Commonwealth v. Eldred , 480 Mass. 90 ( 2018 )


Menu:
  • NOTICE: All slip opinions and orders are subject to formal
    revision and are superseded by the advance sheets and bound
    volumes of the Official Reports. If you find a typographical
    error or other formal error, please notify the Reporter of
    Decisions, Supreme Judicial Court, John Adams Courthouse, 1
    Pemberton Square, Suite 2500, Boston, MA, 02108-1750; (617) 557-
    1030; SJCReporter@sjc.state.ma.us
    SJC-12279
    COMMONWEALTH   vs.   JULIE A. ELDRED.
    Middlesex.      October 2, 2017. - July 16, 2018.
    Present:   Gants, C.J., Lenk, Gaziano, Lowy, Budd, Cypher, &
    Kafker, JJ.
    Practice, Criminal, Probation.     Drug Addiction.
    Complaint received and sworn to in the Concord Division of
    the District Court Department on June 13, 2016.
    A proceeding on violation of probation was heard by Sabita
    Singh, J., and a question of law was reported by her.
    The Supreme Judicial Court granted an application for
    direct appellate review.
    Lisa M. Newman-Polk (Benjamin H. Keehn, Committee for
    Public Counsel Services, also present) for the defendant.
    Maria Granik, Assistant Attorney General, for the
    Commonwealth.
    The following submitted briefs for amici curiae:
    Amy M. Belger for Massachusetts Medical Society & others.
    Martha M. Coakley & Rachel C. Hutchinson for National
    Association of Drug Court Professionals.
    Steven Fitzgerald, pro se.
    Matthew R. Segal & Adriana Lafaille for American Civil
    Liberties Union of Massachusetts, Inc., & others.
    2
    LOWY, J.   Following a probation violation hearing, a judge
    in the District Court found that the defendant, Julie A. Eldred,1
    had tested positive for fentanyl, in violation of a condition of
    her probation requiring her to abstain from using illegal drugs.
    The judge ordered that the conditions of her probation be
    modified to require her to submit to inpatient treatment for
    drug addiction.   The defendant appeals from that finding and
    disposition.    The judge also reported a question drafted by the
    defendant concerning whether the imposition of a "drug free"
    condition of probation, such as appeared in the original terms
    of defendant's probation, is permissible for an individual who
    is addicted to drugs and whether that person can be subject to
    probation violation proceedings for subsequently testing
    positive for illegal drugs.
    We conclude that, in appropriate circumstances, a judge may
    order a defendant who is addicted to drugs to remain drug free
    as a condition of probation, and that a defendant may be found
    to be in violation of his or her probation by subsequently
    testing positive for an illegal drug.2   Accordingly, we affirm
    1 We refer to Julie Eldred as the defendant, rather than the
    probationer, for purposes of consistency and clarity.
    2 We acknowledge the amicus briefs submitted by the American
    Civil Liberties Union of Massachusetts, Inc., Center for Public
    Representation, and Prisoners' Legal Services; Massachusetts
    Medical Society, American Academy of Addiction Psychiatry,
    Association for Behavioral Healthcare, Grayken Center for
    3
    the finding that the defendant violated her probation and the
    order requiring her to submit to inpatient treatment for her
    addiction.
    Background and prior proceedings.   On July 18, 2016, the
    defendant was arraigned on a felony charge of larceny for
    stealing jewelry valued over $250 from the home of an individual
    for whom the defendant provided dog-walking services.   The
    defendant admitted to the police that she had stolen the jewelry
    and had sold it to obtain money to support her heroin addiction.
    On August 22, 2016, the defendant admitted to sufficient facts
    to warrant a finding of guilt.   A judge in the District Court
    continued the defendant's case without a finding, and imposed a
    one-year term of probation with special conditions related to
    her substance abuse that included requiring her to remain drug
    free, submit to random drug screens, and attend outpatient
    substance abuse treatment three times each week.3   Prior to
    accepting the terms of her probation, the defendant did not
    object to the condition that she remain drug free, or otherwise
    Addiction Medicine at Boston Medical Center, Massachusetts
    Organization for Addiction Recovery, Massachusetts Society for
    Addiction Medicine, Northeastern University School of Law's
    Center for Health Policy and Law, and twenty-eight others;
    Steven Fitzgerald; and the National Association of Drug Court
    Professionals.
    3 The special condition of probation requiring the defendant
    to remain drug free was announced in open court, and was
    included in the written probation agreement, which the defendant
    signed.
    4
    express that her diagnosis of substance use disorder (SUD)
    rendered her incapable of remaining drug free.
