M.W.M. v. Buzogany, J. ( 2023 )


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  • J-A29024-22
    NON-PRECEDENTIAL DECISION - SEE SUPERIOR COURT OP 65.37
    M.W.M.                                 :   IN THE SUPERIOR COURT OF
    :        PENNSYLVANIA
    Appellant            :
    :
    :
    v.                        :
    :
    :
    JOSEPH A. BUZOGANY, M.D.,              :   No. 379 WDA 2022
    ARMSTRONG-INDIANA BEHAVIORAL           :
    AND DEVELOPMENTAL HEALTH               :
    PROGRAM, INDIANA REGIONAL              :
    MEDICAL CENTER, BARBARA A.             :
    MCKEE AS THE ADMINISTRATOR OF          :
    THE ESTATE OF DONALD L. MCKEE,         :
    ESQUIRE, THE COUNTY OF INDIANA,        :
    PA, AMY CLINE, LOUISE KELLER
    BIVENS, MSW, AND SALLY PRUGH
    Appeal from the Order Entered March 10, 2022
    In the Court of Common Pleas of Indiana County Civil Division at No(s):
    12227 CD 2018
    M.W.M.                                 :   IN THE SUPERIOR COURT OF
    :        PENNSYLVANIA
    Appellant            :
    :
    :
    v.                        :
    :
    :
    JOSEPH A. BUZOGANY, M.D.,              :   No. 380 WDA 2022
    ARMSTRONG-INDIANA BEHAVIORAL           :
    AND DEVELOPMENTAL HEALTH               :
    PROGRAM, INDIANA REGIONAL              :
    MEDICAL CENTER, BARBARA A.             :
    MCKEE AS THE ADMINISTRATOR OF          :
    THE ESTATE OF DONALD L. MCKEE,         :
    ESQUIRE, THE COUNTY OF INDIANA,        :
    PA, AMY CLINE, LOUISE KELLER           :
    BIVENS, MSW, AND SALLY PRUGH           :
    J-A29024-22
    Appeal from the Order Entered March 10, 2022
    In the Court of Common Pleas of Indiana County Civil Division at No(s):
    12227 CD 2018
    BEFORE: BENDER, P.J.E., OLSON, J., and KUNSELMAN, J.
    MEMORANDUM BY OLSON, J.:                         FILED: July 21, 2023
    In this consolidated appeal, Appellant, M.W.M., appeals from two March
    10, 2022 orders entered in the Court of Common Pleas of Indiana County that
    granted, in part, two motions to compel specific responses to interrogatories,
    as well as the production of Appellant’s medical, mental health, and substance
    abuse treatment records. One of the orders granted a motion to compel filed
    by Joseph A. Buzogany, M.D. (“Dr. Buzogany”), and the other granted a
    motion to compel filed jointly by Donald L. McKee, Esquire (“Attorney McKee”)
    and the County of Indiana, Pennsylvania (“Indiana County”).1 We affirm the
    ____________________________________________
    1 The appeal docketed in this Court at 379 WDA 2022 involves Appellant’s
    appeal from the March 10, 2022 order granting, in part, the motion to compel
    specific responses and the production of documents filed by Dr. Buzogany, as
    discussed in greater detail infra (referred to as “Trial Court Order
    (Buzogany)”). The appeal docketed in this Court at 380 WDA 2022 involves
    Appellant’s appeal from a separate March 10, 2022 order granting, in part,
    the motion to compel specific responses and the production of documents filed
    by Attorney McKee and Indiana County, as discussed in greater detail infra
    (referred to as “Trial Court Order (McKee)”). In a May 22, 2022 per curiam
    order, this Court, sua sponte, consolidated the two appeals.
    During the events giving rise to Appellant’s causes of action, Attorney McKee
    worked with the Public Defender’s Office of Indiana County and represented
    Appellant at a mental health commitment hearing, as discussed more fully
    infra. Attorney McKee is now deceased, and his interests are represented by
    Barbara A. McKee, as the Administrator of the Estate of Donald L. McKee. See
    Trial Court Order, 12/24/20. The caption of the appeal docketed at 379 WDA
    -2-
    J-A29024-22
    March 10, 2022 orders but remand this case for further proceedings in
    accordance with this memorandum.2
    The trial court summarized the factual history as follows:
    This case involves an incident that occurred on December 20,
    2016. The Pennsylvania State Police received a [telephone] call
    indicating that [Appellant] was contemplating suicide. This report
    led to an altercation between [Appellant] and the Pennsylvania
    State Police[. Appellant] was tased during the incident. It was
    ____________________________________________
    2022 reflected this development, and we have corrected the caption in the
    appeal filed at 380 WDA 2022 accordingly. For ease of identification, we refer
    to Barbara A. McKee as Administrator of the Estate of Donald L. McKee simply
    as “Attorney McKee.”
    Armstrong-Indiana Behavioral and Developmental Health Program (“BDHP”),
    Indiana Regional Medical Center (“IRMC”), Amy Cline (“Cline”), Louise Keller
    Bivens, MSW (“Bivens”), and Sally Prugh (“Prugh”) did not participate in the
    consolidated appeals, as they were not parties to any effort to compel more
    specific discovery responses and demand the production of mental health
    records. Moreover, we have corrected the captions of the consolidated
    appeals to reflect the fact that the trial court struck the Public Defender’s
    Office of Indiana County as a party from this litigation. See Trial Court Order,
    5/27/20.
    2On August 1, 2022, Attorney McKee and Indiana County filed a supplemental
    reproduced record with this Court that contained excerpts from Appellant’s
    wife’s deposition. Supplemental Reproduced Record, 8/1/22, at 29-33. On
    August 2, 2022, Appellant filed, with this Court, a motion to strike that portion
    of the supplemental reproduced record filed by Attorney McKee and Indiana
    County. Attorney McKee and Indiana County filed a response to Appellant’s
    motion to strike with this Court on August 8, 2022.
    It is well-established that, “for purposes of appellate review, what is not in the
    certified record does not exist.” Ruspi v. Glatz, 
    69 A.3d 680
    , 691 (Pa. Super.
    2013), appeal denied, 
    81 A.3d 78
     (Pa. 2013). A review of the certified record
    in the case sub judice demonstrates that Appellant’s wife’s deposition is not
    part of the record. As such, we grant Appellant’s motion to strike the excerpts
    of his wife’s deposition that are contained within the supplemental reproduced
    record submitted by Attorney McKee and Indiana County.
    -3-
    J-A29024-22
    later determined that [Appellant] was under the influence of
    prescribed medication and alcohol during this altercation.
    [Appellant] was taken into custody and transported to IRMC.
