State v. Ogden , 416 P.3d 1132 ( 2018 )


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  •                This opinion is subject to revision before final
    publication in the Pacific Reporter
    
    2018 UT 8
    IN THE
    SUPREME COURT OF THE STATE OF UTAH
    STATE OF UTAH,
    Appellee,
    v.
    JESSE ROGER OGDEN,
    Appellant.
    No. 20150922
    Filed February 27, 2018
    On Certification from the Court of Appeals
    Second District, Ogden
    The Honorable Judge Joseph Bean
    No. 131902263
    Attorneys:
    Sean D. Reyes, Att’y Gen., William M. Hains, Asst. Solic. Gen.,
    Salt Lake City, Letitia J. Toombs, Ogden, for appellee
    Samuel P. Newton, Kalispell, MT, for appellant
    JUSTICE PEARCE authored the opinion of the Court, in which
    CHIEF JUSTICE DURRANT, ASSOCIATE CHIEF JUSTICE LEE,
    JUDGE BATES, and JUDGE MCKELVIE joined.
    Having recused himself, JUSTICE HIMONAS does not participate
    herein; DISTRICT COURT JUDGE MATTHEW D. BATES sat.
    Due to her retirement, JUSTICE DURHAM did not participate herein;
    DISTRICT COURT JUDGE RICHARD D. MCKELVIE sat.
    JUSTICE PETERSEN became a member of the Court on
    November 17, 2017, after oral argument in this matter,
    and accordingly did not participate.
    JUSTICE PEARCE, opinion of the Court:
    STATE v. OGDEN
    Opinion of the Court
    INTRODUCTION
    ¶1 Jesse Ogden sexually abused Victim several times before her
    fifth birthday. Several years later, a friend of Victim’s mother
    repeatedly abused Victim sexually. Ogden pled guilty to two counts
    of aggravated sexual abuse of a child. Victim intervened in Ogden’s
    restitution hearing to seek restitution for, among other things, the
    anticipated cost of mental health treatment for the remainder of her
    life. The district court entered orders for complete and court-ordered
    restitution. Ogden challenges the restitution orders, and levels a
    variety of arguments against them. Ogden contends that Victim’s
    damages were caused, at least in part, by her subsequent sexual
    abuse, and that the district court based its complete restitution
    award on speculation about expenses she would incur in the future.
    ¶2 We clarify the standard the Crime Victims Restitution Act
    requires the district court to employ to determine whether a
    defendant caused the loss for which a victim seeks restitution. And
    we remand to permit the district court to apply that standard.
    Because the issue will likely arise again on remand, we also take the
    opportunity to address Ogden’s argument that the district court did
    not have an evidentiary basis to support its conclusions about some
    of Victim’s future expenses.
    BACKGROUND
    ¶3 Victim, her two brothers, her sister, and Victim’s mother
    (Mother) lived with Ogden. Ogden sexually abused Victim several
    times during the first few years of her life. When Victim was five
    years old, she disclosed the abuse to Mother. Ogden subsequently
    moved out of the family home. Victim’s brothers blamed and
    ostracized Victim for Ogden’s separation from the family. To protect
    her from her brothers’ harassment, Mother sent Victim to live with
    several other families.
    ¶4 After Victim disclosed that Ogden had abused her, she
    attended therapy for approximately four years. During this time,
    Victim demonstrated “angry and anxious behavior along with self-
    injurious behavior of scratching herself when upset.” Toward the
    end of treatment, Victim’s therapist reported that Victim “had made
    considerable progress in treatment.” Victim concluded treatment
    when she was ten years old.
    ¶5 At this point, Victim resided with one of Mother’s friends,
    S.G. Mother was aware that S.G. was a registered sex offender. S.G.
    sexually abused Victim on multiple occasions while she stayed with
    him. In 2012, the Division of Child and Family Services (DCFS)
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    removed Victim from Mother’s custody and arranged therapy for
    Victim. Victim’s therapist diagnosed her with adjustment disorder
    and post-traumatic stress disorder. Victim also displayed symptoms
    of anxiety and depression. Victim continued therapy for a year. Her
    therapist noted that Victim “achieved [her] treatment goals of
    decreasing anxiety and increasing social skills” but discharged
    Victim from treatment because she was “unwilling to talk about the
    sexual abuse.” Her therapist concluded that “[t]herapy might be
    warranted in the future when [Victim] is ready to deal with [the
    sexual abuse].”
    ¶6 Ogden confessed to the abuse and the State charged him
    with one count of sodomy upon a child and one count of aggravated
    sexual abuse of a child. The State later amended the charges to two
    counts of attempted aggravated sexual abuse of a child. Ogden
    pleaded guilty to both counts and the district court sentenced him to
    two concurrent terms of three years to life. Victim filed a motion for
    restitution, arguing that she “suffered significant pecuniary damage
    as a result of the sexual abuse committed against her” by Ogden.1
    Victim supported her motion with a forensic evaluation from Dr.
    David Corwin and a life care plan from Sheryl Wainwright. Both Dr.
    Corwin and Ms. Wainwright testified at the restitution hearing.
    The Forensic Evaluation
    ¶7 Dr. Corwin, a psychiatrist, reviewed Victim’s medical,
    psychological, and DCFS records. Dr. Corwin also interviewed
    Victim and Mother on two occasions. He observed that Victim
    demonstrated clinically significant symptoms of post-traumatic
    stress disorder and moderate sexual distress. He concluded that
    Victim
    suffers significant psychological trauma caused by
    [Ogden’s] sexual abuse of her, the family disturbances
    associated with that sexual abuse including
    harass[ment] by her older brothers and living away
    _____________________________________________________________
    1  During the pendency of Ogden’s criminal case, Victim sued
    Ogden for general and punitive damages in civil court. Victim’s
    counsel in the civil case intervened in this restitution proceeding on
    Victim’s behalf. The civil case is the subject of another appeal in this
    court. Because we vacate the court-ordered restitution award that
    lies at the center of that appeal, we have also vacated the civil award
    and remanded for further proceedings.
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    STATE v. OGDEN
    Opinion of the Court
    from her family with various other families
    culminating in her spending considerable time with
    [S.G.] . . . where she was probably sexually abused
    again . . . . The impacts of the sexual abuse are many
    and can last throughout life. Separate contributions of
    the sexual abuse by [Ogden and S.G.] cannot be
    reliably parsed. . . . The full extent of [Victim’s] injuries
    is likely not yet fully apparent. She may well develop
    more serious problems in the future that may require
    treatment and interventions beyond what I recommend
    at this time.
    ¶8 Dr. Corwin also opined that Victim “is at an increased risk
    for a variety of behavioral, psychiatric and physical problems
    because of the sexual abuse, exposure to domestic violence and the
    other stresses and losses associated with it.” He explained that these
    problems include “[d]epression, suicidal thoughts, drug and alcohol
    problems, . . . school performance and vocational problems among
    many others including long-term health problems like increased
    risks of heart disease not associated with other risk factors like
    diabetes, smoking and high blood pressure.”
    ¶9 Dr. Corwin recommended that Victim “receive a course of
    Trauma Focused Cognitive Behavior Treatment (TF-CBT) within the
    near future as soon as a therapist trained in TF-CBT, or some
    similarly evidence-based treatment, can be found for her.” He added
    that Victim “should be provided the resources for five additional
    trauma focused treatment courses, totaling six, of evidence-based
    individual psychotherapy over the course of her life. Each course
    may last for up to two years of weekly individual therapy.”