    On August 29, 2016, the defendant began outpatient
    addiction treatment at a hospital.   As a component of her
    treatment, an addiction specialist prescribed the defendant a
    medication that is used to treat symptoms of withdrawal and
    addiction to opiates.
    On September 2, 2016, only eleven days after the case had
    been continued without a finding and the probation had been
    imposed, the defendant tested positive for fentanyl, following a
    random drug test administered by her probation officer.   The
    probation officer encouraged the defendant to enter inpatient
    treatment, but the defendant allegedly refused.   The probation
    officer then filed a "Notice of Probation Detention Hearing"4
    with the District Court.   The detention hearing was conducted on
    the same day as the defendant's positive drug test because, as
    her probation officer testified, the defendant's parents were
    out of town and "it was the Friday before Labor Day and [the
    probation officer] felt that [the probation officer] couldn't
    4 According to Rule 5(a) of the District/Municipal Court
    Rules for Probation Violation Proceedings (LexisNexis 2016), a
    probation detention hearing "may be conducted to determine
    whether a probationer shall be held in custody pending the
    conduct of a probation violation hearing. The issues to be
    determined at a probation detention hearing are whether probable
    cause exists to believe that the probationer has violated a
    condition of the probation order, and, if so, whether the
    probationer should be held in custody."
    5
    have [the defendant] leave [the probation officer's] office
    testing positive for Fentanyl."
    Based on the evidence presented at the hearing, the judge,
    who was the same judge who had accepted the defendant's plea and
    imposed the conditions of probation, determined that there was
    probable cause to believe the defendant had violated the "drug
    free" condition of her probation by using fentanyl.   Because
    defense counsel was not able to secure a placement for the
    defendant at an inpatient treatment facility, the judge ordered
    that the defendant be held in custody until a placement became
    available.   The defendant was released into an inpatient
    treatment facility after ten days in custody.
    On November 22, 2016, a different District Court judge
    presided over the defendant's probation violation hearing.
    Despite conceding that she had used fentanyl, the defendant
    contested that she had violated the terms of her probation.     The
    defendant argued, for the first time, that she had been
    diagnosed with SUD, which rendered her incapable of remaining
    drug free.   In the defendant's view, her use of drugs could not
    constitute a wilful violation of her probationary condition to
    remain drug free.   She submitted several affidavits from experts
    in support of her claim; however, no expert testimony was
    offered at the hearing to opine on SUD or its potential effects
    on the brain.
    6
    The judge determined that the defendant had violated the
    drug free condition of her probation by testing positive for
    fentanyl.   The defendant filed a motion to vacate the condition
    of probation requiring her to stay drug free, arguing that the
    condition violated various State and Federal constitutional
    rights.   That motion was denied.   The judge then modified the
    conditions of the defendant's probation by adding the condition
    that she continue inpatient treatment.     The judge also allowed
    the defendant's motion to report to the Appeals Court the
    question concerning the imposition of the condition of probation
    that the defendant remain drug free.     We granted the defendant's
    motion for direct appellate review.5
    Discussion.   1.   The reported question.   The judge sought
    to report the question to the Appeals Court under Mass. R. Crim.
    P. 34, as amended, 
    442 Mass. 1501
    (2004).     It is doubtful she
    had the authority to do so.   Rule 34, like the Rules of Criminal
    Procedure generally, applies only in criminal cases.     The matter
    before the judge -- a probation violation hearing -- was not a
    criminal matter.   See Commonwealth v. Patton, 
    458 Mass. 119
    ,
    124-125, 129 (2010).    Moreover, the reported question, as it was
    5 After we granted the defendant's motion for direct
    appellate review of the question reported to the Appeals Court,
    the defendant separately appealed from the decision that the
    defendant was in violation of probation. We transferred that
    appeal to this court on our own motion and consolidated the two
    matters.
