testimony of Dr. Ana Kodzic
    Dr. Kodzic is a forensic psychologist at the hospital where Fekadu is
    committed. She has evaluated Fekadu every six months since 2017. She is
    not part of his treatment team, but prepares reports approximately every two
    years regarding whether an extension of his NGI commitment is necessary.
    Fekadu is diagnosed with schizophrenia and he has presented
    symptoms consistent with that diagnosis in his interviews with Dr. Kodzic.
    He has had auditory hallucinations, grandiose delusions, paranoid delusions,
    and disorganized behavior since at least 1994. Fekadu has admitted that he
    committed the 1994 NGI crime of touching a girl because voices told him to
    do so.
    3
    In a February 2019 evaluation, Fekadu’s mental illness appeared to
    have become destabilized from his baseline, which Dr. Kodzic described as
    already “fairly symptomatic.” His delusions were more grandiose and
    prominent. He spoke about being persecuted and kidnapped by Italian
    missionaries and “colonizers.” He claimed to be the prime minister of
    Ethiopia and that evil entities were preventing him from performing that
    role. He stated that when he writes letters to people, they become doctors.
    He also talked about having great mastery of the Bible. Dr. Kodzic described
    his writings as disorganized. Fekadu quoted Biblical passages, but did not
    put them together in a way that made sense.
    About four months later, in June 2019, Dr. Kodzic interviewed Fekadu
    with his treatment team because Fekadu was very symptomatic with
    grandiose delusions. He talked about being an international politician, said
    that he could be a doctor, and claimed to be a miraculous healer who could
    heal doctors. He used made-up words, referred to as neologisms, which is a
    classic symptom of schizophrenia. He was agitated and emotional. Dr.
    Kodzic described him as “hyperverbal and hyperreligious.” Fekadu told his
    treatment team that “ ‘sooner or later doctors get punished and end up in
    graves.’ ” Earlier, Fekadu had handed his psychiatrist a letter that said,
    “God will smite you down” and “you are a liar and God hates liars.” Fekadu
    gave Dr. Kodzic a similar letter that was disorganized and menacing in tone.
    Fekadu has never been able to discuss how his mental illness is
    connected to his NGI offenses or how it relates to his propensity to commit
    violent or sexual offenses. At times, he maintains that he is innocent, the
    charges are fabricated, and he is being held illegally. Other times, he says
    that he touched a lady because voices told him to do so. He also says that a
    doctor told him to plead NGI because he would be hospitalized for only six
    4
    months. He has never been able to successfully participate in sex offender
    treatment because he has not had the ability to recognize risk factors for
    sexual aggression or discuss such topics in a logical manner.
    Dr. Kodzic met with Fekadu in March 2020 for the most recent
    recommitment evaluation. Fekadu was still symptomatic and did not display
    appropriate insight into his mental illness. He exhibited grandiose and
    paranoid delusions. His thought organization was tangential and difficult to
    redirect, but was not disorganized. He would become so fixated on his
    delusions that it was difficult to redirect him to discuss the questions asked.
    He talked about being prevented from assuming his role as a prime minister
    of Ethiopia. He was overly focused on the sexuality of his peers and
    expressed fear that homosexual peers were going to sexually assault him,
    without any basis in fact. He perseverated on Italian and Catholic colonizers
    whom he said had somehow worked against him and his family. He
    remained hyperreligious and had grandiose ideas about God and how he fits
    within God’s plan. Fekadu maintained that he no longer had schizophrenia,
    that he had been “restored,” and that he no longer needed medication for
    either schizophrenia or for his medical conditions such as hypertension and
    allergies.
    Dr. Kodzic opined that Fekadu was “floridly psychotic” at the time he
    committed his NGI offenses. According to Dr. Kodzic, insight into his mental
    illness, such as recognizing that he has a chronic illness that does not go
    away and that medication compliance is necessary, is an important factor to
    keep his symptoms in check and to prevent him from harming himself or
    others.