    While at IRMC, [Appellant’s] wife executed the documents
    necessary to have [Appellant] involuntarily committed under 50
    P.S. [§ ]7302[ (relating to the involuntary emergency
    examination and treatment authorized by a physician to
    determine whether the person is severely mentally disabled and
    in need of immediate mental health treatment).3 Appellant] was
    ____________________________________________
    3 Section 7302 of the Mental Health Procedures Act, 50 P.S. §§ 7101 - 7503
    (“MHPA”), states, in pertinent part, as follows:
    § 7302. Involuntary emergency examination and
    treatment authorized by a physician - Not to exceed one
    hundred twenty hours
    (a) Application for Examination. - Emergency examination
    may be undertaken at a treatment facility upon the certification of
    a physician stating the need for such examination; or upon a
    warrant issued by the county administrator authorizing such
    examination; or without a warrant upon application by a physician
    or other authorized person who has personally observed conduct
    showing the need for such examination.
    (1) Warrant for Emergency Examination. - Upon
    written application by a physician or other responsible party
    setting forth facts constituting reasonable grounds to
    believe a person is severely mentally disabled and in need
    of immediate treatment, the county administrator may issue
    a warrant requiring a person authorized by him, or any
    peace officer, to take such person to the facility specified in
    the warrant.
    (2)     Emergency        Examination        Without        a
    Warrant. - Upon personal observation of the conduct of a
    person constituting reasonable grounds to believe that he is
    severely mentally disabled and in need of immediate
    treatment, and physician or peace officer, or anyone
    authorized by the county administrator may take such
    person to an approved facility for an emergency
    examination.     Upon arrival, he shall make a written
    -4-
    J-A29024-22
    evaluated by [Dr.] Buzogany and a [commitment] hearing under
    50 P.S. [§ ]7303[ (relating to the extended involuntary
    emergency mental health treatment certified by a judge or mental
    health review officer)4] was held.
    ____________________________________________
    statement setting forth the grounds for believing the person
    to be in need of such examination.
    (b) Examination and Determination of Need for Emergency
    Treatment. - A person taken to a facility shall be examined by a
    physician within two hours of arrival in order to determine if the
    person is severely mentally disabled within the meaning of [50
    P.S. § 7301(b)(1)] and in need of immediate treatment. If it is
    determined that the person is severely mentally disabled and in
    need of emergency treatment, treatment shall be begun
    immediately. If the physician does not so find, or if at any time it
    appears there is no longer a need for immediate treatment, the
    person shall be discharged and returned to such place as he may
    reasonably direct. The physician shall make a record of the
    examination and his findings. In no event shall a person be
    accepted for involuntary emergency treatment if a previous
    application was granted for such treatment and the new
    application is not based on behavior occurring after the earlier
    application.
    50 P.S. § 7302(a) and (b).
    4   Section 7303 of the MHPA states, in pertinent part, as follows:
    § 7303. Extended involuntary emergency treatment
    certified by a judge or mental health review officer - Not
    to exceed twenty days
    (a) Persons Subject to Extended Involuntary Emergency
    Treatment. - Application for extended involuntary emergency
    treatment may be made for any person who is being treated
    pursuant to [50 P.S. § 7302] whenever the facility determines
    that the need for emergency treatment is likely to extend beyond
    120 hours. The application shall be filed forthwith in the court of
    common pleas, and shall state the grounds on which extended
    emergency treatment is believed to be necessary. The application
    -5-
    J-A29024-22
    Trial Court Order (Buzogany), 3/10/22, at ¶1; see also Trial Court Order
    (McKee), 3/10/22, at ¶1.           Upon conclusion of the December 22, 2016
    commitment hearing, a mental health review officer authorized Appellant’s
    extended commitment pursuant to Section 7303 of the MHPA.
    Sometime thereafter, Appellant filed a petition for review of the
    certification for his involuntary emergency examination and treatment
    (“petition for review”). Appellant’s petition for review was docketed at trial
    court docket number 12250 CD 2016. On December 27, 2018, the trial court
    granted Appellant’s petition for review, finding that the warrant for Appellant’s
    emergency examination was not properly issued and that Appellant’s due
    process rights, as they pertain to the involuntary commitment process under
    the MPHA, were violated. Trial Court Opinion and Order (12250 CD 2016),
    12/27/18, at 8, 12. In granting Appellant’s petition for review, the trial court
    vacated Appellant involuntary commitment under Section 7303 and expunged
    Appellant’s records of involuntary commitment under Section 7302 and
    Section 7303.5 Id.
    ____________________________________________
    shall state the name of any examining physician and the
    substance of his opinion regarding the mental condition of the
    person.
    50 P.S. § 7303(a).
    5The trial court’s opinion and order, expunging Appellant’s Section 7302 and
    Section 7303 commitment record, was made part of the certified record in the
    case sub judice as an attachment to Appellant’s motion to determine the
    necessity to file a certificate of merit as to, inter alia, Dr. Buzogany.
    -6-
    J-A29024-22
    Appellant subsequently filed a legal action against Dr. Buzogany,
    Attorney McKee, Indiana County, BDHP, IRMC, Cline, Bivens, and Prugh
    alleging they violated his due process rights and, as to certain defendants,
    committed professional malpractice during the intake process in December
    2016. On December 12, 2019, Appellant filed a third amended complaint,
    asserting the following causes of action: Count I - violations of his
    constitutional rights under the Fourth and Fourteenth Amendments; Count
    II - violations of his procedural due process rights; Count III - violations of his
    substantive due process rights; Count IV – gross negligence and willful
    misconduct under Section 7114(a) of the MHPA;6 Count V – legal malpractice;
    and Count VI – professional malpractice.7            Third Amended Complaint,
    ____________________________________________
    6   Section 7114(a) of the MHPA states,
    In the absence of willful misconduct or gross negligence, a county
    administrator, a director of a facility, a physician, a peace officer
    or any other authorized person who participates in a decision that
    a person be examined or treated under this act, or that a person
    be discharged, or placed under partial hospitalization, outpatient
    care or leave of absence, or that the restraint upon such person
    be otherwise reduced, or a county administrator or other
    authorized person who denies an application for voluntary
    treatment or for involuntary emergency examination and
    treatment, shall not be civilly or criminally liable for such decision
    or for any of its consequences.
    50 P.S. § 7114(a).
    7 In the third amended complaint, Counts I, II, and III involved Indiana
    County, Dr. Buzogany, Attorney McKee, BDHP, Cline, IRMC, Prugh, and
    Bivens; Count IV involved Indiana County, BDHP, and Cline; Count V involved
    -7-
    J-A29024-22
    12/12/19, at ¶¶116 – 252. After discovery commenced, Attorney McKee and
    Indiana County filed a motion to compel Appellant to fully respond to questions
    1 and 2 of their first request for production of documents (“Attorney McKee
    and Indiana County’s motion to compel”).8 See Attorney McKee and Indiana
    County’s Motion to Compel, 9/25/20, at ¶3.            In their motion to compel,
    Attorney McKee and Indiana County asserted, inter alia, that Appellant
    impliedly waived any confidentiality privilege by placing his mental health at
    issue in the pending litigation. Id. at ¶13. On October 13, 2020, Appellant
    filed a reply and a brief in opposition to Attorney McKee and Indiana County’s
    motion to compel.