    7
    originally formulated, contains a factual conclusion about the
    science of addiction that was not resolved at the trial court
    level.    See Commonwealth v. Duncan, 
    467 Mass. 746
    , 753 n.7,
    cert. denied, 
    135 S. Ct. 224
    (2014) ("We answer only the
    reported question of law, not the question of fact");
    Commonwealth v. Yacobian, 
    393 Mass. 1005
    , 1005-1006 (1984)
    (declining to rule on questions of law predicated on unresolved
    factual issues).6   Nevertheless, this question presents issues of
    significant magnitude that require resolution, especially where
    they have been fully briefed and at least one issue appears to
    be moot.   We therefore employ our general superintendence power
    to address the matter.    See Cobb v. Cobb, 
    406 Mass. 21
    , 24 n.2
    (1989).    See also Commonwealth v. Doe, 
    420 Mass. 142
    , 145-146
    (1995), overruled on another ground by Commonwealth v. Pon, 
    469 Mass. 296
    (2014).    But first, in order to make the question one
    6 In its original form, the reported question presumes that
    there is a scientific consensus concerning SUD's impact on the
    brain, particularly how it affects an individual's ability to
    abstain from using drugs. Embedded within the question, which
    was drafted and submitted by the defendant, is the conclusion
    that this scientific issue was resolved in the defendant's
    favor. This issue, however, was not subject to adversarial
    scrutiny, let alone resolved. This is elucidated by the fact
    that the parties and amici present varying models of addiction
    and varying conclusions concerning the science of addiction.
    For example, the defendant advances a model of addiction where
    addiction is understood as a brain disease that deprives an
    individual of his or her free will to abstain from using drugs.
    In contrast, the Commonwealth advances a behavioral model of
    addiction which postulates that SUD may affect an individual's
    urge to use substances, but it does not render that individual
    without the free will to use substances.
    8
    that can be answered on the record before us, we reformulate the
    reported question as follows:
    "Where a person who committed a crime is addicted to
    illegal drugs, may a judge require that person to
    abstain from using illegal drugs as a condition of
    probation? If that person violates the 'drug free'
    condition by using illegal drugs while on probation,
    can that person be subject to probation revocation
    proceedings? Additionally, at a detention hearing, if
    there is probable cause to believe that a person with
    a 'drug free' condition of probation has violated that
    condition by using an illegal drug, may that person be
    held in custody while awaiting admission into an
    inpatient treatment facility, pending a probation
    violation hearing?"
    As explained infra, given relevant statutes, and court
    rules and policies, coupled with the goals of probation, we
    answer each portion of the reformulated question in the
    affirmative.
    The circumstances of the defendant's case exemplifies why
    the imposition of a drug free condition of probation and the
    enforcement of such a condition are permissible within the
    confines of the probation process.     From crafting special
    conditions of probation to determining the appropriate
    disposition for a defendant who has violated one of those
    conditions, judges should act with flexibility, sensitivity, and
    compassion when dealing with people who suffer from drug
    addiction.     The rehabilitative goals of probation, coupled with
    the judge's dispositional flexibility at each stage of the
    process, enable and require judges to consider the unique
    9
    circumstances facing each person they encounter -- including
    whether that person suffers from drug addiction.       This
    individualized approach to probation fosters an environment that
    enables and encourages recovery, while recognizing that relapse
    is part of recovery.
    2.   Probation.   a.   Disposition.   As an alternative or
    supplement to incarceration, probation is "a legal disposition
    which allows a criminal offender to remain in the community
    subject to certain conditions and under the supervision of the
    court."    Commonwealth v. Durling, 
    407 Mass. 108
    , 111 (1990).
    The primary goals of probation are twofold:      rehabilitation of
    the defendant and protection of the public from the defendant's
    potential recidivism.     Commonwealth v. Goodwin, 
    458 Mass. 11
    , 15
    (2010).    Commonwealth v. Lapointe, 
    435 Mass. 455
    , 459 (2001)
    (other goals include "punishment, deterrence, and retribution"
    [citation omitted]).
    "The success of probation as a correctional tool depends on
    judges having the flexibility at sentencing to tailor probation
    conditions to the circumstances of the individual defendant and
    the crime that he [or she] committed."       
    Goodwin, 458 Mass. at 16
    .   See 
    Lapointe, 435 Mass. at 459
    (judge may consider factors
    not relevant at trial, such as hearsay information about
    defendant's character, behavior, and background).       Authority to
    tailor probation conditions is found in G. L. c. 276, § 87,
    10
    which states that a judge may impose "such conditions as [the
    judge] deems proper."    See Boston Municipal Court and District
    Court Sentencing Best Practice Principles 5.     See also Criminal
    Sentencing in the Superior Court:    Best Practices for
    Individualized Evidence-Based Sentencing 8 ("Special conditions
    of probation should be narrowly tailored to the criminogenic
    needs of the defendant/probationer while providing for the
    protection of the public and any victim").