    When Dr. Kodzic evaluated Fekadu again in January 2021, he showed
    marginal improvement. He was not as agitated or paranoid as he was at the
    5
    time of the prior evaluation. He had similar delusions and was religiously
    preoccupied, but his symptoms were toned down. He still did not have
    appropriate insight into his mental illness and did not acknowledge positive
    aspects of adhering to medication management. He adamantly asserted, “ ‘I
    don’t need psychiatric medication. It’s breaking and killing me.’ ” Fekadu
    has been prescribed several different medications for his schizophrenia with
    varying degrees of success. He has a history of medication noncompliance
    and intermittently asks to be taken off his medications, including those for
    his medical conditions. Dr. Kodzic noted that Fekadu’s refusal to take
    medication for high blood pressure and diabetes is concerning because these
    conditions can lead to significant medical complications.
    Dr. Kodzic stated that Fekadu works against his treatment team and is
    not forthcoming about his symptoms. For example, Fekadu told a staff
    member in 2018 that he was hearing the voice of an evil woman, but he did
    not want to tell his doctors because he thought they would increase his
    medications. He previously assaulted a psychiatrist, which resulted in his
    transfer to his current facility. The recent letter to his psychiatrist was
    threatening in that it said that God would punish the psychiatrist. Dr.
    Kodzic indicated that Fekadu’s belief that he is the hand of God raises the
    concern that Fekadu would act aggressively in the future, particularly if he
    heard a voice that he believed to be God’s.
    Fekadu engaged in violent acts in 1995, 2011, 2014, 2015, and 2017.
    He also behaved in a sexually inappropriate manner toward his psychologist
    and had a few indecent exposure incidents in 2015. Dr. Kodzic took these
    6
    incidents into account in her evaluation of whether Fekadu could control his
    dangerous behavior if released.2
    In Dr. Kodzic’s opinion, Fekadu’s mental disorder is not in remission
    and he represents a danger of physical harm to others. She explained that
    even in a highly controlled hospital environment where he is on psychotropic
    medications, he has a hard time managing his behavior effectively. Although
    he has not engaged in physical altercations or acted out sexually in some
    time, he recently wrote threatening letters to his care providers. He
    continues to be delusional and said that he would stop taking his
    psychotropic medications if released. He believes that he can use coping
    skills such as reading the Bible, journaling, and praying to ensure that he
    does not harm others.3
    Fekadu’s discharge plans are not reasonable. He plans to return to
    Ethiopia and become a prime minister to “bring theocracy and democracy to
    Ethiopia.” He has no support in the community and has had no recent
    contact with family members.
    Given how symptomatic Fekadu is in a controlled environment, Dr.
    Kodzic believed that he would decompensate under his paranoid and
    2     On cross-examination, Dr. Kodzic discussed an incident that occurred
    in June 2017 when Fekadu had physical contact with another patient. Dr.
    Kodzic acknowledged that if another patient initiated physical contact, it
    would be reasonable for Fekadu to defend himself.
    3     Fekadu does sing, pray, and write to self-soothe when he feels agitated.
    However, Dr. Kodzic thought that his statements about using those
    strategies as coping mechanisms is a learned response and not a true
    expression of how he could use such skills to manage his psychiatric
    symptoms if released. He does not understand his symptomology or the need
    to cope. Because he does not think that he has a mental illness, he does not
    use appropriate coping skills to manage that illness.
    7
    grandiose delusions if he were released to the community and stopped taking
    his medications, as he indicated he would do. She believed that Fekadu’s
    auditory hallucinations would reemerge and that his inhibitions would be
    lowered without medications. This would place him at increased risk of
    engaging in aggressive behavior, committing another crime, and harming
    himself or others. In Dr. Kodzic’s opinion, Fekadu meets the criteria for
    recommitment.
    2.    Testimony of Dr. Nicole Friedman
    Dr. Friedman, a court-appointed psychologist, evaluated Fekadu in
    2020 and reviewed his records from CONREP, the state hospital, and his
    criminal record history. She previously evaluated Fekadu in 2014. She
    relied on both her evaluation and his records to form her opinions.
    Fekadu exhibited delusions, including grandiose delusions, and
    agitation during Dr. Friedman’s 2020 evaluation. He lacked insight into his
    mental illness. He did not believe that he has a mental illness or that he
    needs medications.