    The Life Care Plan
    ¶10 Ms. Wainwright, a registered nurse and certified life care
    planner, created a life care plan for Victim (the Plan). 2 To craft the
    Plan, Ms. Wainwright reviewed Victim’s medical, psychological, and
    DCFS records. She also reviewed Dr. Corwin’s forensic evaluation
    _____________________________________________________________
    2 The Plan explains that it is “a dynamic document based upon
    published standards of practice, comprehensive assessment, data
    analysis, and research, which provides an organized, concise plan
    for current and future needs, with associated costs for individuals
    who have experienced catastrophic injury or who have chronic
    health care needs.”
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    and included his recommendations in the Plan. She did not examine
    or interview Victim or Mother.
    ¶11 Ms. Wainwright projected the lifetime costs of treatment
    and care for Victim in several categories, two of which are relevant
    to this appeal: inpatient and outpatient psychiatric services, and
    medications.
    1. Inpatient and Outpatient Psychiatric Services
    ¶12 The Plan estimated the lifetime cost of Victim’s
    psychological counseling, which included the cost of inpatient
    hospitalizations, intensive outpatient programs, a psychologist for
    Mother, a psychologist for Victim, eye movement desensitization
    and reprocessing (EMDR) therapy, and a neuropsychological
    evaluation. The Plan explained that “[d]epression, anxiety,
    self-destructive behaviors, dissociative behaviors, substance abuse,
    borderline personality disorder, promiscuity or sexual dysfunction,
    issues with relationships, and physical sequelae are common
    among[] victims of childhood sexual abuse.” The Plan also explained
    that “clients with PTSD who have suffered from childhood sexual
    abuse often have episodes in their lifetime that require an inpatient
    admission to manage their symptoms and stabilize them.”
    ¶13 The Plan noted that Victim had engaged in self-harm which
    “required emergency room visits for deep cuts that were not
    repairable at the time of her admission.” The Plan recommended that
    because Victim “was not in therapy [at the time of the Plan’s
    preparation], and her behavior is evidence that she does not have the
    strategies in place to manage her symptoms, she will likely require
    multiple admissions throughout her lifetime.” Ms. Wainwright
    explained that she had clients who were hospitalized multiple times
    a year. And the Plan included ten inpatient hospitalizations for
    Victim’s lifetime, lasting seven to twelve days per admission. It also
    included the cost of ten intensive outpatient programs. The Plan
    recommended EMDR because it is “a recommended and accepted
    treatment protocol for clients with PTSD.” Finally, the Plan
    recommended a neuropsychological evaluation “to evaluate
    [Victim’s] functional abilities for work and her personal life.”
    2. Medications
    ¶14 The Plan also forecasted the lifetime cost of medications to
    combat anxiety, sleeping disorders, and pain. The Plan explained
    that even though Victim was not taking any medications,
    “medication management is a vital part of treatment for anxiety,
    depression, and PTSD.” The Plan included the cost of various
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    STATE v. OGDEN
    Opinion of the Court
    medications for depression because “[s]tudies indicate [they] are the
    most effective medications in the treatment of PTSD associated with
    childhood sexual abuse, with associated anxiety and depression.”
    The Plan also explained that “clients who are the victims of
    childhood sexual abuse tend to develop physical symptoms
    including chronic fatigue, fibromyalgia, chronic pain, irritable bowel,
    difficulty breathing, and cardiac issues,” but it is unclear whether the
    Plan included the cost of medications to treat these issues in its
    recommendation.
    The Restitution Hearings
    ¶15 Victim intervened in the restitution hearing and was
    represented by the same counsel who was pursuing her claim for
    civil damages against Ogden in a separate proceeding. The State
    initially did not appear at the restitution hearing. The district court
    explained that it felt “uncomfortable without at least somebody
    sitting by from the State” because the court “believe[d] the State does
    need to be present.” The State then made a brief appearance but
    simply requested to be excused from the hearing. The State
    explained that it wanted to “leave [the hearing] in the hands of
    [Victim’s counsel]” because “[t]hey have . . . all of the documents,
    witnesses, et cetera.” Defense counsel did not object and the court
    excused the State. The State left the hearing, never to return. From
    that point on, Victim’s counsel presented evidence concerning the
    losses she alleged Ogden had caused (or would cause) her to suffer.
    ¶16 At the hearing, Dr. Corwin spoke generally about the
    impacts of sexual abuse on a child and the treatment that typically
    benefits abuse victims. He explained that most frequently, the
    impacts include “increased anxiety, depression, suicidal ideation,
    suicidal acts, self-harm acts, . . . diminished learning ability and later
    decreased vocational attainment, increased difficulty in
    interpersonal relationships and in intimate relationship[s], [and]
    problems with sexual functioning.” Dr. Corwin also explained that
    “sexually abused children are more likely to get sexually abused
    later in life.” He explained that his “view of future care of people
    who have experienced severe trauma is that they need to have the
    availability of periods of treatment throughout their life.”
    ¶17 Dr. Corwin reiterated the conclusions and treatment
    recommendations contained in his forensic evaluation. He explained
    that at the time he assessed Victim “she was very symptomatic,”
    “failing in school,” and engaging in self harm behaviors. He
    concluded that although Victim is “at least [of] normal intelligence,”
    she was failing school because “she is so adversely impacted from
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    the severe stress that she has experienced.” Dr. Corwin concluded
    that Victim “is a severely affected sexually abused child . . . who
    shows a wide variety of psychological and behavioral problems that
    are known to be related to child sexual abuse and other early
    childhood adversity which she has also experienced, and that she is
    likely to have lifelong continued increased vulnerability to a wide
    variety of health, mental health, behavioral problems, and that the
    prognosis for her is guarded.”
    ¶18 Dr. Corwin acknowledged that Victim had been abused by a
    second individual years after Ogden’s abuse. Dr. Corwin testified
    that “[i]t’s not possible” to separate the psychological trauma that
    Victim suffered from each perpetrator “[b]ecause they are so
    interwoven and sort of mixed together in her.” He stated that he did
    not believe the damage could be “scientifically or reliably, accurately
    apportioned,” and to do so would be “pure speculation.” He opined
    that one could “[p]robably . . . say that the subsequent stressor of
    being molested by [S.G.] has also contributed to the severity of her
    present condition,” but by how much was undeterminable. And
    additionally, Dr. Corwin explained that the earlier trauma “builds
    and relates and contributes to her vulnerability to the subsequent
    one.” He also noted that “in general it is believed that earlier
    traumas are more destructive because there were more
    developmental phases left for a person to go through. So early
    trauma, major trauma, is believed to be somewhat more severe than
    later trauma.”
    ¶19 Ms. Wainwright also testified at the hearing. She explained
    that she is not qualified to diagnose conditions or prescribe
    medications. She based her estimates in the Plan on “literature, [her]
    experience, and . . . one recommendation from Dr. Corwin.” When
    counsel asked her how she formulated the numbers in the Plan, she
    responded, “I made some assumptions. And when we do a life care
    plan, we’re kind of making assumptions and looking into a crystal
    ball a little bit. But . . . I made assumptions based on the statistics
    that I read in several articles talking about the long term effects of
    child sex abuse and also in my experience . . . case managing clients
    with child sex abuse.”