    On November 18, 2020, Dr. Buzogany filed a motion to compel more
    specific responses to his interrogatories, numbered 6 through 9, and to his
    request for production of documents, numbered 3, contained within his first
    set of interrogatories and requests for production of documents (“Dr.
    Buzogany’s motion to compel”).9            In his motion to compel, Dr. Buzogany
    ____________________________________________
    Indiana County and Attorney McKee; and Count VI involved Dr. Buzogany,
    IRMC, and Bivens. Third Amended Complaint, 12/12/19, at ¶¶116 – 252.
    8 Attorney McKee and Indiana County’s motion to compel “relates to said
    [parties’] efforts, through discovery, to obtain records and information relating
    to [Appellant’s] history of medical and mental health treatment from January
    1, 2013, to December 19, 2016[, with s]pecific emphasis [] placed upon
    records from September 2016.” Trial Court Order (McKee), 3/10/22, at ¶4.
    9 Dr. Buzogany's motion to compel “relates to [Dr.] Buzogany's efforts,
    through discovery, to obtain records and information relating to [Appellant’s]
    history of medical and mental health treatment, as well as any substance
    -8-
    J-A29024-22
    asserted that Appellant impliedly waived any confidentiality privilege to his
    mental health records by placing his mental health history directly at issue in
    the current litigation. Dr. Buzogany’s Motion to Compel, 11/18/20, at ¶¶21,
    25-26.    Appellant filed a response to Dr. Buzogany’s motion to compel on
    January 25, 2021.
    On March 10, 2022, the trial court granted, in part, Dr. Buzogany’s
    motion to compel. Trial Court Order (Buzogany), 3/10/22, at 6. Specifically,
    the trial court ordered disclosure of all “records and information relating to
    [Appellant’s] history of medical and mental health treatment, as well as any
    substance abuse treatment, for the five-year period from December 20, 2011,
    to December 19, 2016.” Id. (stating, “[t]o the extent [Dr. Buzogany’s motion
    to compel] requests additional responses, said [m]otion is [denied]”). That
    same day, the trial court granted, in part, Attorney McKee and Indiana
    County’s motion to compel.            Trial Court Order (McKee), 3/10/22, at 6.
    Specifically, the trial court ordered responses to “all discovery requests
    seeking records and information relating to [Appellant’s] history of medical
    and mental health treatment, as well as any substance abuse treatment, for
    the period from January 1, 2013, to December 19, 2016.” Id. (stating, “[t]o
    the extent [Attorney McKee and Indiana County’s motion to compel] requests
    ____________________________________________
    abuse treatment, for the ten-year period preceding the treatment identified in
    the third amended complaint.” Trial Court Order (Buzogany), 3/10/22, at ¶4
    (extraneous capitalization omitted).
    -9-
    J-A29024-22
    additional responses, said [m]otion is [denied]”). As part of both March 10,
    2022 orders, the trial court directed that all records produced in response to
    Dr. Buzogany’s and Attorney McKee and Indiana County’s requests be
    summitted to the trial court for in-camera review.       The trial court further
    stated that, upon review of the submitted records, the trial court “shall exclude
    all records, the discovery of which is contrary to the findings of” the March 10,
    2022 orders.     Trial Court Order (Buzogany), 3/10/22, at 6; see also Trial
    Court Order (McKee), 3/10/22, at 6. This appeal followed.10
    Appellant raises the following issues for our review:
    1.     Did the [trial] court commit an error of law and set a
    dangerously broad new precedent by deciding that when a
    plaintiff challenges the denial of his due process and
    statutory rights during the involuntary commitment
    process, mental health records from beyond the 30-day
    statutory window are relevant to whether a person was a
    danger to himself or whether [a] defendant[] violated
    plaintiff[’]s rights during the commitment process?
    2.     Did the [trial] court misapply Octave[ v. Walker, 
    103 A.3d 1255
     (Pa. 2014)] and set a dangerously broad new
    precedent by deciding that [] anyone who asserts a claim
    that [his or her] rights were violated during the involuntary
    commitment process has necessarily and impliedly waived
    confidentiality and privilege as to 5-years' worth of mental
    health, psychiatric, medical, and substance abuse treatment
    records?
    ____________________________________________
    10Both Appellant and the trial court complied with Pa.R.A.P. 1925. On April
    18, 2022, the trial court filed its Rule 1925(a) opinion, stating it relied upon
    the opinions that accompanied the March 10, 2022 orders. Trial Court
    Opinion, 4/18/22.
    - 10 -
    J-A29024-22
    3.     Did the [trial] court abuse its discretion by ignoring that
    there were less intrusive means by which [Dr. Buzogany,
    Attorney McKee, and Indiana County] could obtain
    information they sought and by refusing to require
    continuing confidentiality?
    Appellant’s Brief at 4 (extraneous capitalization omitted).11
    ____________________________________________
    11 Appellant appeals from two orders overruling his claims of evidentiary
    privilege to his medical, mental health, and substance abuse treatment
    records and requiring disclosure of this information. These two orders are
    immediately appealable as collateral orders pursuant to Pennsylvania Rule of
    Appellate Procedure 313(b). See Pa.R.A.P. 313(b) (stating, “[a] collateral
    order is an order separable from and collateral to the main cause of action
    where the right involved is too important to be denied review and the question
    presented is such that if review is postponed until final judgment in the case,
    the claim will be irreparably lost”); see also Commonwealth v. Harris, 
    32 A.3d 243
    , 251 (Pa. 2011) (stating, “orders overruling claims of privilege and
    requiring disclosure are immediately appealable under [Rule 313(b)]”).
    We are cognizant that Indiana County, a political subdivision of this
    Commonwealth, is a defendant-party in Appellant’s underlying cause of
    action. As such, we must preliminarily examine whether this Court has
    jurisdiction over the instant matter, or if the case should be transferred to the
    Commonwealth Court. See Smith v. Ivy Lee Real Estate, LLC, 
    152 A.3d 1062
    , 1065 (Pa. Super. 2016) (stating, “this Court may, sua sponte, raise the
    issue of whether an appeal should be transferred to the Commonwealth
    Court”).
    “Chapter Seven of the Judicial Code sets forth the legislatively ordained
    division of labor between appellate courts in Pennsylvania.” Mohn v. Bucks
    County Republican Comm., 
    218 A.3d 927
    , 930 (Pa. Super. 2019) (citation
    and original quotation marks omitted); see also 42 Pa.C.S.A. §§ 702 - 764.