    Fekadu acknowledged that he is being treated for schizophrenia and
    delusions and understood that he is required to take medications pursuant to
    an involuntary medication order. However, he disagrees that he has a
    mental illness and does not think that medications are helpful. He believes
    that he has been mistreated while in a hospital setting and that his
    treatment has been abusive. He said that he has faith in a higher power and
    that he uses prayer, meditation, and journaling to heal himself. He takes his
    psychotropic medication under the involuntary medication order. However,
    he has asked to change his dosage because he believes that he was being
    poisoned. He has refused his medications for medical conditions such as
    8
    diabetes and hypertension. Dr. Friedman believed that Fekadu would not
    take his psychotropic medications without an involuntary medication order.
    Fekadu’s thought process was coherent and logical at one point in the
    interview but later became disorganized, convoluted, and tangential. His
    discharge plans initially sounded reasonable; he wanted to return to his
    family in his country of origin. However, other portions of his plan sounded
    delusional. He said that his family was caged, that they can come back to
    life, and that his mother was waiting for him in a cage on their property. He
    went onto say that he is a prophet who has been studying the Bible for over
    20 years. Later, he said that he thought perhaps he could transfer to a
    different level of care, which sounded less delusional.
    Dr. Friedman opined that Fekadu has active symptoms of
    schizophrenia, which is a chronic and severe mental illness, and that his
    illness is not controlled by his psychotropic medications. Fekadu does not
    understand his commitment offenses or the role that his mental illness
    played in those offenses. As a result, he has difficulty controlling his
    dangerous behavior.
    Dr. Friedman agreed that Fekadu had not exhibited physical
    aggression or increased anxiety in the last two years to the extent that he
    required additional medication that is prescribed for use on an as-needed
    basis to control symptoms that are not sufficiently controlled by the patient’s
    usual medications. She agreed that he is at low risk for dangerous behavior
    to others while in a controlled institutional setting where his mental illness is
    well cared for. However, Fekadu’s writings reflect aggressive thoughts,
    which could be a warning sign of later physical violence.
    In Dr. Friedman’s opinion, Fekadu lacks insight and is unable to
    manage his mental illness with psychosocial support, his own awareness,
    9
    coping skills, or the use of medication. He was not able to provide an
    appropriate discharge plan for himself. His lack of insight about his mental
    disease is concerning because it hinders his ability to care for himself by
    participating in treatment or trusting someone of authority who tells him
    that his mental disease is affecting his perception of reality.
    Dr. Friedman believed that Fekadu’s delusions put him at an increased
    risk of posing a danger to others because he is not in touch with reality, his
    disorder is not in remission, and his criminal history shows that his mental
    illness can cause him to behave in an aggressive manner and to act
    inappropriately. The fact that Fekadu is on an involuntary medication order
    shows that he does not consistently demonstrate the ability or motivation to
    take his psychotropic medications, which help abate his symptoms. If he
    were released, Dr. Friedman believed that it was unlikely that he would take
    his medications or seek proper treatment for his mental disorder, and that he
    would decompensate without such treatment. She believed that he should be
    recommitted.
    3.    Testimony of Dr. G. Preston Sims
    Dr. Sims is a clinical and forensic psychologist and a sexually violent
    predator evaluator for the Department of State Hospitals. He evaluated
    Fekadu in November 2020, reviewed Fekadu’s records from October 2018 to
    January 2021, and also reviewed his criminal record.
    Although Fekadu was cooperative during the evaluation, his speech
    was disorganized, he changed subjects frequently, and it was difficult to
    follow his logic. He made bizarre statements, including that he talks to his
    children telepathically. Dr. Sims believed that this was current evidence of
    auditory hallucinations. Fekadu also showed symptoms of persecutory,
    grandiose, and religious delusions.
    10
    Fekadu did not display insight into his mental illness. He denied being
    mentally ill. He said that he has been wrongfully held at the state hospital,
    does not need medication, and that the hospital staff are trying to poison or
    kill him. Fekadu made contradictory statements, saying that he disagreed
    that he has delusions and then saying, “I had delusions, but they’re in
    remission.”