    ¶20 Before issuing its restitution order, the district court made
    several findings with respect to causation. The court acknowledged
    that Dr. Corwin “felt strongly that there was no way to really
    allocate the damage between perpetrators,” because it would be
    “pure speculation” to do so. But the court also found that “earlier
    trauma was believed by [Dr. Corwin] to contribute more to the later
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    STATE v. OGDEN
    Opinion of the Court
    problems.” The court also found that, because Dr. Corwin testified
    that “sexual abuse victims are six times more likely to be sexually
    abused again,” Victim “was more vulnerable as a sexual abuse
    victim because of [Ogden], because of his actions.”
    ¶21 Before issuing its restitution order, the district court asked
    “[w]hat, if any, is the collateral effect of this Court’s ruling on the
    civil matter or other matters that may be out there?” The court
    opined that “what happens here doesn’t have any effect on what has
    to be proven in [the] civil action,” because “there are no rules of
    evidence, very limited rules of evidence in this matter that would
    take place in the civil action.” Despite apparently misunderstanding
    that the complete restitution order would become an enforceable
    civil judgment, the district court entered a complete restitution order
    that totaled $2,092,306.
    ¶22 At a supplemental restitution hearing, the district court
    requested information about Ogden’s assets for a final determination
    of court-ordered restitution. Ogden held two life insurance
    policies—one for his wife and one for his children, including Victim.
    The court ordered that “the beneficiaries be changed on the policies,”
    so that Ogden’s “[c]hildren and wife . . . are all equal beneficiaries on
    the polic[y].” Victim requested that one-half of the equity in the
    home be applied to the value of court-ordered restitution. The court
    ordered that “[h]alf of the equity based on the market value would
    go to [Ogden’s] estate and would be used for the court ordered
    restitution.” The court stated it could “award that one-half of the
    equity. That can become a lien on the home. It can be foreclosed
    [and] would essentially be a lien on the home, whatever that final
    judgment is.”
    The Restitution Order
    ¶23 As noted above, the court set complete restitution at
    $2,092,306. The court found that “[e]ach of the categories of figures
    from Dr. Corwin and Sheryl Wainwright are necessary for [Victim].”
    The court ordered that “[a]ny biological or adopted children who are
    already listed on the life insurance policies are to be named as equal
    beneficiaries along with [Ogden’s] current wife. [Ogden] may not
    add or remove any beneficiaries from the policies.” The court
    “award[ed] [half] of the equity of [Ogden’s] home based on fair
    market value less [a] homestead exemption to be paid to [Victim].”
    Ogden’s court-ordered restitution was $127,089.60, plus one-half of
    the equity in the home, not including Ogden’s homestead
    exemption, plus Victim’s portion of the proceeds from the life
    insurance policies.
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    ISSUES AND STANDARDS OF REVIEW
    ¶24 Ogden argues that the district court misread the statute to
    conclude that the Crime Victims Restitution Act required something
    less than proximate causation to establish that Ogden caused
    Victim’s damages. We review questions of statutory interpretation
    for correctness. Nichols v. Jacobsen Constr. Co., 
    2016 UT 19
    , ¶ 13, 
    374 P.3d 3
    . 3
    ¶25 Although we vacate the district court’s restitution award
    because it applied an incorrect causation standard, we will address
    one of Ogden’s challenges to the restitution award because we
    believe it will be helpful to the district court on remand. See State v.
    Low, 
    2008 UT 58
    , ¶ 61, 
    192 P.3d 867
     (When “there are other issues
    presented on appeal that will likely arise [on remand],” we may
    “exercise our discretion to address those issues for purposes of
    providing guidance on remand.”). Ogden contends that the district
    _____________________________________________________________
    3 Ogden also contends that the Crime Victims Restitution Act is
    unconstitutional because it “denied . . . Ogden due process by
    preventing him access to the procedural remedies he would have
    had in civil court . . . .” The State argues that Ogden’s constitutional
    challenge is unpreserved. Ogden counters that if his constitutional
    challenge was unpreserved, trial counsel provided ineffective
    assistance by failing to properly state his objection to the statute. We
    conclude that his due process argument is unpreserved and decline
    to review his ineffective assistance of counsel argument because it is
    inadequately briefed. An appellant’s brief “must explain, with
    reasoned analysis supported by citations to legal authority and the
    record, why the party should prevail on appeal.” UTAH R. APP. P.
    24(a)(8). “A party must cite the legal authority on which its
    argument is based and then provide reasoned analysis of how that
    authority should apply in the particular case, including citations to
    the record where appropriate.” Bank of Am. v. Adamson, 
    2017 UT 2
    ,
    ¶ 13, 
    391 P.3d 196
    . “An appellant that fails to devote adequate
    attention to an issue is almost certainly going to fail to meet its
    burden of persuasion.” 
    Id.
     Ogden cites no authority for the
    proposition that trial counsel’s failure to object on due process
    grounds was “objectively deficient” and provides us with only
    conclusory analysis on that topic. Ogden’s briefing does not
    persuade us and we leave the constitutional question for another
    day.
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    STATE v. OGDEN
    Opinion of the Court
    court abused its discretion in its calculation of complete restitution
    because Victim’s damages were impermissibly speculative. We “will
    not disturb a district court’s [restitution] determination unless the
    court exceeds the authority prescribed by law or abuses its
    discretion.” State v. Laycock, 
    2009 UT 53
    , ¶ 10, 
    214 P.3d 104
    .
    ANALYSIS
    I. The Crime Victims Restitution Act Permits
    Recovery of Costs the Defendant Has Proximately
    Caused the Victim to Suffer
    ¶26 The Crime Victims Restitution Act (CVRA) 4 requires courts
    to order restitution “[w]hen a defendant enters into a plea
    disposition or is convicted of criminal activity that has resulted in
    pecuniary damages . . . .” UTAH CODE § 77-38a-302(1). The CVRA
    requires the district court to calculate two types of restitution:
    complete restitution and court-ordered restitution. See id.
    § 77-38a-302(2).
    ¶27 “Complete restitution” means the “restitution necessary to
    compensate a victim for all losses caused by the defendant.” Id.
    § 77-38a-302(2)(a). The court determines complete restitution based
    solely on the losses the victim has suffered, without regard to the
    defendant’s ability to pay. See id. § 77-38a-302(5)(b). Once the district
    court determines “that a defendant owes restitution, the clerk of the
    court . . . enter[s] an order of complete restitution . . . on the civil
    judgment docket . . . .” 5 Id. § 77-38a-401(1).
    _____________________________________________________________
    4 Crime Victims Restitution Act, UTAH CODE §§ 77-38a-101–
    77-38a-601.
    5  If the victim chooses to pursue a civil action to recover damages
    in addition to those in a complete restitution order, “[e]vidence that
    the defendant has paid or been ordered to pay restitution . . . may
    not be introduced in any [related] civil action . . . . However, the
    court shall credit any restitution [already] paid . . . against any
    judgment in favor of the victim in the civil action.” Id.
    § 77-38a-403(1).