    Where, as here, addiction is an underlying issue in a
    criminal case, the special conditions "may include, but shall
    not be limited to, participation by [the defendant] in
    rehabilitative programs."    G. L. c. 276, § 87A.    Indeed, in
    1998, this court, in collaboration with the Trial Court, issued
    standards on substance abuse.    See Supreme Judicial Court
    Standing Committee on Substance Abuse, Standards on Substance
    Abuse (April 28, 1998) (Substance Abuse Standards).       They
    established a "systemwide policy designed to enhance the
    judiciary's response to the impact of substance abuse on [our]
    courts."   
    Id. at 4.
       The standards created a framework that
    would "promote public safety, provide access to treatment,
    protect due process, reduce recidivism, [and] ensure offender
    accountability" (emphasis added).    
    Id. at 5.
         One of the
    standards addressed directly the issue of requiring a defendant
    to remain drug free, stating, "[O]nce [a] judge has concluded
    11
    that a party's substance abuse is a factor in the case, in
    supervising criminal . . . cases and in establishing court
    ordered substance abuse conditions, the judge should
    specifically and unambiguously prohibit the party from all use
    of alcohol an illicit drugs" (emphasis added).   
    Id. at 27.
       The
    standards also recognize that relapse is a "common" problem and
    judges "should . . . employ strategies consistent with public
    safety to prevent it" (emphasis added).   
    Id. at 3.
    For these reasons, judges have great latitude in imposing
    conditions of probation, and those conditions are enforceable
    "so long as the condition is 'reasonably related' to the goals
    of sentencing and probation."   Commonwealth v. Obi, 
    475 Mass. 541
    , 547 (2016), quoting 
    Lapointe, 435 Mass. at 459
    .   Even where
    a condition of probation affects a constitutional right, it is
    valid if it is "reasonably related" to the goals of sentencing
    and probation, in light of the defendant's underlying crime and
    her particular circumstances.   See Commonwealth v. Power, 
    420 Mass. 410
    , 416-417 (1995), cert. denied, 
    516 U.S. 1042
    (1996);
    
    Lapointe, supra
    .   Although random drug and alcohol testing
    constitutes a search and seizure for constitutional purposes
    under art. 14 of the Massachusetts Declaration of Rights, such
    testing is nonetheless a permissible condition of probation so
    long as it is reasonably related to legitimate probationary
    goals.   Commonwealth v. Gomes, 
    73 Mass. App. Ct. 857
    , 859
    12
    (2009).   See Commonwealth v. Williams, 
    60 Mass. App. Ct. 331
    ,
    332-333 (2004) (alcohol-free condition of probation permissible
    when reasonably related to characteristics of defendant and
    underlying crime).    See also Robinson v. California, 
    370 U.S. 660
    , 664,665 (1962) ("There can be no question of the authority
    of the State . . . to regulate the . . . use of . . . drugs
    [through, inter alia] a program of compulsory treatment for
    those addicted to narcotics[,] . . . [even requiring]
    involuntary confinement [and] penal sanctions for failure to
    comply with established compulsory treatment procedures"
    [quotations and citation omitted]).
    When a defendant is released on probation, his or her
    liberty interest is conditional and depends on that defendant's
    compliance with the conditions imposed by the sentencing judge.
    Commonwealth v. Wilcox, 
    446 Mass. 61
    , 64 (2006); 
    Durling, 407 Mass. at 115
    .   "If a defendant violates one or more conditions
    of probation, a judge may revoke his probation and sentence him
    to a term of imprisonment for his underlying conviction, or
    return the defendant to probation, with new or revised
    conditions."    
    Goodwin, 458 Mass. at 15
    .   A defendant who
    violates probation is not being punished for violating a
    condition of probation, but rather "the defendant is essentially
    being sentenced anew on his [or her] underlying conviction."
    
    Id. at 17.
                                                                        13
    Here, the defendant pleaded guilty to larceny and admitted
    that her drug use motivated her to commit the crime.    The
    sentencing judge imposed the special conditions that the
    defendant remain drug free, continue outpatient drug treatment,
    and submit to random drug screens.   The conditions directly
    addressed the defendant's personal circumstances and,
    significantly, her stated motivation for committing the crime --
    purchasing illegal drugs.   See 
    Goodwin, 458 Mass. at 16
    .     Not
    only were these conditions tailored to the characteristics of
    the defendant and the underlying crime, they furthered the
    rehabilitative goal of probation by facilitating treatment for
    the defendant's drug addiction.   These conditions also furthered
    the goal of protecting the public, because each condition
    addressed the fact that the defendant's drug use motivated her
    to commit the crime.   We note that the defendant does not claim
    or point to anything in the record that shows that, before
    agreeing to her probationary conditions, she objected, informed
    the judge that she had been diagnosed with SUD, or otherwise
    notified the judge that she would be unable to abide by the drug
    free condition of probation.   See Commonwealth v. Vargas, 
    475 Mass. 86
    , 93 (2016) (by agreeing to abide by probationary
    condition of no marijuana use, defendant agreed to be subject to
    probation revocation for noncompliance).   See also Obi, 
    475 14 Mass. at 549
      (defendant waived challenge to probationary
    condition that was not raised at sentencing).