    Dr. Sims believed that Fekadu meets the criteria for an extension of his
    NGI commitment. He agreed with Fekadu’s diagnosis of schizophrenia,
    which is a severe mental disorder. The condition is not in remission.
    Dr. Sims stated that psychological literature correlates insight with the
    risk of future violence. When patients understand their mental illness, their
    treatment goes more smoothly. They take their medication, they are more
    likely to attend group therapy, and their daily interactions are easier.
    Fekadu did not demonstrate an understanding of the role his mental
    illness played in his NGI offense. He said that only one female was involved
    and that he touched her breasts as she was running. He denied having a
    knife. He claimed that the police had made a false report and said that he
    was suing them for $50 million.
    Dr. Sims believed that Fekadu represents a substantial danger of
    physical harm to others. In forming this opinion, he evaluated Fekadu with a
    widely-recognized risk assessment tool known as the Historical Clinical Risk
    Management 20 (HCR-20). This actuarial risk assessment tool rates an
    individual on 20 factors “that the psychological literature has shown to
    correlate with violent recidivism.” These include historical, clinical, and
    future risk factors. Fekadu had 12 out of 20 factors, indicating that he is at
    high risk for engaging in future violence.
    11
    Fekadu had three of 10 historical risk factors. These include engaging
    in violence, suffering from a major mental disorder, and having problems
    with treatment or supervision response. The persecutory delusions caused by
    his mental disorder, in particular, place him at an increased risk of engaging
    in violent behavior.
    Fekadu had four of five clinical factors placing him at risk of future
    violence. These include a lack of understanding about why his medications
    are necessary to treat a mental illness, recent symptoms including
    persecutory delusions, and problems with instability, meaning a lack of
    consistent emotional expression across time. He becomes argumentative and
    defensive and sometimes does not respond well when contacted by staff
    members. The fourth factor is his involuntary medication order and his
    recent refusal to take his medications.
    Dr. Sims also believed that Fekadu had all five future risk factors for
    violence. These include future problems with cooperating with professional
    services and plans, difficulty living in an unstructured environment, lack of
    family support, future problems with treatment, and future problems with
    stress or coping.
    Even without considering the results from the assessment tool, Dr.
    Sims believed that Fekadu posed a danger to others in the community in
    view of his denial of his diagnosis and symptoms, his belief that he does not
    need medications, and his history of becoming aggressive with little
    provocation. Based on Fekadu’s history of aggressive behavior, Dr. Sims
    believed that Fekadu would have serious difficulty controlling his dangerous
    behavior if he were to be released and were not medicated. Dr. Sims thought
    that it was significant that most of the incidents of aggressive behavior had
    occurred while Fekadu was in custody or in a state hospital setting
    12
    undergoing treatment and receiving medication. Dr. Sims did not believe
    that Fekadu would take his psychotropic medications in an unstructured
    setting, which would further contribute to his serious difficulty in controlling
    his dangerous behavior. Dr. Sims noted that the incidents of aggressive
    behavior occurred when Fekadu misperceived someone as behaving
    aggressively toward him and would react with aggression.
    Dr. Sims was of the view that Fekadu should be recommitted because
    he has a severe mental disorder, he represents a substantial danger to others
    by reason of this mental disorder, and he has serious difficulty controlling his
    dangerous behavior.
    4.    Testimony of Fekadu
    Fekadu testified that he believed he was ready for release from the
    hospital. He stated that there were four churches where he could go for help
    and that he also has family members who would be available to transport
    him from the hospital to one of the four churches in San Diego. He believed
    that he could go to the church where he was baptized and that they would
    provide him with a room and food. He said that he could finish a computer
    degree and then become a professor at San Diego City College. Thereafter,
    he planned to go to Ethiopia.
    Fekadu said that he would not seek psychiatric treatment and would
    not take psychiatric medication if released. He stated, “[A]ll I need is
    church.” He said that he will need to use his coping skills “forever,” to handle
    stress or frustration and described his coping skills as prayers, meditation,
    reading, writing, journaling, exercising, phoning, watching television, and
    listening to music. If he were to experience agitation in public, he would
    kneel down and pray or go home to pray for God’s peace. Writing down his
    frustrations would also help. He maintained that he would not act out.