    During the proceedings below, the district court questioned
    “[w]hat, if any, is the collateral effect of this Court’s ruling on the
    civil matter or other matters that may be out there?” The court
    further stated that “what happens here doesn’t have any effect on
    what has to be proven in [the] civil action,” because “there are no
    (continued . . .)
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    ¶28 “Court-ordered restitution,” on the other hand, “means the
    restitution the court having criminal jurisdiction orders the
    defendant to pay as a part of the criminal sentence.” 
    Id.
    § 77-38a-302(2)(b). Unlike complete restitution, courts consider the
    effect on the defendant to set the amount of court-ordered
    restitution, including the defendant’s “financial resources,” “other
    obligations,”     “the      rehabilitative     effect,”  and     “other
    circumstances . . . .” Id. § 77-38a-302(5)(c). The district court then
    orders the defendant to pay the restitution as “part of the criminal
    sentence.” Id. § 77-38a-302(2)(b).
    ¶29 Ogden argues that the CVRA requires a defendant to only
    pay for losses that he proximately caused and that the district court
    applied the wrong causation standard. As an initial matter, it is not
    entirely clear what causation standard the district court used. It may
    have been but-for causation, or the “modified but for” test that our
    _____________________________________________________________
    rules of evidence, very limited rules of evidence in this matter that
    would take place in the civil action. So . . . I can see why this would
    not have a binding effect in the . . . civil action.”
    The district court correctly identified a number of problems with
    the restitution statute when it is applied to a complicated set of facts,
    but it misapprehended the impact of entering an award of complete
    restitution. The complete restitution order became a civil judgment
    that Victim was entitled to attempt to collect. It appears that the
    Legislature crafted this restitution framework to provide an efficient
    and less intrusive way for a victim to obtain restitution for losses a
    defendant has caused. And the system may work effectively when
    the losses are simple and clear cut. For example, if a defendant
    breaks a victim’s glasses during an assault, the district court is well
    positioned to order a defendant to pay the cost of replacing the
    glasses without the benefit of the procedures that would normally
    apply to a civil case. As this case highlights, that framework does not
    work as well when there are difficult issues of causation or a need to
    predict future expenses. That category of cases may benefit from the
    tools we have developed in the civil context to deal with complex
    questions of causation and damages. There are at least two ways to
    address this: the Legislature could revisit the statute or the Supreme
    Court Advisory Committee on the Rules of Criminal Procedure
    could examine what we might do within the existing statutory
    framework to promote a process that is fair to both victims and
    defendants in more complex cases.
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    court of appeals has applied on a number of occasions. See State v.
    Poulsen, 
    2012 UT App 292
    , ¶ 11, 
    288 P.3d 601
     (“Utah has adopted a
    modified ‘but for’ test to determine whether pecuniary damages
    actually arise out of criminal activities.” (quoting State v. Brown, 
    2009 UT App 285
    , ¶ 11, 
    221 P.3d 273
    )). See also State v. Ruiz, 
    2016 UT App 18
    , ¶ 12, 
    366 P.3d 1230
     (“In order to determine complete restitution,
    the trial court was required to employ ‘[a] modified “but for” test.’”
    (alteration in original) (quoting State v. Ruiz, 
    2013 UT App 166
    , ¶ 8,
    
    305 P.3d 223
    )); State v. Birkeland, 
    2011 UT App 227
    , ¶ 11, 
    258 P.3d 662
    (“The circumstances . . . readily support an award of restitution for
    the loss . . . under our modified but for test.”). Notwithstanding that
    ambiguity, it is clear that the district court employed something
    other than proximate cause to assess which of Victim’s losses Ogden
    caused. And this matters because the causation standard applied
    could well affect the outcome of this case.
    ¶30 The State argues that but-for causation is the appropriate
    standard, but also contends that the causation standard is irrelevant
    because any standard—including proximate cause—would support
    the restitution award the court entered.
    ¶31 To determine what causal connection the Legislature
    intended to apply to the CVRA, we start with the statute’s language.
    “‘When interpreting a statute, it is axiomatic that this court’s primary
    goal “is to give effect to the legislature’s intent in light of the purpose
    that the statute was meant to achieve.”’” Garfield Cty. v. United States,
    
    2017 UT 41
    , ¶ 15, -- P.3d -- (quoting Biddle v. Wash. Terrace City, 
    1999 UT 110
    , ¶ 14, 
    993 P.2d 875
    ). “The best evidence of the legislature’s
    intent is ‘the plain language of the statute itself.’” State v. Miller, 
    2008 UT 61
    , ¶ 18, 
    193 P.3d 92
     (citation omitted).
    ¶32 The CVRA addresses causation in two provisions. The
    statute allows the district court to enter an order “[w]hen a
    defendant enters into a plea disposition or is convicted of criminal
    activity that has resulted in pecuniary damages . . . .” UTAH CODE
    § 77-38a-302(1) (emphasis added). And the district court awards
    “‘[c]omplete restitution’ . . . to compensate a victim for all losses
    caused by the defendant.” 6 Id. § 77-38a-302(2)(a) (emphasis added).
    Thus, the relevant language for our analysis is “resulted in” and
    _____________________________________________________________
    6 Court-ordered restitution does not have a separate causation
    standard. See UTAH CODE § 77-38a-401(2).
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    “caused by.” And, unfortunately, neither speaks explicitly to the
    causation standard the Legislature intended. 7
    ¶33 First, the phrase “resulted in” does not, by itself, tell us what
    type of causation the statute requires. To “result” is “to proceed or
    arise as a consequence, effect, or conclusion.” Result,
    MERRIAM-WEBSTER, https://www.merriam-webster.com/dictionary
    /result (last visited Feb. 7, 2018). However, something that would
    not have happened but for someone’s action (a but-for cause) could
    be described as “a consequence, effect, or conclusion,” just as easily
    as an action that had a more direct causal connection (such as
    proximate cause). See 
    id.
    ¶34 “Caused by” reveals just as little about what the Legislature
    intended. “Caused by” could refer to a but-for cause or a proximate
    cause. UTAH CODE § 77-38a-302(2)(a). As such, the plain language by
    itself does not answer the question.
    ¶35 We confronted a similar linguistic puzzler in Barneck v. Utah
    Department of Transportation. 
    2015 UT 50
    , 
    353 P.3d 140
    . There, we
    needed to determine what causation standard the Legislature
    intended to apply to a provision of the Governmental Immunity Act
    (GIA). Id. ¶ 2. The GIA waives immunity for “any injury caused
    by . . . a defective, unsafe, or dangerous condition of any highway
    [or] . . . culvert,” but “reinstated [immunity] for injuries that ‘arise [ ]
    out of, in connection with, or result[ ] from’ a latent defective
    condition of a culvert; from the ‘management of flood waters’; or
    from the ‘construction, repair, or operation of flood or storm
    systems.’” Id. ¶¶ 2, 36 (alterations in original) (omissions in original)
    (citations omitted).
    ¶36 We ultimately concluded that the GIA reinstates immunity
    only when proximate cause exists between the injury and the defect,
    management, or construction. Id. ¶¶ 36, 44. There, we recognized
    that “the [‘]results from’ formulation may properly be understood as
    the invocation of a but-for test,” but that “[s]ometimes ‘results from’
    _____________________________________________________________
    7  Ogden also argues on appeal that damages should be
    apportioned between him and S.G. We do not decide whether the
    Liability Reform Act has any place in restitution proceedings
    because Ogden did not preserve the argument below.