    The defendant argues that because she suffers from SUD,
    requiring her to remain drug free sets her up for
    unconstitutional cruel and unusual punishment when the
    inevitable relapse occurs.    As discussed, revoking or modifying
    conditions of probation is not a punishment for drug use but for
    the underlying crime.    See 
    Goodwin, 458 Mass. at 17
    .     We also
    agree with the Commonwealth that the defendant's claim of SUD
    rests on science that was not tested below.    Nor do we agree with
    the defendant that the requirement of remaining drug free is an
    outdated moral judgment about an individual's addiction.
    Rather, informed by the substance abuse standards 
    discussed supra
    , the requirement is based on the judge's consideration of
    the defendant's circumstances and that she committed the
    underlying crime to support her drug use.
    The judge here did not abuse her discretion by imposing
    the special condition of probation requiring the defendant to
    remain drug free.
    b.     Probation violation proceedings.   i.   Detention
    hearing.   Where there is reason to believe that a defendant
    violated a condition of probation, a probation officer may
    initiate probation violation proceedings.     See Rule 4(b) of the
    District/Municipal Court Rules for Probation Violation
    15
    Proceedings (LexisNexis 2016) ("Violation proceedings shall be
    commenced by the issuance by the Probation Department of a
    Notice of Probation Violation and Hearing").   A detention
    hearing is conducted where the probation department seeks to
    have a defendant held in custody for some period of time pending
    a final probation violation hearing.   See Rule 5(a) of the
    District/Municipal Court Rules for Probation Violation
    Proceedings.   The issues to be decided at the detention hearing
    are "whether probable cause exists to believe that the
    probationer has violated a condition of the probation order,
    and, if so, whether the probationer should be held in custody."
    
    Id. (question of
    revocation or other disposition not at issue).
    See Commonwealth v. Puleio, 
    433 Mass. 39
    , 41 (2000) (defendant
    may be held in custody pending completion of final probation
    violation hearing).
    Where the judge determines that the allegation is supported
    by probable cause, the judge must then consider a number of
    factors in determining whether the defendant should be held in
    custody pending the final probation violation hearing:
    "(i) the probationer's criminal record; (ii) the nature
    of the offense for which the probationer is on probation;
    (iii) the nature of the offense or offenses with which
    the probationer is newly charged, if any; (iv) the nature
    of any other pending alleged probation violations; (v)
    the likelihood of [the] probationer's appearance at the
    probation violation hearing if not held in custody; and
    (vi) the likelihood of incarceration if a violation is
    found following the probation violation hearing."
    16
    See Rule 5(c) of the District/Municipal Court Rules for
    Probation Violation Proceedings.    Much like the judge's
    individualized analysis of the defendant's circumstances in
    setting the terms of probation, a judge at this stage must
    consider the particular circumstances facing a defendant, as
    well as the safety of the public.
    Trial court judges, particularly judges in the drug courts,
    stand on the front lines of the opioid epidemic.   Judges face
    unresolved and constantly changing societal issues with little
    notice and, in many situations, without the benefit of
    precedential guidance.   In circumstances where a defendant is
    likely addicted to drugs and the violation in question arises
    out of the defendant's relapse, judges are faced with difficult
    decisions that are especially unpalatable.    This is particularly
    true at a detention hearing where a judge must decide whether
    the defendant should be detained prior to a final violation
    hearing.   The core of this dilemma is that although probation
    violations often arise out of a defendant's relapse, we
    recognize that relapse is part of recovery.   See Standards on
    Substance Abuse, supra at 5 ("Treatment does not always work the
    first or even the second time, [and] relapse should not be cause
    for giving up on a substance abuser").    To achieve this delicate
    balance, judges must have the authority to detain a defendant
    17
    facing a probation violation based on illicit drug use pending a
    final violation hearing for the safety of the defendant and the
    community.   See Rule 5 of the District/Municipal Court Rules for
    Probation Violation Proceedings.    Such decisions should be made
    thoughtfully and carefully, recognizing that addiction is a
    status that may not be criminalized.    See Robinson v.