    Section 742 of the Judicial Code states, “[this Court] shall have exclusive
    appellate jurisdiction of all appeals from final orders of the courts of common
    pleas, regardless of the nature of the controversy or the amount involved,
    except such classes of appeals as are by any provision of this chapter within
    the exclusive jurisdiction of [our] Supreme Court or the Commonwealth
    Court.” 42 Pa.C.S.A. § 742 (emphasis added). Section 762 of the Judicial
    Code, in pertinent part, states,
    § 762. Appeals from courts of common pleas
    - 11 -
    J-A29024-22
    ____________________________________________
    (a) General rule. - Except as provided in subsection (b)
    [(relating to appeals from court of common pleas cases within the
    exclusive jurisdiction of our Supreme Court)], the Commonwealth
    Court shall have exclusive jurisdiction of appeals from final
    orders of the courts of common pleas in the following cases:
    ...
    (4) Local government civil and criminal matters. –
    (i) All actions or proceedings arising under any
    municipality, institution district, public school,
    planning or zoning code or under which a municipality
    or other political subdivision or municipality authority
    may be formed or incorporated or where is drawn in
    question     the     application,  interpretation     or
    enforcement of any:
    (A) statute regulating the affairs of political
    subdivisions, municipality and other local
    authorities or other public corporations or of the
    officers, employees or agents thereof, acting in
    their official capacity;
    ...
    (7) Immunity waiver matters. - Matters conducted pursuant
    to Subchapter C of Chapter 85 (relating to actions against
    local parties).
    42 Pa.C.S.A. § 762(a)(4)(i)(A) and (7) (emphasis added).
    Thus, pursuant to our statutory scheme, appeals from final orders of the
    court of common pleas involving statutes regulating the affairs or general
    operations of counties or potential immunity defenses available to counties
    fall within the exclusive jurisdiction of the Commonwealth Court. Id.; see
    also Wheatcroft v. Auritt, 
    312 A.2d 441
    , 446 (Pa. Super. 1973) (defining
    “affairs of political subdivisions” to mean the “business” or “general
    operations” of the political subdivision); 42 Pa.C.S.A. §§ 8541 - 8564
    (pertaining to matters affecting government units – actions against local
    parties); 42 Pa.C.S.A. § 8501 (defining “local party” or “local agency” as “[a]
    - 12 -
    J-A29024-22
    ____________________________________________
    government unit other than the Commonwealth government”); 42 Pa.C.S.A.
    § 102 (defining “government unit” as including “any political subdivision”).
    We acknowledge that this Court, in an en banc decision, held that appeals
    from final orders of the court of common pleas involving substantive
    matters enumerated in Section 762 are within the exclusive jurisdiction of
    the Commonwealth Court, and such appeals, if filed with this Court or
    transferred to this Court, must be transferred to the Commonwealth Court for
    disposition. Mohn, supra. Our decision in Mohn, however, is distinguishable
    from the case sub judice in that the orders on appeal in the instant case are
    collateral orders involving evidentiary privileges afforded by the MHPA and the
    Pennsylvania      Drug    and    Alcohol     Abuse    Control     Act,   71    P.S.
    §§ 1690.101 - 1690.115, (“DAA”), as discussed more fully infra. These two
    orders are not final orders involving substantive issues concerning one of the
    seven subject matters enumerated in Section 762(a). Therefore, because the
    appeal in the case sub judice has been perfected and the defendant-parties
    do not contest this Court’s jurisdiction, we find, under these circumstances,
    that this Court has discretion to retain jurisdiction or to transfer this case to
    the Commonwealth Court. See Trumbull Corp. v. Boss Constr., Inc., 
    747 A.2d 395
    , 398-399 (Pa. Super. 2000); see also 42 Pa.C.S.A. § 704(a)
    (stating, “[t]he failure of an appellee to file an objection to the jurisdiction of
    an appellate court within such time as may be specified by general rule, shall,
    unless the appellate court otherwise orders, operate to perfect the appellate
    jurisdiction of such appellate court, notwithstanding any provision of this title,
    or of any general rule adopted pursuant to section 503 (relating to
    reassignment of matters), vesting jurisdiction of such appeal in another
    appellate court”); 42 Pa.C.S.A. § 741(a) (stating, “[t]he failure of an appellee
    to file an objection to the jurisdiction of an appellate court on or prior to the
    last day under these rules for the filing of the record shall, unless the appellate
    court shall otherwise order, operate to perfect the appellate jurisdiction of
    such appellate court, notwithstanding any provision of law vesting jurisdiction
    of such appeal in another appellate court”).
    In determining whether to retain jurisdiction or transfer an appeal,
    we balance the interests of the parties and matters of judicial
    economy against other factors, including: (1) whether the case
    has already been transferred; (2) whether retaining jurisdiction
    will disrupt the legislatively ordained division of labor between the
    intermediate appellate courts; and (3) whether there is a
    possibility of establishing two conflicting lines of authority on a
    - 13 -
    J-A29024-22
    ____________________________________________
    particular subject. We examine each potential transfer on a
    case-by-case basis.
    Smith, 
    152 A.3d at 1065
     (citations and quotation marks omitted); see also
    Trumbull, 
    747 A.2d at 399
    ; Mohn, 218 A.3d at 934.
    In the case sub judice, Appellant asserts that this Court has jurisdiction
    pursuant to 42 Pa.C.S.A. § 742 (see Appellant’s Brief at 1), and the
    defendant-parties did not object to this Court having jurisdiction over the
    matter. Although Indiana County, at its request, was excused from oral
    argument concerning Appellant’s appeal, the parties involved in the instant
    appeal filed appellate briefs in this matter (Indiana County filed an appellee’s
    brief, jointly with Attorney McKee). The issues on appeal, as discussed in
    greater detail infra, surround the evidentiary protections afforded by the MHPA
    and DAA.       Our research reveals that issues involving the evidentiary
    protections afforded by the MHPA and the DAA have been almost exclusively
    reviewed by this Court. See e.g., Commonwealth v. Nuzzo, 
    284 A.3d 1243
    (Pa. Super. 2022); see also Gates v. Gates, 
    967 A.2d 1024
     (Pa. Super.
    2009); T.M. v. Elwyn, Inc., 
    950 A.2d 1050
     (Pa. Super. 2008); but see
    Johnsonbaugh v. Dept. of Public Welfare, 
    665 A.2d 20
     (Pa. Commw. Ct.
    1995).
    After much consideration, we decline to transfer this case to the
    Commonwealth Court. Smith, 
    152 A.3d at 1065
    ; see also Trumbull, 
    747 A.2d at 399
    . The interests of judicial economy, as well as the interests of the
    parties, are best served by this Court retaining jurisdiction of this appeal.
    Furthermore, our disposition herein will not disrupt the division of labor
    between this Court and the Commonwealth Court, nor will it result in
    conflicting lines of authority. Smith, 
    152 A.3d at 1065
    . Moreover, the issues
    to be resolved in the instant appeal do not involve substantive matters
    enumerated in Section 762. We advise the parties, however, that if Indiana
    County remains a defendant-party, the ultimate resolution of this matter is
    likely to involve, inter alia, an analysis and interpretation of statutes regulating
    the general operations of Indiana County’s mental health treatment programs
    and facilities (see generally 50 P.S. §§ 4301 - 4305), as well as its office of
    public defender (see generally 16 P.S. §§ 9960.1 - 9960.13), and statutes
    governing any possible immunity defenses afforded to Indiana County (see
    e.g. 50 P.S. § 9114; see also 50 P.S. § 4603). As such, an appeal of a final
    order in the case sub judice would properly lie with the Commonwealth Court
    pursuant to Section 762. 42 Pa.C.S.A. § 762(a)(4)(i)(A) and (7).