    13
    Although he initially said that he had learned these skills from hospital
    classes, he later said that he had come up with most of them himself.
    Fekadu explained that he does not want to take medications because
    they cause physical side effects. He believes that the medications have
    impaired his eyesight and that they cause swelling, vomiting, constipation,
    and tremors in his hands.
    Fekadu testified that only psychiatrists frustrate him. He denied that
    he would harm a psychiatrist, but believed that God would do so based on
    Bible passages. He believes that the passages indicate that he has the divine
    power of the Holy Spirit and that he is a prophet. He said that when people
    “go against prophets . . . they will die.” He denied that he has a mental
    illness saying, “If I say I have mental illness, it’s a disgrace to the almighty
    and intelligence–infinite intelligence of God.”
    5.    Court’s Ruling
    After considering the evidence, the court concluded that Fekadu met
    the criteria for recommitment for two additional years. Based on the
    opinions of the experts as well as Fekadu’s testimony that he would not take
    his psychotropic medications if released, the court determined that he has a
    serious, severe mental disorder and that he poses a substantial danger of
    physical harm to others by reason of that disorder because he has serious
    difficulty controlling his dangerous behaviors.
    DISCUSSION
    A.    General Legal Principles
    A defendant who is found NGI may be confined to a state psychiatric
    hospital for a period as long as the maximum amount of time for which the
    defendant could have been imprisoned if he or she had been found guilty of
    the charged offense(s). (§§ 1026, 1026.5, subd. (a)(1).) However, the district
    14
    attorney may petition the superior court to extend the commitment of a
    patient if the patient represents a substantial risk of physical harm to others
    because of a mental disease, defect, or disorder. (§ 1026.5, subd. (b)(2).)
    Establishing that an NGI defendant poses a substantial danger of
    physical harm to others “requires proof that the person has serious difficulty
    controlling his dangerous behavior.” (People v. Williams (2015) 
    242 Cal.App.4th 861
    , 872 (Williams).) The factors required for an extended
    commitment must be proven beyond a reasonable doubt. (Ibid.; see § 1026.5,
    subd. (b)(7).)
    The person may defend against the extension by proving by a
    preponderance of evidence that medication effectively controls his mental
    illness and that he will take his medication without fail in a completely
    unsupervised environment. (People v. Bolden (1990) 
    217 Cal.App.3d 1591
    ,
    1602 (Bolden).)
    “We review an order to extend commitment under section 1026.5 by
    applying the substantial evidence test, examining the entire record in the
    light most favorable to the order to determine whether a rational trier of fact
    could have found the requirements of the statute satisfied beyond a
    reasonable doubt. (Williams, supra, 242 Cal.App.4th at p. 872.)
    B.    Application
    Fekadu admits that he was still experiencing symptoms of
    schizophrenia at the time of the recommitment hearing, but contends that
    the court lacked substantial evidence to find that he presented a danger to
    himself or others because he had not acted out physically since 2016.
    Although Fekadu has not acted out recently, he did engage in an
    altercation, either by mutual combat or as self-defense, in 2017 and he has
    written threatening and menacing letters since that time. We conclude that
    15
    there is other substantial evidence to support the court’s determination that
    Fekadu represented a substantial danger to others.
    The court considered, and was entitled to rely upon, the testimony of
    the three psychologists, including the results of the risk assessment tool used
    by Dr. Sims. (Williams, supra, 242 Cal.App.4th at p. 872 [“A single
    psychiatric opinion that a person is dangerous because of a mental disorder
    constitutes substantial evidence to justify the extension of commitment.”].)
    Each expressed the opinion that Fekadu would pose a substantial danger to
    others if released. They based their opinions not simply on his NGI offenses
    or past aggressive behavior, but also on his complete lack of insight into his
    mental illness and his stated intention to stop taking his prescribed
    psychotropic medications if released. Fekadu confirmed in his testimony that
    he does not believe that he has a mental illness and that he would not take
    medication if released.