    Apportionment was discussed only briefly and generally, and
    Ogden never raised the Liability Reform Act at the restitution
    hearing.
    13
    STATE v. OGDEN
    Opinion of the Court
    is understood to convey the principle of proximate cause.” Id. ¶¶ 39,
    41.
    ¶37 We also reasoned that “courts ‘read phrases like “results
    from” to require but-for causality’ only ‘[w]here there is no textual or
    contextual indication to the contrary.’” Id. ¶ 41 (alteration in original)
    (citation omitted). We then looked at the statutory framework for a
    contrary indication—an indication we found, in part, by
    acknowledging that a but-for standard for the reinstatement of
    immunity would, in practice, swallow the waiver.8 Id. ¶¶ 42–44.
    ¶38 Examining the CVRA’s structure, we conclude that the
    Legislature intended that the same causation standard apply in a
    restitution hearing that would apply in a parallel civil action. See,
    e.g., Retherford v. AT&T Commc’ns of Mountain States, Inc., 
    844 P.2d 949
    , 970–71 (Utah 1992) (requiring a showing that “conduct
    proximately caused [the plaintiff’s] emotional distress” to sustain an
    intentional infliction of emotional distress claim); Reynolds v.
    MacFarlane, 
    2014 UT App 57
    , ¶ 16, 
    322 P.3d 755
     (“‘Damages . . .
    may . . . be recovered only to the extent that [the plaintiff] proves
    they were a proximate result’ of the nonconsensual touching.”
    (alteration in original) (second omission in original) (citation
    omitted)). The most compelling evidence springs from the provision
    that converts a complete restitution order into an enforceable civil
    judgment. See UTAH CODE § 77-38a-401. This means that even though
    the restitution proceeding takes place as part of a criminal
    _____________________________________________________________
    8 The United States Supreme Court has also examined statutory
    language that did not explicitly reference the type of causation
    required and determined that Congress intended proximate cause.
    For example, in a case involving securities fraud, the statute required
    plaintiffs to prove that “the defendant’s misrepresentations ‘caused
    the loss for which the plaintiff seeks to recover.’” Dura Pharm., Inc. v.
    Broudo, 
    544 U.S. 336
    , 345–46 (2005) (emphasis added) (citation
    omitted). The court concluded that “the law[] require[d] that a
    plaintiff prove that the defendant’s misrepresentation . . .
    proximately caused the plaintiff’s economic loss.” 
    Id. at 346
    . The
    court came to this conclusion because of the “common-law roots of
    the securities fraud action” and because it made the most sense
    given the purpose of the statute, which was “to protect [investors]
    against those economic losses that misrepresentations actually
    cause.” 
    Id.
     at 344–45.
    14
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    Opinion of the Court
    proceeding, the end result is a civil judgment that a victim is entitled
    to enforce.
    ¶39 To accept the State’s reading of the CVRA, we would need
    to conclude that the Legislature designed a system with dual tracks
    to a civil judgment with each track offering the victim a different
    causation standard. It is unlikely that the Legislature would have
    created a framework where the burden to prove causation varied
    depending on whether the victim proceeded in a criminal restitution
    hearing or a civil trial. At the very least, it is unlikely that the
    Legislature would have implemented such a system without
    explicitly expressing that intent in the statute. In the absence of such
    an expression of legislative intent, we opt for the reading that
    harmonizes with the causation standard that would apply in an
    analogous civil action: proximate cause.
    ¶40 We find further support for this reading in the CVRA’s
    definition of “pecuniary damages.” “Pecuniary damages” are “all
    demonstrable economic injury, whether or not yet incurred, which a
    person could recover in a civil action . . . .” 
    Id.
     § 77-38a-102(6) (2015).9
    This also suggests that the Legislature did not intend to create a
    separate track that would allow a victim to obtain a subset 10 of the
    relief available in a civil case under a different causation standard.
    ¶41 The State offers several arguments to combat this
    conclusion. First, the State argues that the Legislature’s use of the
    term “all” in the phrase “all losses caused by defendant” requires the
    imposition of but-for causation. (Quoting Id. § 77-38a-302(2)(a)). We
    agree that the CVRA requires the court to consider all losses the
    defendant causes, but that simply raises the question of what losses
    _____________________________________________________________
    9   The State notes that the Legislature amended the CVRA in
    2016 to change the definition of “pecuniary damages” from “all
    demonstrable economic injury, whether or not yet incurred, which a
    person could recover in a civil action . . .”, id. § 77-38a-102(6) (2015),
    to “all demonstrable economic injury, whether or not yet incurred,
    including those which a person could recover in a civil action . . . ,” id.
    § 77-38a-102(6) (emphasis added). This change does not cause us to
    doubt the conclusion that there is no textual basis to conclude that
    the Legislature intended to enact a system with competing causation
    standards.
    10 Pain and suffering damages are not available in a restitution
    hearing. UTAH CODE § 77-38a-102(6).
    15
    STATE v. OGDEN
    Opinion of the Court
    the defendant caused. In other words, “all” does not tell us whether
    the Legislature intended proximate or but-for causation.
    ¶42 Second, the State points to our statement in State v. Laycock
    that “proximate cause . . . [is] best left to civil litigation.” 
    2009 UT 53
    ,
    ¶ 29, 
    214 P.3d 104
    . We were not asked in Laycock to consider the
    CVRA’s causation standard. Rather, we were asked to examine if the
    CVRA required a district court to order both complete and court-
    ordered restitution. Id. ¶ 19. We concluded that the CVRA requires a
    district court to “determine” complete restitution, but gives it
    discretion with regard to the imposition of court-ordered restitution.
    Id. ¶ 23. Along the analytical path, we remarked on a number of the
    difficulties a sentencing court would face in trying to resolve issues
    of causation and losses, most notably a lack of opportunity for
    discovery that would allow a defendant to “raise issues of proximate
    cause and comparative negligence by using depositions and
    interrogatories to gather relevant information.” Id. ¶ 22. This caused
    us to quote favorably the court of appeals’ observation that
    “[m]atters of negligence, proximate cause and the amount of
    resulting damages are best left to civil litigation.” Id. ¶ 29 (quoting
    State v. Robinson, 
    860 P.2d 979
    , 983 (Utah Ct. App. 1993)). This
    statement was dicta then and is dicta now. And although we
    continue to agree that the civil arena appears to be a superior forum
    to adjudicate those issues, that statement should not be read to
    suggest that we had concluded the CVRA requires something other
    than proximate causation. 11
    _____________________________________________________________
    11  In Laycock, we were less than clear on the question of whether
    the CVRA requires the district court to turn its complete restitution
    calculation into an order that the court clerk enters on the civil
    judgment docket. We acknowledged “that ambiguity infects the
    restitution statute’s grant of discretion to trial courts.” Laycock, 
    2009 UT 53
    , ¶ 23 n.2. We complained that in one section the CVRA states
    that “the court may require a convicted defendant to make
    restitution” and in another it provides that “the court shall order that
    the defendant make restitution to victims.” 
    Id.
     (emphases omitted)
    (citation omitted). We also noted that the statute appears to allow the
    court to determine if restitution is “appropriate or inappropriate.” 