    - 14 -
    J-A29024-22
    Appellant’s issues, in toto, challenge the trial court’s orders that
    compelled more complete responses and more expansive production of
    documents related to his medical, mental health, and substance abuse
    treatment records as part of the discovery proceedings in the pending action.12
    Id. at 24-47. Appellant asserts that his mental health and substance abuse
    treatment records are protected by Section 7111 of the MHPA13 and Section
    ____________________________________________
    12Appellant concedes that the defendant-parties are entitled to receive copies
    of his medical, mental health, and substance abuse treatment records
    generated during the 30-day period prior to December 20, 2016. Appellant’s
    Brief at 10, 27. As such, Appellant’s appeal is limited to a challenge of the
    production of medical, mental health, and substance abuse treatment records
    generated prior to the 30-day period leading up to December 20, 2016.
    13   Section 7111 of the MHPA states as follows:
    § 7111. Confidentiality of records
    (a) All documents concerning persons in treatment shall be kept
    confidential and, without the person's written consent, may not be
    released or their contents disclosed to anyone except:
    (1) those engaged in providing treatment for the person;
    (2) the county administrator, pursuant to [50 P.S. § 7110];
    (3) a court in the course of legal proceedings authorized by this
    act;
    (4) pursuant to Federal rules, statutes and regulations governing
    disclosure of patient information where treatment is undertaken
    in a Federal agency; and
    (5) a covered entity or a covered entity's business associate that
    makes the use, disclosure or request for disclosure in accordance
    - 15 -
    J-A29024-22
    1690.108 of the DAA, which relates to the confidentiality of drug and alcohol
    treatment records.14 Appellant’s Brief at 34.
    ____________________________________________
    with [
    45 C.F.R. §§ 164.500
     – 164.534] (relating to privacy of
    individually identifiable health information).
    In no event, however, shall privileged communications, whether
    written or oral, be disclosed to anyone without such written
    consent. This shall not restrict the collection and analysis of
    clinical or statistical data by the department, the county
    administrator[,] or the facility so long as the use and
    dissemination of such data does not identify individual patients.
    Nothing herein shall be construed to conflict with [Section
    1690.108 of the Pennsylvania Drug and Alcohol Abuse Control Act,
    71 P.S. 1690.108.]
    (b) This section shall not restrict judges of the courts of common
    pleas, mental health review officers[,] and county mental health
    and mental retardation administrators from disclosing information
    to the Pennsylvania State Police or the Pennsylvania State Police
    from disclosing information to any person, in accordance with the
    provisions of 18 Pa.C.S.[A.] § 6105(c)(4) (relating to persons not
    to possess, use, manufacture, control, sell[,] or transfer firearms).
    50 P.S. § 7111.
    14 Section 1690.108 of the DAA, in pertinent part, states that “patient records
    and all information contained therein relating to drug or alcohol abuse or drug
    or alcohol dependence prepared or obtained by a private practitioner, hospital,
    clinic, drug rehabilitation[,] or drug treatment center[,]” except patient
    records of a federally assisted program, “shall remain confidential and may
    not be disclosed without a patient's consent” and shall only be disclosed, upon
    consent, to:
    (i) to medical personnel exclusively for purposes of diagnosis and
    treatment of the patient;
    (ii) to the parent or legal guardian of a minor or any other
    designee for which the patient has provided consent;
    - 16 -
    J-A29024-22
    Generally, our standard of review for discovery orders is as follows:
    In reviewing the propriety of a discovery order, our standard of
    review is whether the trial court committed an abuse of discretion.
    Abuse of discretion occurs if the trial court renders a judgment
    that is manifestly unreasonable, arbitrary[,] or capricious; that
    fails to apply the law; or that is motivated by partiality, prejudice,
    bias[,] or ill-will.
    Carlino East Brandywine, L.P. v. Brandywine Village Assoc., 
    260 A.3d 179
    , 195-196 (Pa. Super. 2021) (citations, quotation marks, and original
    brackets omitted). When a challenge to a discovery order involves statutory
    interpretation, however, we address the issue presented as a question of law
    for which our standard of review is de novo and our scope of review is plenary.
    Octave, 103 A.3d at 1259; see also Nuzzo, 284 A.3d at 1252.
    Pennsylvania Rule of Civil Procedure 4003.1 sets forth a general
    threshold for discovery of documents and information, in pertinent part, as
    follows:
    Rule 4003.1. Scope of Discovery Generally. Opinions and
    Contentions
    ____________________________________________
    (iii) to government or other officials exclusively for the purpose of
    obtaining benefits due the patient as a result of his drug or alcohol
    abuse or drug or alcohol dependence; or
    (iv) to a covered entity or a covered entity's business associate
    that makes the use, disclosure[,] or request for disclosure in
    accordance with [
    45 C.F.R. §§ 164.500
     – 164.534 (relating to
    privacy of individually identifiable health care information reported
    to health care clearinghouses)].
    71 P.S. § 1690.108(c).
    - 17 -
    J-A29024-22
    (a) Subject to the provisions of Rules 4003.2 to 4003.5 inclusive
    and Rule 4011, a party may obtain discovery regarding any
    matter, not privileged, which is relevant to the subject matter
    involved in the pending action, whether it relates to the claim or
    defense of the party seeking discovery or to the claim or defense
    of any other party, including the existence, description, nature,
    content, custody, condition[,] and location of any books,
    documents, or other tangible things and the identity and location
    of persons having knowledge of any discoverable matter.
    (b) It is not ground for objection that the information sought will
    be inadmissible at the trial if the information sought appears
    reasonably calculated to lead to the discovery of admissible
    evidence.
    Pa.R.Civ.P. 4003.1; see also Cooper v. Schoffstall, 
    905 A.2d 482
    , 522 (Pa.
    2006) (stating that, generally, a document or information is discoverable if
    that document or information is “reasonably calculated to lead to the discovery
    of admissible evidence”). In addition to the requirement that the document
    or information be reasonably calculated to lead to the discovery of admissible
    evidence, the document or information must not be subject to an evidentiary
    privilege. Pa.R.Civ.P. 4003.1 (a).
    Evidentiary privileges, such as the protections cited by Appellant and
    afforded by the MHPA and the DAA, have been viewed by appellate courts “to
    be in derogation of the search for truth and are generally disfavored for this
    reason.” Octave, 103 A.3d at 1262. Therefore, such evidentiary privileges
    are to be strictly construed. Id.; see also Nuzzo, 284 A.3d at 1252.