    The court noted that Fekadu becomes irritable when chastised, he is
    paranoid about the intentions of others, he verbalizes antisocial intent
    toward others of different ethnicities or gender, and he has engaged in
    instances of dangerous behavior even in an institutional setting as recently
    as 2017. Dr. Friedman said that Fekadu’s illness can cause him to act
    aggressively or make threats of revenge or retaliation toward his treatment
    team based on persecutory ideas. Dr. Sims stated that Fekadu becomes
    argumentative and defensive when contacted by staff members.
    Dr. Kodzic and Dr. Sims both commented that Fekadu’s NGI crimes
    were driven by command auditory hallucinations. Without medications to
    manage those auditory hallucinations or “voices,” they would become more
    prominent and would compound Fekadu’s persecutorial and grandiose
    16
    delusions, which would increase the risk of aggression, particularly if he
    believed that he was hearing the voice of God.
    Without insight into his mental illness and continued use of medication
    in a controlled setting, all three experts believed that Fekadu would
    decompensate psychologically to the point that he would have difficulty
    controlling behavior that is dangerous to others, particularly when faced with
    environmental stressors. All three experts believed that Fekadu would pose
    a substantial risk of danger to others if released.
    These are not speculative opinions, as Fekadu suggests. These are
    opinions based on the experience and training of the psychologists and are
    grounded in fact, based on Fekadu’s statements and his documented mental
    health history. “In the context of a petition for an extension of commitment
    under section 1026.5, subdivision (b), a finding on whether the individual is
    dangerous to others because of mental illness is essential. Testimony by
    mental health experts in this context will often be the only way to establish
    whether such dangerousness exists.” (People v. Bennett (1982) 
    131 Cal.App.3d 488
    , 497.) “A mental health professional’s opinion on an
    individual’s dangerousness ‘includes a significant contemporary component.
    It speaks . . . to the present proclivities of the individual; it says that he is at
    this moment fully capable of conduct dangerous to the health and safety of
    others . . . .’ ” (Ibid.) Mental health professionals “are routinely called upon
    to make assessments of present dangerousness,” as they were here.4
    People v. Esparza (2015) 
    242 Cal.App.4th 726
    , cited by Fekadu, does
    not assist him. That case involved a denial of a request for resentencing as a
    second strike offender under section 1170.126 because the trial court was not
    4     Fekadu has not challenged the qualifications of the experts to make
    these determinations, either at trial or on appeal.
    17
    willing to determine that the defendant did not pose a danger to the
    community. (Id. at pp. 732–734.) Although the court commented that the
    defendant’s prison record was “ ‘the most stellar’ the court had seen,” the
    court was concerned about the defendant’s lengthy criminal history, which
    involved numerous convictions for driving under the influence, and inferred
    that the defendant’s commitment to Alcoholics Anonymous meetings was
    insincere because he had been in prison for 16 years and had only recently
    started attending meetings after a change in the law. (Id. at pp. 733–734.)
    The appellate court reversed, concluding that there was no substantial
    evidence to support the court’s findings because the prosecution did not meet
    its burden on the issue of the defendant’s sincerity. The record showed that
    the defendant had been attending AA meetings for two years, rather than six
    months as the trial court found, and the new law was passed after he began
    attending those meetings. The appellate court stated that the trial court’s
    analysis “became disconnected from the evidence presented” and for that
    reason, remanded the case for further proceedings. (Id. at pp. 744–745, 748.)
    In contrast, the trial court’s decision here to extend Fekadu’s NGI
    commitment was not based solely on his criminal history or on an assessment
    of his sincerity. Rather, the court’s findings are firmly supported by the
    considered opinions of the health care professionals that Fekadu poses a
    current substantial danger of harm to others based on his mental disorder,
    and by Fekadu’s trial testimony.
    For these reasons, we conclude that there is substantial evidence to
    support the court’s findings that Fekadu poses a substantial danger of harm
    to others and that he would have difficulty controlling his dangerous
    behaviors.
    18
    DISPOSITION
    The order extending Fekadu’s commitment to October 3, 2022, is
    affirmed.
    AARON, J.
    WE CONCUR:
    HUFFMAN, Acting P. J.
    HALLER, J.
    19
    

Document Info

Docket Number: D078696

Filed Date: 2/1/2022

Precedential Status: Non-Precedential

Modified Date: 2/1/2022