    California, 
    370 U.S. 660
    , 666 (1962) (unconstitutional to
    criminalize status of addiction).   But judges cannot ignore the
    fact that relapse is dangerous for the person who may be in the
    throes of addiction and, often times, for the community in which
    that person lives.
    Here, on the Friday before the Labor Day weekend, the
    defendant tested positive for fentanyl.    After the defendant
    rejected inpatient treatment, and with her home support network
    unavailable, the defendant's probation officer initiated the
    probation violation proceedings and moved for a detention
    hearing that day.    At that hearing, the judge determined that
    there was probable cause to believe the defendant had violated
    the drug free condition of her probation, based on the results
    of the drug test.    The judge first sought to have the defendant
    admitted to an inpatient treatment facility pending her final
    violation hearing; however, a placement was not immediately
    available.   To stabilize the defendant's situation, the judge
    held her in custody until a placement at an inpatient treatment
    18
    facility became available.   This decision clearly encompassed
    the factors enumerated in Rule 5(c) of the District/Municipal
    Court Rules for Probation Violation Proceedings, particularly
    the nature of the offense for which the defendant was on
    probation and the nature of the alleged violation, while
    furthering the overarching goal of preserving the safety of the
    public and welfare of the defendant.   The judge was faced with
    either releasing the defendant and risking that she would suffer
    an overdose and die, or holding her in custody until a placement
    at an inpatient treatment facility became available.
    The defendant claims that the judge's decision to detain
    her constituted a punishment for her relapse and positive drug
    test.7   We do not agree.
    7 We note that neither the limited facts in this case nor
    the law of the Commonwealth supports the defendant's assertions
    that addiction has been criminalized or that relapse is being
    punished. The case before the court is unlike Robinson v.
    California, 
    370 U.S. 660
    , 665-668 (1962), where the United
    States Supreme Court concluded that a statute criminalizing the
    status of being "addicted to the use of narcotics" was
    unconstitutional. The Court in Robinson emphasized that the
    unconstitutional statute at issue did not criminalize the use of
    narcotics, but rather the status of being addicted to narcotics.
    
    Id. at 666.
    In contrast, here the defendant was subject to
    probation revocation proceedings due to her use of an illegal
    drug. Robinson is inapposite to our analysis because this case
    represents an appropriate exercise of judicial power at each
    stage of the probation proceedings, not the criminalization of
    the defendant's status. 
    Id. at 665
    (reciting actions State may
    take to regulate narcotic drugs including involuntary
    confinement for compulsory treatment and penal sanctions for
    failure to comply with treatment).
    19
    Revocation proceedings are not part of a criminal
    prosecution.   See 
    Durling 407 Mass. at 112
    , citing Gagnon v.
    Scarpelli, 
    411 U.S. 778
    , 782 (1973).     The decision to hold the
    defendant in custody is akin to a bail decision, and no final
    determination has been made concerning whether she violated a
    condition of probation.   See Rule 5 of the District/Municipal
    Court Rules for Probation Violation Proceedings.     See also
    Commonwealth v. Odoardi, 
    397 Mass. 28
    , 30 (1986) (disposition of
    probation does not punish act prompting probation violation
    proceedings, and arises from "underlying offense for which a
    probationary sentence originally was imposed").     Moreover, here
    the judge detained the defendant because a placement at an
    inpatient treatment center was not available.    Although we
    recognize that the number of inpatient treatment placements is
    limited, the resolution of that problem concerns public policy
    and cannot be addressed by a judge.     Detaining a defendant may
    be permissible to protect the public and the defendant.     See
    
    Robinson, 370 U.S. at 667
    (imprisoning person afflicted with
    addiction is cruel and unusual punishment only where person
    "never touched any narcotic drug within the State or been guilty
    of any irregular behavior there").     The judge did not abuse her
    discretion in detaining the defendant pending a probation
    violation hearing.
    20
    ii.   Probation violation hearing.     Following an initial
    determination at a detention hearing that there is probable
    cause to believe that a condition of probation was violated, a
    defendant is entitled to a final probation violation hearing to
    determine whether a violation occurred, and, if so, what effect
    the violation will have on his or her status.     See Rule 6 of the
    District/Municipal Court Rules for Probation Violation
    Proceedings.