    The confidentiality of patient records is the sine qua non of effective
    treatment because it encourages patients “to offer information about
    themselves freely and without suffering from fear of disclosure of one’s most
    - 18 -
    J-A29024-22
    intimate expressions to others and the mistrust that the possibility of
    disclosure would engender.” Octave, 103 A.3d at 1260, see also Zane v.
    Friends Hosp., 
    836 A.2d 25
    , 33 (Pa. 2003); Nuzzo, 284 A.3d at 1250.
    Absent an express waiver of confidentiality, i.e. a signed waiver,15 a finding of
    implied waiver pertaining to treatment records is disfavored and has been
    recognized by Pennsylvania courts in only one, limited circumstance – where
    a plaintiff initiates a civil action and seeks to use a confidentiality privilege,
    such as Section 7111 of the MHPA, to shield disclosure of treatment records
    that the plaintiff could reasonably have foreseen would be placed directly at
    issue by the cause of action. Octave, 103 A.3d at 1262; see also Kraus v.
    Taylor, 
    710 A.2d 1142
    , 1144-1145 (Pa. Super. 1998) (finding, the
    confidentiality privileges afforded by the MHPA and DAA were waived when
    the plaintiff filed a personal injury lawsuit seeking damages for permanent
    injury which placed his life expectancy at issue in the case), appeal dismissed
    as improvidently granted, 
    743 A.2d 451
     (Pa. 2000); Compare with Gallo v.
    Conemaugh Health Sys., Inc., 
    114 A.3d 855
    , 862-863 (Pa. Super. 2015)
    ____________________________________________
    15 When a confidentiality privilege has been waived, whether by express or
    implied waiver, the purpose for which it has been waived is determinative of
    the scope of that waiver. In re Fortieth Statewide Investigating Grand
    Jury, 
    220 A.3d 558
    , 568 (Pa. 2019) (stating, “the fact that a privilege has
    been narrowly waived for a discrete purpose counsels against construing it as
    a general waiver for all unrelated purposes”). For example, an express waiver
    of confidentiality for purpose of obtaining insurance coverage for treatment
    does not constitute a general waiver but, rather, limits the disclosure to only
    that information necessary to obtain insurance coverage and to only necessary
    parties who must maintain the confidentiality of the information themselves.
    - 19 -
    J-A29024-22
    (finding, the confidentiality of a defendant’s mental health records remained
    protected because the defendant did not bring the lawsuit placing his mental
    health at issue); see also Fortieth Statewide Investigating Grand Jury,
    220 A.3d at 568 (declining to extend the holding announced in Octave,
    concerning implied waiver, to a factual scenario where an individual, who
    executed an express waiver form authorizing disclosure of treatment records
    to certain parties but could not anticipate public disclosure, did not initiate the
    grand jury proceedings into which he was drawn).
    In Octave, supra, our Supreme Court explained that confidentiality
    privileges are not absolute and the “privilege conferred must be balanced
    against the countervailing interests in ensuring the fairness and integrity of
    the judicial system.” Octave, 103 A.3d at 1261. The Octave Court held that
    “a patient waives his[, or her,] confidentiality protections under the MHPA
    where, judged by an objective standard, he[, or she,] knew or reasonably
    should have known his[, or her,] mental health would be placed directly at
    issue by filing [a] lawsuit.” Id. at 1262.
    Octave involved an individual (Octave) who was struck by a vehicle.
    Id. at 1256. Although Octave survived the incident, he later died as a result
    of the injuries sustained. Id. at 1256 n.2. Octave’s wife filed a negligence
    suit to recover for physical injuries incurred by her husband. Id. at 1256.
    “[B]ased upon eyewitness reports, the [Pennsylvania] state police concluded
    that [Octave] attempted to commit suicide by jumping under the [vehicle’s]
    trailer.”   Id.   The defendant-driver asserted, as a defense, that Octave
    - 20 -
    J-A29024-22
    “intentionally caused his own injuries by throwing himself under the [vehicle]
    in an unsuccessful suicide attempt.” Id. at 1257.
    Applying an objective standard, the Octave Court determined that
    Octave’s wife “knew that by commencing suit and alleging [her husband’s]
    physical injuries were caused by [the defendant’s] negligence,” she placed her
    husband’s “mental health directly at issue as to causation” because there was
    objective evidence that suggested her husband attempted to commit suicide
    by jumping under the vehicle’s trailer.              Id. at 1262-1263 and n.11.          In
    balancing the competing interest of ensuring a robust search for truth in the
    adversarial process against the importance of maintaining confidentiality
    privileges, the Octave Court found that the objective standard for finding
    implied waiver of a confidentiality privilege was “met[, in that specific
    instance,] solely because the state police issued a report, based on
    disinterested eyewitness interviews, finding [Octave] attempted to commit
    suicide by jumping under the [vehicle’s] trailer.” Id. at 1261, 1263. In so
    holding, the Octave Court reasoned that allowing a plaintiff “to pursue a
    negligence    action   while      hiding     behind     a   [confidentiality]     privilege
    claim - essentially    wielding     the     legislature's    intended    shield     as   a
    sword - would offend the most basic understanding of fairness and justice”
    under the specific circumstances of that case. Id. at 1263. The Octave Court
    further noted that there were no less-intrusive methods to obtain Octave’s
    mental health records other than disclosure of the mental health records
    because Octave was now deceased.                    Id. at 1263 n.10 (noting that a
    - 21 -
    J-A29024-22
    psychological evaluation or interrogatories were not available as less-intrusive
    means because Octave was deceased).                In finding implied waiver of the
    confidentiality privilege under the case-specific facts, the Octave Court urged
    “courts to use great caution in accepting this form of [implied] waiver.” Id.
    at 1262 n.8, 1263 (emphasis added) (stating, “[a]llowing a defendant to
    initiate a fishing expedition into a plaintiff’s mental health records to explore
    whether any information may be potentially relevant or contradictory to the
    subject of the action would destroy the purpose of the” confidentiality
    protections”).
    In the case sub judice, we consider whether Appellant, by filing his third
    amended complaint, impliedly waived the confidentiality privileges afforded to
    him pursuant to the MHPA and the DAA, as set forth supra. For the following
    reasons, we find that Appellant’s filing of his third amended complaint
    constituted a limited waiver of the confidentiality privileges afforded to him by
    the MHPA and the DAA pursuant to Octave and its progeny.16
    Before examining the allegations contained in Appellant’s third amended
    complaint, it is necessary to first review the trial court’s findings and rulings
    in   Appellant’s    expungement        proceeding     related   to   his   involuntary
    ____________________________________________
    16  Although we treat the confidentiality privileges afforded by the MHPA and
    the DAA in tandem for purpose of our discussion, we are cognizant that an
    individual’s dependence on drugs or alcohol does not constitute a mental
    illness under the MHPA. See 50 P.S. § 7102 (stating that, mental retardation,
    senility, or alcohol or drug dependence shall not, of themselves, be deemed
    to constitute mental illness).