    Id.
    (citation omitted). And although we said that provision
    “unambiguously cedes to trial courts the discretion to either award
    or to decline to make an award so long as the court explains its
    reasoning on the record,” 
    id.,
     we then appear to go out of our way to
    (continued . . .)
    16
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    Opinion of the Court
    ¶43 Third, the State argues that the application of proximate
    cause does not comport with the purposes of the restitution statute
    that we identified in Laycock: compensation, rehabilitation, and
    deterrence. 
    2009 UT 53
    , ¶ 18. As an initial matter, reading statutory
    language in light of perceived legislative purpose is a very tricky
    species of argument. The plain language of the text provides the best
    evidence of legislative intent. Attempts to read statutory language in
    the light of a perceived purpose (or purposes) can distort our view of
    the plain language. This is, in part, because the statutory text already
    reflects the balance the Legislature has struck between competing
    policies and purposes.
    ¶44 The State’s argument illustrates the challenge. The State
    posits that “the more stringent a test of legal causation adopted, the
    more these statutory purposes [of compensation and deterrence] are
    inhibited.” That may be true, but the Legislature may have weighed
    the purposes differently and concluded that proximate causation
    best balanced compensation and deterrence with the ability for
    rehabilitation. Or the Legislature may have been motivated by a
    policy we did not manage to divine when we penned Laycock. And,
    in this case, resorting to the CVRA’s perceived purposes does not
    help us understand what the Legislature intended.
    ¶45 Fourth, the State argues that proximate cause would be
    inappropriate because we have observed that “the foreseeability
    aspect of proximate causation is frequently relaxed in the case of
    intentional torts.” Graves v. N. E. Servs., Inc., 
    2015 UT 28
    , ¶ 51 n.3, 
    345 P.3d 619
     (citation omitted). But this does not tell us what the
    statutory language means. The fact that the “foreseeability aspect . . .
    is frequently relaxed” should inform the district court’s application
    of proximate cause principles on remand, not our decision on
    _____________________________________________________________
    limit our analysis to an award of court-ordered restitution, see, e.g.,
    id. ¶ 23 (“Although [a] court must determine complete restitution, it
    is not required to order a defendant to pay complete restitution as
    part of the criminal sentence. . . . After determining complete
    restitution, a district court judge may then order court-ordered
    restitution as part of the criminal sentence based on facts that would
    meet the same strict requirements as found in a civil setting.”). The
    parties have not squarely presented this question to us, but we
    would appreciate either the opportunity to address it or legislative
    intervention to eliminate the CVRA’s ambiguity.
    17
    STATE v. OGDEN
    Opinion of the Court
    whether to apply a proximate cause standard at the outset. Id.
    (citation omitted).
    ¶46 Fifth, the State argues for a standard other than proximate
    cause based on our interpretation of two insurance contracts. In
    National Farmers Union Property & Casualty Co. v. Western Casualty &
    Surety Co., we considered a policy that excluded coverage for “bodily
    injury or property damages arising out of any premises, other than
    an insured premises, owned, rented, or controlled by any insured.”
    
    577 P.2d 961
    , 962 (Utah 1978). We reasoned that “[a]s used in a
    liability insurance policy, the words ‘arising out of’ are very broad,
    general and comprehensive. They are commonly understood to
    mean originating from, growing out of, or flowing from, and require
    only that there be some causal relationship between the injury and
    the risk for which coverage is provided.” Id. at 963; See also Viking
    Ins. Co. of Wis. v. Coleman, 
    927 P.2d 661
    , 665 (Utah Ct. App. 1996)
    (applying a causal nexus test similar to the modified but-for test the
    court of appeals applied in restitution cases). Because we interpret
    insurance policies broadly and in favor of the insured, our
    interpretation of insurance policies carries little persuasive value to
    help us understand this statutory language. See U.S. Fid. & Guar. Co.
    v. Sandt, 
    854 P.2d 519
    , 522 (Utah 1993) (“[I]nsurance policies should
    be strictly construed against the insurer and in favor of the
    insured . . . .”).
    ¶47 Finally, the State argues that we need not definitively
    resolve what the CVRA requires because the district court would
    reach the same result regardless of what causation standard is
    applied. We are not convinced that the outcome would have been
    the same had the district court required a showing of proximate
    cause. “For proximate cause to exist, the relationship between the
    negligent act and the injury must be foreseeable.” Fordham v.
    Oldroyd, 
    2007 UT 74
    , ¶ 30, 
    171 P.3d 411
    . Here, Ogden argued that
    Victim’s losses were not foreseeable because “Ogden would not
    reasonably foresee when he abused [Victim] that she would be again
    sexually abused eight years later by a third party . . . .” We do not
    opine on the foreseeability of Victim’s subsequent abuse, other than
    to acknowledge that Ogden has a good faith argument that it was
    not foreseeable. Thus, we rest our remand on the premise that
    application of an erroneous standard may have had a material effect
    and that Ogden is entitled to a proceeding conducted with the
    proper causative test in clear focus.
    ¶48 Because we find that proximate cause is required to find that
    a “criminal activity . . . has resulted in pecuniary damages” and had
    18
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    Opinion of the Court
    the district court applied this causation standard, the outcome may
    have changed, we vacate and remand for further proceedings
    consistent with this opinion. 12 See UTAH CODE § 77-38a-302(1).
    II. On Remand, the District Court Should
    Ensure That the Restitution Award Is Not
    Based on Speculative Evidence
    ¶49 Although we vacate the district court’s restitution award
    and remand, Ogden presents another question that will likely arise
    again before the district court. Ogden argues that the district court
    erred by including speculative damages in its restitution
    calculation. 13 Although it is unnecessary to our decision, we retain
    _____________________________________________________________
    12 Our holding necessarily overrules the body of court of appeals
    precedent applying a “modified but for” test. These cases include:
    State v. Ruiz, 
    2016 UT App 18
    , ¶¶ 12–15, 
    366 P.3d 1230
    ; State v.
    Wadsworth, 
    2015 UT App 138
    , ¶ 10, 
    351 P.3d 826
    , rev’d on other
    grounds, 
    2017 UT 20
    , 
    393 P.3d 338
    ; State v. Ruiz, 
    2013 UT App 166
    ,
    ¶ 8, 
    305 P.3d 223
    ; State v. Poulsen, 
    2012 UT App 292
    , ¶¶ 11, 16, 
    288 P.3d 601
    ; State v. Birkeland, 
    2011 UT App 227
    , ¶¶ 11–13, 
    258 P.3d 662
    ;
    State v. Johnson, 
    2009 UT App 382
    , ¶ 46, 
    224 P.3d 720
    ; State v. Brown,
    
    2009 UT App 285
    , ¶ 11, 
    221 P.3d 273
    ; State v. Harvell, 
    2009 UT App 271
    , ¶¶ 12–14, 
    220 P.3d 174
    ; and State v. McBride, 
    940 P.2d 539
    , 544
    (Utah Ct. App. 1997). We overrule all of these cases and any others
    that applied the “modified ‘but for’ test.” Brown, 
    2009 UT App 285
    ,
    ¶ 11 (citation omitted).