    The probation violation hearing is comprised of two
    distinct phases: (1) the adjudicatory phase, and (2) the
    dispositional phase.     See Rule 6(b) of the District/Municipal
    Court Rules for Probation Violation Proceedings.     See also
    Commonwealth v. Joyner, 
    467 Mass. 176
    , 189-191 (2014).     In the
    adjudicatory phase the judge must "determine, as a factual
    matter, whether the defendant has violated the conditions of his
    [or her] probation."     Commonwealth v. Pena, 
    462 Mass. 183
    , 187
    (2012), quoting 
    Durling, 407 Mass. at 111
    .    "A defendant can be
    found in violation of a probationary condition only where the
    violation was wilful."    Commonwealth v. Henry, 
    475 Mass. 117
    ,
    121-122 (2016).   See Commonwealth v. Canadyan, 
    458 Mass. 574
    ,
    579 (2010) (absent evidence of wilful noncompliance, defendant
    could not be found in violation of condition of probation).        See
    also Commonwealth v. Poirier, 
    458 Mass. 1014
    , 1016 (2010)
    (defendant not responsible for inability to comply with
    21
    condition where probation department failed to provide needed
    equipment).    Further, a violation of a probationary condition
    must be proved by a preponderance of the evidence.     See
    Commonwealth v. Holmgren, 
    421 Mass. 224
    , 227 (1995).     See also
    Rule 6(c) of the District/Municipal Court Rules for Probation
    Violation Proceedings.
    At a probation violation hearing, both parties "shall be
    permitted to present evidence relevant to the issue of the
    alleged violation [and] shall be permitted to cross-examine
    witnesses produced by the opposing party."    
    Id. The distinction
    between the adjudicatory and dispositional phases is important
    because the "factual decision that a probation violation has
    occurred in no way compels an order of revocation."     Rule 5 of
    the District/Municipal Court Rules for Probation Violation
    Proceedings comment (2000), at 80.    Therefore, judges must be
    precise in bifurcating the adjudicatory phase of probation
    violation proceedings from the dispositional phase.
    Where a violation has occurred, the judge must determine
    the appropriate disposition for the defendant.      See 
    Pena, 462 Mass. at 187
    .    See also Rule 6(b) and (d) of the
    District/Municipal Court Rules for Probation Violation
    Proceedings.    Permissible dispositions include revoking the
    defendant's probation and sentencing the defendant for the
    underlying crime, modifying the terms of the defendant's
    22
    probation, or reprobating the defendant on the same conditions
    of probation.    Rules 8(d), 9(b) of the District/Municipal Court
    Rules for Probation Violation Proceedings.      See Pena, supra.8
    The defendant, in either scenario, is not being punished for
    violating the probationary condition that triggered the
    revocation or modification, but rather for the original
    conviction    See Odoardi, 397 Mass at 30.     See also Commonwealth
    v. Cory, 
    454 Mass. 559
    , 564 (2009) (penalties for probation
    revocation attributed to original conviction, not to probation
    violation).     In other words, when a defendant's probation is
    revoked because he or she has "abused the opportunity given him
    to avoid incarceration," Rubera v. Commonwealth, 
    371 Mass. 177
    ,
    181 (1976), by violating a condition of probation, the defendant
    is imprisoned not for the act or acts that prompted revocation
    of probation, but rather, the defendant "is being punished for
    the underlying offense for which a probationary sentence
    originally was imposed."     
    Odoardi, supra
    .
    After a violation is found, "[h]ow best to deal with the
    probationer is within the judge's discretion."       
    Durling, 407 Mass. at 111
    .    In determining the appropriate disposition, the
    8  A house of correction sentence may also be suspended. A
    suspended sentence, however, limits the judge's options should
    there be a violation of probation after a suspended sentence has
    been imposed, because, under Commonwealth v. Holmgren, 
    421 Mass. 224
    , 228 (1995), "when probation is revoked, the original
    suspended sentence must be imposed."
    23
    court shall consider "such factors as public safety; the
    circumstances of any crime for which the probationer was placed
    on probation; the nature of the probation violation; the
    occurrence of any previous violations; and the impact of the
    underlying crime on any person or community, as well as
    mitigating factors."    Rule 8(d) of the District/Municipal Court
    Rules for Probation Violation Proceedings.    The defendant is
    entitled to show that there was a "justifiable excuse for any
    violation or that revocation is not the appropriate
    disposition."    
    Pena, 462 Mass. at 188
    , quoting Black v. Romano,
    
    471 U.S. 606
    , 611, 612 (1985).    See United States v. Morin, 
    889 F.2d 328
    , 332 (1st Cir. 1989) (during second stage of probation
    revocation proceeding, defendant "has the right to address the
    court and present it with mitigating circumstances").
    "Where a defendant has violated a condition of his [or her]
    probation, a judge's authority to modify or add conditions of
    probation is nearly unlimited should the judge decide not to
    imprison the defendant but to return him [or her] to probation."