    - 22 -
    J-A29024-22
    commitments.      In the expungement action, Appellant challenged “his
    involuntary commitments under [Section 7302 and Section 7303 of the
    MHPA].”   Trial Court Opinion and Order (12250 CD 2016), 12/27/18, at 8,
    10-12. “[Appellant argued] that his [Section 7303] commitment violated his
    due process rights because he was denied legal counsel of his choice, forced
    to proceed with a court-appointed public defender, and was denied the
    opportunity to obtain a continuance [of the Section 7303 commitment
    hearing].” Id. at 5. The trial court, in addressing Appellant’s Section 7303
    commitment stated,
    Here, the limited record available shows that [Appellant] desired
    to have private representation, which he expressed multiple
    times. Not only was he provided with an extremely minimal
    amount of time to secure private counsel, he was only able to
    briefly meet with his [court-appointed] counsel immediately
    before the [commitment] hearing took place. [Appellant] testified
    that his counsel did not prepare a defense and did not respond to
    his inquires about a voluntary [] commitment, seek a continuance,
    or request a review of the certification. There is no evidence that
    counsel asked questions or objected to erroneous information
    presented at the hearing. Furthermore, [Appellant] was restricted
    from use of the telephone and had no opportunity to attempt to
    retain private counsel to request a review of the certification. For
    these reasons, the [trial c]ourt finds that [Appellant] was denied
    the right to effective representation.
    Id. at 7-8.   The trial court also found that Section “7303(b)(2) requires a
    record of the proceedings to be kept. While this need not be a stenographic
    record, some record is required, and the absence of a record of [Appellant’s]
    hearing violated this requirement.” Id. at 8. The trial court, upon “finding
    that [Appellant’s] due process rights under the MHPA were violated,” vacated
    - 23 -
    J-A29024-22
    Appellant’s involuntary commitment under Section 7303 and expunged all
    records pertaining to that commitment. Id. This record makes clear that the
    trial court expunged Appellant’s December 2016 involuntary commitment due
    to various procedural deficiencies that occurred during the commitment
    process. The trial court, however, did not address the underlying substantive
    merit of Appellant’s Section 7303 commitment.
    Regarding Appellant’s Section 7302 commitment, the trial court found
    that “[t]he boxes on the [Section 7302] application [for involuntary
    commitment] were checked to indicate that [Appellant] fit the criteria as
    described in [Section] 7301(b)(1) [(relating to harm to others)] and [Section]
    7301(b)(2)(ii) [(relating to harm to self by attempting suicide).]” Id. at 11.
    The Section 7302 application was then used to obtain a warrant for the
    emergency examination of Appellant pursuant to Section 7302 (a)(1). Id.;
    see also 50 P.S. § 7302. The trial court, upon review, held that,
    Based on the contents of the application that [was] used to secure
    the warrant, the [trial c]ourt can find no basis for [the warrant’s]
    issuance under [Section] 7301(b)(1), as the application does not
    reference any threats to others by [Appellant]. Furthermore, the
    [trial c]ourt does not find that the statements relating to
    [Appellant’s] threats of harm to himself satisfy the requirements
    for issuance of a warrant under [Section] 7301(b)(2)(ii). While
    [Appellant] may have made comments in the past about killing
    himself, particularly when intoxicated, these general threats were
    not alleged to have occurred within the 30 days prior to [the
    completion of the Section 7302 application.]
    Trial Court Opinion and Order (12250 CD 2016), 12/27/18, at 11.             After
    concluding that the warrant for Appellant’s emergency examination was
    - 24 -
    J-A29024-22
    improperly issued in violation of Appellant’s due process rights, the trial court
    expunged Appellant’s Section 7302 commitment records.            Id. at 12.   In
    granting Appellant’s request for the expungement of his Section 7302 and
    Section 7303 commitment records, the trial court expressly found it
    unnecessary to “examine the evidentiary sufficiency of the resulting
    commitment.” Id.
    With an understanding of Appellant’s prior expungement action, we turn
    to a review of his third amended complaint. In the case sub judice, Appellant
    argues that his causes of action, as set forth in his third amended complaint,
    stem exclusively from the alleged procedural violations surrounding his
    Section 7302 and Section 7303 commitments and do not involve an
    examination of, or litigation surrounding, the substantive merit of his Section
    7302 and Section 7303 commitments.17 An examination of Appellant’s third
    amended complaint, however, reveals assertions that challenge both the
    procedural and substantive merits of his Section 7302 and Section 7303
    commitments. By way of example, the third amended complaint contains the
    following allegations:
    At no time during this period was [Appellant] severely mentally
    disabled, as defined by law, nor did [Appellant] pose a clear and
    present danger to himself or others.
    ____________________________________________
    17Appellant argues that “whether [he] should have been . . . involuntarily
    committed has no bearing on whether [his due process] rights were violated
    during the commitment process[.]”     Appellant’s Brief at 26 (emphasis
    omitted).
    - 25 -
    J-A29024-22
    Instead, the [Section 7303] commitment was improperly used to
    force [Appellant] into treatment for his alcohol use [and] for the
    convenience of the [defendant-parties] and their holiday and
    vacation plans.
    Third Amended Complaint, 12/12/19, at ¶¶104 and 105 (“Facts of Case”).18
    As a proximate result of [defendant-parties’ (IRMC, BDHP, and
    Cline)] gross negligence and willful misconduct [Appellant] was
    held against his will and [deprived of] his rights [] for several days.
    Id. at ¶217 (Count IV – gross negligence claim).
    As a result of [Attorney McKee’s] gross negligence and failure to
    adhere to professional standards, [Appellant] was held against his
    will for several days.
    Id. at ¶225 (Count V – legal malpractice).
    As a proximate result of IRMC, Bivens, and Dr. Buzogany’s
    professional and gross negligence and failure to adhere to
    professional standards and the MHPA, [Appellant] was held
    against his will for several days.
    Id. at ¶251 (Count VI – professional malpractice).
    In claiming entitlement to damages for wrongful commitment and
    alleging, inter alia, that he was not severely mentally disabled or a threat to
    himself or others, Appellant placed the state of his mental health at the time
    of his involuntary commitment directly at issue and thereby triggered his
    obligation to disclose his mental health treatment records concerning prior
    ____________________________________________
    18 A similar allegation was repeated at paragraph 246 of the third amended
    complaint, as follows, “[Appellant] was not severely mentally disabled and/or
    a clear and present danger to himself and others, as required by the MHPA.”
    Third Amended Complaint, 12/12/19, at ¶246.
    - 26 -
    J-A29024-22
    suicide attempts and suicidal ideations.19          Octave, 103 A.3d at 1262.