    13  Ogden raises another issue that we are almost tempted to
    resolve. Ogden contends that the CVRA does not give the district
    court the authority to dictate how he is to pay his court-ordered
    restitution. In particular, Ogden argues that the district court
    impermissibly ordered him to give Victim one-half of the equity in
    his home and to modify his life insurance policies to give Victim a
    greater share of the proceeds.
    Utah Code section 77-38a-302(5)(c)(iv) authorizes the court to
    consider, among other factors, “the ability of the defendant to pay
    restitution on an installment basis or on other conditions to be fixed
    by the court . . . .” Ogden claims that the language “on other
    conditions” cannot be stretched far enough to permit a court to order
    the sale of his home and the modification of his insurance policy.
    And he relies on the court of appeals’ decision in State v. Schweitzer,
    where the court held that the restitution statute “does not authorize
    (continued . . .)
    19
    STATE v. OGDEN
    Opinion of the Court
    the authority to reach issues when we believe our analysis could
    prove helpful on remand. 14 See State v. Low, 
    2008 UT 58
    , ¶ 61, 192
    _____________________________________________________________
    the trial court, upon imposing restitution, to also order the sale of [a]
    defendant’s property to satisfy that restitution order. Rather, it
    contemplates that the trial court’s role is limited to deciding, based
    on the statutorily imposed factors . . . whether restitution is
    appropriate and in what amount.” 
    943 P.2d 649
    , 653–54 (Utah Ct.
    App. 1997).
    We believe that Ogden has raised an interesting and important
    issue. However, after the court of appeals decided Schweitzer, the
    Legislature enacted Utah Code section 77-38a-601, which provides
    that during a criminal proceeding, a prosecutor may “enter a
    temporary restraining order, an injunction, or both; . . . require the
    execution of a satisfactory performance bond; or . . . take any other
    action to preserve the availability of property which may be
    necessary to satisfy an anticipated restitution order.” 
    Id.
    § 77-38a-601(1). The court may take action as requested if the court
    determines “there is probable cause to believe . . . that failure to enter
    the order will likely result in the property being sold, distributed,
    exhibited, destroyed, or removed from the jurisdiction of the court,
    or otherwise be made unavailable for restitution . . . .” Id.
    § 77-38a-601(2)(a)(i).
    Neither party has cited section 601, nor addressed the effect that
    it may have on the court’s authority to impose “other conditions” on
    the payment of restitution. Id. § 77-38a-302(5)(c)(iv). Because of this,
    we do not think this appeal presents the appropriate vehicle for us to
    opine on the scope and meaning of the phrase “on other conditions.”
    But we do not intend our declination to reach the issue to be
    construed as an endorsement of the district court’s resolution.
    14We decline to exercise our discretion to address Ogden’s other
    challenges to the district court’s order. We note, however, that part
    of Ogden’s complaint concerns the district court’s failure to rule on a
    number of the issues Ogden raised. Indeed, at the restitution
    hearing, the district court stated that it would not decide an issue
    because it was one that the “higher powers will have to rule on.”
    Assuming, for the sake of argument, that this court is the “higher
    powers” the district court referenced, we can understand the
    impulse to not address questions that a district court believes will
    ultimately be the subject of an appellate opinion. But the district
    court robs this court, and our judicial system, of valuable insight
    (continued . . .)
    20
    Cite as: 
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    Opinion of the Court
    P.3d 867 (When “there are other issues presented on appeal that will
    likely arise [on remand],” we may “exercise our discretion to address
    those issues for purposes of providing guidance on remand.”). The
    issue we examine is whether the damages included in the complete
    restitution award were speculative and therefore lacked a sufficient
    evidentiary basis.
    A. Speculative Damages
    ¶50 The district court’s complete restitution award totaled
    $2,092,306—the projection of expected future life care plan costs the
    Plan predicted, accounting for inflation over Victim’s lifetime. In the
    restitution order, the district court found that “[e]ach of the
    categories of figures from Dr. Corwin and Sheryl Wainwright are
    necessary” for Victim. Ogden argues that several of these figures
    were speculative and therefore lacked a sufficient evidentiary basis.
    ¶51 Restitution shall be awarded for pecuniary damages arising
    out of a criminal defendant’s activity. UTAH CODE § 77-38a-302(1).
    Pecuniary damages are
    all demonstrable economic injury, whether or not yet
    incurred, including those which a person could recover
    in a civil action arising out of the facts or events
    constituting the defendant’s criminal activities and
    includes the fair market value of property taken,
    destroyed, broken, or otherwise harmed, and losses,
    including lost earnings, . . . and medical and other
    expenses, but excludes punitive or exemplary damages
    and pain and suffering.
    Id. § 77-38a-102(6).
    ¶52 A trial court’s restitution award must rely on a sufficient
    evidentiary basis. See State v. Weeks, 
    2002 UT 98
    , ¶ 26, 
    61 P.3d 1000
    .
    “Although an award of damages based only on speculation cannot
    be upheld, it is generally recognized that some degree of uncertainty
    in the evidence of damages will not suffice to relieve a defendant
    _____________________________________________________________
    when it shrinks from its constitutional responsibility to answer the
    questions put before it. District courts see far more cases with many
    more variations than our appellate courts. This provides them with
    unique insights into the questions presented. This court can consider
    those insights when they become part of the record. Without them,
    we lose an important window into what occurs below and our
    decisions will be poorer because of it.
    21
    STATE v. OGDEN
    Opinion of the Court
    from recompensing a wronged plaintiff.” Bastian v. King, 
    661 P.2d 953
    , 956 (Utah 1983). “The amount of damages may be based upon
    approximations,” however the approximations must be “based upon
    reasonable assumptions or projections.” Atkin Wright & Miles v.
    Mountain States Tel. & Tel. Co., 
    709 P.2d 330
    , 336 (Utah 1985).
    ¶53 “[T]he determination of [a] restitution amount is by nature
    an inexact science,” and consequently “a reasonable estimate of the
    loss” may be the only evidence available. United States v. Osman, 
    853 F.3d 1184
    , 1189 (11th Cir. 2017) (citation omitted) (internal quotation
    marks omitted). However, evidence of the loss should bear
    “sufficient indicia of reliability to support its probable accuracy.” 
    Id.
    (citation omitted) (internal quotation marks omitted). “[B]allpark
    figures . . . and purely speculative calculations” constitute
    “insufficient information” for a district court to rely on in awarding
    restitution. State v. Passwater, 
    350 P.3d 382
    , 385 (Mont. 2015) (citation
    omitted). Rather, anticipated future expenses should be “firmly
    established” in the record. See Lawrence v. State, 
    764 P.2d 318
    , 322
    (Alaska Ct. App. 1988).
    ¶54 We acknowledge that it is impossible to avoid some
    measure of uncertainty when a district court is asked to base an
    award on damages a victim will suffer in the future. However, to
    establish a sufficient evidentiary basis for a restitution award, a
    district court should require the State (or the victim, in those cases
    where the State decides not to appear) to demonstrate that the
    expenses are necessary and that the amount needed to cover those
    expenses is firmly established in the record. In light of these
    clarifications, we express concern with aspects of the district court’s
    restitution award.