    
    Goodwin, 458 Mass. at 17
    .   At the dispositional phase, a judge's
    decision to modify the defendant's probation following a
    violation must consider both the welfare of the defendant and
    the community.   
    Id. at 16,
    quoting Buckley v. Quincy Div. of the
    Dist. Court Dep't, 
    395 Mass. 815
    , 818 (1985).   Where probation
    is modified, the defendant is essentially being resentenced on
    24
    his or her underlying conviction, and the judge may impose any
    conditions of probation that could have been imposed at the
    original sentencing.   Goodwin, supra at 17.
    The defendant contends that the District Court judge erred
    in finding that she violated the drug free condition of her
    probation because the violation was not wilful.   In the
    defendant's view, her purported inability to refrain from using
    drugs is tantamount to a homeless probationer not being able to
    comply with a condition of probation because of the
    circumstances inherent in that homelessness.    
    Canadyan, 458 Mass. at 579
    .   In Canadyan, we concluded that the defendant did
    not commit a wilful violation of probation for failing to wear
    an operable global positioning system (GPS) monitoring device
    because the evidence conclusively established that the defendant
    was homeless and that the homeless shelter he was staying at
    could not accommodate the technological requirements of the GPS
    equipment.   
    Id. at 578-579.
      Therefore, "there was no evidence
    of wilful noncompliance."   
    Id. at 579.
      Accord 
    Henry, 475 Mass. at 121-122
    (no wilful violation of condition of probation
    requiring payment of restitution where defendant lacked ability
    to pay);   
    Poirier, 458 Mass. at 1016
    (no wilful violation of
    condition of probation requiring defendant to wear GPS device
    where probation department did not have such device available).
    25
    Although the appellate record before this court is
    inadequate to determine whether SUD affects the brain in such a
    way that certain individuals cannot control their drug use,
    based on the evidence presented to the judge who conducted the
    violation hearing, that judge did not abuse her discretion in
    concluding that there was a wilful violation of the defendant's
    drug free probationary condition.   The affidavits submitted by
    the defendant in support of her position that her violation was
    not wilful because SUD affects the brain in such a way that
    certain individuals cannot control their drug use did not
    require the judge to accept her argument.   We conclude that,
    based on the evidence presented at the violation hearing, the
    judge did not err in concluding that the defendant violated the
    drug free condition of her probation by testing positive for
    fentanyl.
    After determining that the defendant violated the
    conditions of her probation, the judge had the authority either
    to revoke the defendant's probation, reprobate her on the same
    conditions, or modify her probationary conditions to further the
    welfare of both her and the public.   See 
    Goodwin, 458 Mass. at 17
    .   The judge chose to modify the defendant's probation,
    requiring that she continue inpatient treatment.   This
    modification furthered the rehabilitative goal of probation and
    demonstrated that the judge was not discounting the defendant's
    26
    addiction.     The defendant does not challenge this condition on
    appeal.    Furthermore, this was not punishment for the
    defendant's positive drug test, rather the defendant was being
    reprobated on her original admission to sufficient facts.       See
    
    id. at 17.
      Accordingly, we conclude that the judge did not
    abuse her discretion in modifying the defendant's probation to
    require inpatient treatment and that it was permissible in these
    circumstances to detain the defendant until an inpatient bed was
    available.
    Conclusion.      We conclude that, based on the evidence
    presented at each stage of the probation process and for the
    reasons described above, the judge did not abuse her discretion
    in concluding the defendant violated her probation.       We further
    answer the reported question, as we have reframed it, in the
    affirmative:    (1) where a person who commits a crime is addicted
    to illegal drugs, a judge may require that person to remain drug
    free as a condition of probation; (2) a person may be subject to
    probation violation proceedings for violating the drug free
    condition of probation by subsequently testing positive for
    illegal drugs; and (3) in the appropriate circumstances, a judge
    has discretion at a detention hearing to hold the defendant, who
    has tested positive for illegal drugs in violation of the drug
    free condition of probation, pending a probation violation
    hearing.   We further conclude that the actions of the District
    27
    Court judges and the probation department involved in this case
    were exemplary.   They embodied the flexibility, sensitivity, and
    thoughtfulness in furtherance of the overarching goal of
    probation -- to rehabilitate rather than incarcerate whenever
    possible, while fulfilling their duty to protect the public.
    See 
    Goodwin, 458 Mass. at 15
    .
    Accordingly, we affirm the judge's finding that the
    defendant violated her probation and the order requiring her to
    submit to inpatient treatment for her addiction.
    So ordered.