    Specifically, based upon Appellant’s allegations that he was “held against his
    will for several days” for no reason other than as a result of the
    defendant-parties’ violation of this constitutional and due process rights, as
    well as their gross negligence and legal and medical malpractice, it was
    reasonably foreseeable that the defendant-parties would challenge these
    allegations    by   seeking     to   demonstrate    that   Appellant’s   involuntary
    commitments under Section 7302 and Section 7303 were justified because
    Appellant was severely mentally disabled and in need of immediate and
    continued mental health treatment pursuant to the MPHA.20 In other words,
    by asserting claims of medical malpractice and legal malpractice, and by
    claiming he was not mentally disabled and did not pose a danger to himself
    or others, Appellant placed at issue his mental health and substance abuse
    treatment history, at least insofar as those treatment records involve prior
    attempts at suicide, prior threats of suicide with actions taken in furtherance
    ____________________________________________
    19  Because Appellant’s involuntary            commitment was not definitively
    determined to be unjustified in accord         with the MPHA in the expungement
    action, the validity of the involuntary        commitment reasonably remains a
    possible defense in the current cause of       action.
    20It is also reasonably foreseeable that the defendant-parties might also need
    Appellant’s mental health and substance abuse treatment records to
    demonstrate that they cannot be held liable under Section 7114 because they
    did not engage in willful misconduct or gross negligence, even if certain
    procedural deficiencies occurred.
    - 27 -
    J-A29024-22
    thereof, or prior treatment involving suicidal ideation.         See 50 P.S.
    § 7301(b)(2)(ii).
    As such, we concur with the trial court that Appellant impliedly waived
    the evidentiary privileges afforded by the MHPA and the DAA pursuant to
    Octave, supra, and its progeny, based on certain allegations and causes of
    action contained in his third amended complaint. We now examine the scope
    of that waiver to determine whether the trial court erred in ordering Appellant
    to produce his medical, mental health, and substance abuse treatment records
    as set forth in the March 10, 2020 orders.
    To reiterate, when a confidentiality privilege has been impliedly waived,
    the purpose for which it has been waived is determinative of the scope of that
    waiver. In re Fortieth Statewide Investigating Grand Jury, 220 A.3d at
    568.    In the case sub judice, Appellant impliedly waived the evidentiary
    privileges protecting his mental health and substance abuse treatment records
    for the purpose of determining the validity of Appellant’s commitment under
    Section 7302 and Section 7303 of the MHPA. Therefore, we must examine
    whether the March 10, 2022 orders required disclosure of medical, mental
    health, and substance abuse treatment records which exceeded the scope of
    claims Appellant placed at issue in filing this action.
    A determination of whether Appellant’s involuntary commitment was
    justified, under Section 7302 and Section 7303, and, as such, could serve as
    a possible defense by the defendant-parties, would involve an analysis of the
    information that was known by Dr. Buzogany, at the time he approved the
    - 28 -
    J-A29024-22
    Section 7302 immediate involuntary commitment, or by the mental health
    review officer, at the time he or she certified the Section 7303 extended
    involuntary commitment.      Therefore, the discovery of any documents or
    information pertaining to Appellant’s prior mental health and substance abuse
    treatment that specifically and directly relate to prior attempts at suicide,
    threats of suicide with acts in furtherance thereof, or of suicidal ideation, is
    reasonably calculated to lead to admissible evidence that was known by Dr.
    Buzogany, at the time of the Section 7302 involuntary commitment, or by the
    mental health review officer, as presented at the Section 7303 hearing. As
    such, having concluded that Appellant impliedly waived the evidentiary
    privileges afforded by the MHPA and DAA by virtue of the allegations contained
    in his third amended complaint, we find the scope of that waiver pertains to
    any documents or information related to Appellant’s prior mental health and
    substance   abuse   treatment    that   specifically   and   directly   involved
    Appellant’s prior attempts at suicide, prior threats of suicide coupled with acts
    in furtherance thereof, and prior instances involving suicidal ideation and may
    have been known, or relied on, by Dr. Buzogany or the mental health review
    officer in authorizing Appellant’s involuntary commitments under Section 7302
    and Section 7303.
    In filing his third amended complaint, Appellant placed at issue his
    mental health status, particularly his suicidal ideations as of December 2016.
    For these reasons, we affirm the trial court’s March 20, 2022 orders.
    Nevertheless, we are aware of the distinct possibility that many of the
    - 29 -
    J-A29024-22
    documents subject to disclosure under the trial court’s orders may fall outside
    the scope of the implied waiver of the confidentiality privileges afforded by the
    MHPA and DAA. As stated supra, the implied waiver is strictly limited to those
    documents and information relating to Appellant’s mental health and
    substance abuse treatment that specifically and directly involve treatment
    for prior instances of suicidal ideation, including prior attempted suicide or
    prior threats of suicide coupled with overt acts in furtherance thereof.
    Moreover, while we do not find an abuse of discretion in permitting disclosure
    of records for the three or five years prior to December 19, 2016,21 or the
    requirement that the records be submitted to the trial court for an in-camera
    review to determine whether such records should be disclosed, we find the
    trial court needed to put in place certain additional guidelines, as well as
    practices and procedures, concerning the use, retention, reproduction, and
    further disclosure of such records by the defendant-parties. In other words,
    guidelines and practices and procedures should be established by the trial
    court that track the production of documents and information; restrict who
    has access to the disclosed information, i.e., only the defendant-parties
    involved in the motions to compel and their counsel; how the challenged
    information may be used in future pleadings and procedures, including court
    ____________________________________________
    21 In the case of Dr. Buzogany’s motion to compel, the trial court limited the
    disclosure to the five years prior to December 19, 2016. In the case of
    McKee’s motion to compel, the trial court limited the disclosure to the 3 years
    prior to December 19, 2016.
    - 30 -
    J-A29024-22
    filings and depositions in the case sub judice, i.e., should the parties be
    required to petition the trial court to place certain portions of the record under
    seal; and what consequences or sanctions should be in place if a
    defendant-party fails to maintain the confidentiality of such records. We leave
    these decisions to the trial court in the first instance.
    Consequently, for the reasons set forth herein, we affirm the March 10,
    2022 orders (Trial Court Order (Buzogany) and Trial Court Order (McKee)).
    We remand this case with the instruction that the trial court supplement these
    orders with orders that set forth specific guidelines and practices and
    procedures to safe-guard the disclosed information in accordance with this
    memorandum.
    March 10, 2022 Order (Trial Court Order (Buzogany)) affirmed. March
    10, 2022 Order (Trial Court Order (McKee)) affirmed. Case remanded with
    instructions to supplement the March 10, 2022 orders. Appellant’s Motion to
    Strike Supplemental Reproduced Record granted. Jurisdiction relinquished.
    President Judge Emeritus Bender joins.
    Judge Kunselman files a Dissenting Memorandum.
    - 31 -
    J-A29024-22
    Judgment Entered.
    Joseph D. Seletyn, Esq.
    Prothonotary
    Date: 7/21/2023
    - 32 -