    ¶55 The Plan allocated a portion of the lifetime care costs for
    depression, anxiety, sleeping, and pain medications. Ogden argues
    that this allocation was speculative because Ms. Wainwright “was
    not a psychiatrist, had no medical diagnostic or prescribing ability,
    and had no underlying data or ‘careful assessment’ that [Victim]
    would need any of the specific medications recommended on the
    chart.” We agree with Ogden that her opinion lacked “underlying
    data or ‘careful assessment’” that Victim would actually need all the
    medication the Plan contemplated.
    ¶56 The expert best positioned to opine on the medications
    Victim would need—Dr. Corwin—neither recommended nor
    prescribed any medication for her. Dr. Corwin testified at the
    restitution hearing that to his knowledge, Victim was not taking any
    type of medication. Ms. Wainwright was not qualified to diagnose
    22
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    Opinion of the Court
    psychological disorders or prescribe medication to treat them. She
    based her conclusion in part on her experience “in case managing
    [sexual abuse victims]” because “they need medication as they get
    older.” She explained that to inform her recommendation, she “went
    to the studies and the literature and there’s a couple of articles that
    [she] cited in [her] report that talk about . . . therapy for people who
    have suffered post-traumatic stress and child sex abuse. And they
    recommend[] . . . Zoloft, . . . Paxil or . . . Prozac as the most effective
    psychiatric treatment for clients who have suffered child sex abuse.”
    Additionally, Ms. Wainwright recommended anxiety medication
    because anxiety is “another common side effect for clients who have
    suffered child sex abuse,” and because Victim already exhibited
    “symptoms of depression, as she’s cutting herself . . . they’re all signs
    of some sort of anxiety.”
    ¶57 Speaking again of her experience with her clients, Ms.
    Wainwright explained that:
    They all have sleep disorders. They have trouble
    sleeping. So I put in Ambien. And then the pain
    medications, because a lot of these clients, . . . probably
    over 80 percent of the clients that I manage, are on
    some sort of pain medications for the physical
    symptoms that have manifested as a result of the
    psychiatric condition.
    The medications the Plan recommended “reflect [Ms. Wainwright’s]
    experience of the types and costs of medications that frequently help
    victims of sexual abuse,” and “the majority of [her clients] are on
    these medications.”
    ¶58 Leaving aside the question of whether Ms. Wainwright
    possessed the expertise to offer these opinions, her recommendations
    were based exclusively on her assessment of her other clients, not on
    an individual assessment of Victim’s specific needs. Although Victim
    demonstrated clinically significant symptoms of depression and
    post-traumatic stress disorder, she was not diagnosed with anxiety,
    nor did she report trouble sleeping. Without a diagnosis and
    recommendation for a particular medication from an individual
    qualified to make that assessment, the inclusion of costs for those
    medications crosses the line into impermissible speculation. To
    establish a sufficient evidentiary basis for this portion of the
    restitution award, Victim would need to present credible evidence
    demonstrating her need for the medications.
    23
    STATE v. OGDEN
    Opinion of the Court
    ¶59 The Plan also recommended inpatient and outpatient
    counseling. This included the cost of ten inpatient hospitalizations,
    ten intensive outpatient counseling programs, six courses of weekly
    therapy sessions, one course of Eye Movement Desensitization and
    Reprocessing (EMDR) treatment, and one neuropsychological
    evaluation. Ogden argues that this recommendation was “not based
    on [Victim’s] actual needs and amounts to nothing more than an
    unfounded and speculative assertion about what [Victim’s] needs
    might be.” (Emphasis omitted).
    ¶60 The Plan based part of its conclusion on Dr. Corwin’s
    recommendation that Victim receive six courses of weekly therapy
    sessions, each course lasting up to two years. In his forensic
    evaluation, Dr. Corwin concluded that Victim would benefit from
    therapy because she “suffered significant psychological trauma
    caused by her father’s sexual abuse of her, the family disturbances
    associated with that sexual abuse including being harassed by her
    older brothers and living away from her family with various other
    families,” which culminated in the subsequent sexual abuse by S.G.
    Dr. Corwin explained that “[e]ffective treatment helps diminish
    symptoms associated with lifelong increased emotional burdens and
    memories.” The district court did not abuse its discretion by
    including these costs in the complete restitution award.
    ¶61 But the Plan recommended more than what Dr. Corwin
    opined would be necessary. Instead, Ms. Wainwright relied on
    literature and her experience with other clients as a basis to include
    other categories of psychological care in the Plan. Ms. Wainwright
    explained:
    [W]hen we do a life care plan, we’re kind of making
    assumptions and looking into a crystal ball a little
    bit. . . . I made assumptions based on the statistics that I
    read in several articles talking about the long term
    effects of child sex abuse and also in my experience . . .
    case managing clients with [a history of] child sex
    abuse.
    ¶62 Ms. Wainwright concluded it was “more likely than not”
    that Victim would need inpatient hospitalizations because her clients
    that have suffered from sexual abuse “end up in the hospital not just
    for psychiatric issues but for medical issues.” In the Plan, she stated
    that because Victim was not “in therapy at [the] time, and her
    behavior is evidence that she does not have the strategies in place to
    manage her symptoms, she will likely require multiple admissions
    throughout her lifetime.” At the hearing she explained that many of
    24
    Cite as: 
    2018 UT 8
    Opinion of the Court
    her clients, “especially women, tend to have eating disorders” and
    “over fifty percent” of Ms. Wainwright’s clients “end up in the
    hospital because they’ve got metabolic dysfunction because they’re
    either bulimic or anorexic.” She explained that some of her clients
    are hospitalized once every four to six weeks, and other clients are
    hospitalized once or twice a year, and ultimately concluded that
    Victim would likely need ten inpatient hospitalizations.
    ¶63 In other words, Ms. Wainwright recommended that Victim
    participate in intensive outpatient programs because her other
    clients “do well with intensive outpatient programs.” She conceded
    there was “no guarantee” that Victim would need to participate in
    an intensive outpatient program, but concluded it was “more likely
    than not” that Victim would. However, when asked whether this
    projection was “somewhat speculative,” Ms. Wainwright responded,
    “Yes.” Ms. Wainwright allocated the cost of EMDR therapy because
    it is “a recommended and accepted treatment protocol for clients
    with PTSD.” Finally, she included the cost of a neuropsychological
    evaluation “to determine the effects and any improvements that are
    coming from treatment.”
    ¶64 Again leaving aside the question of Ms. Wainwright’s
    qualifications to offer that opinion, Ms. Wainwright’s
    recommendations appear to be based on speculation about what
    treatments Victim may benefit from based on her other clients’
    treatment plans. See Bastian, 661 P.2d at 956. Leaving aside the
    therapy Dr. Corwin recommended, Ms. Wainwright provided no
    evidence that Victim needed the treatment outlined in her
    recommendations. In other words, record evidence supported the
    inclusion of costs related to the treatment Dr. Corwin recommended.
    But there is more than “some degree of uncertainty in the evidence”
    with respect to those costs flowing from Ms. Wainwright’s
    generalizations about what sexual abuse victims typically need. See
    id.
    ¶65 On remand, Victim may be able to justify an award of the
    items in Ms. Wainwright’s report. But to meet that burden, the State
    or Victim will need to present evidence of her individual need for
    inpatient hospitalizations, intensive outpatient programs, EMDR
    therapy, and a neuropsychological evaluation. And although we
    recognize that there will be some degree of uncertainty in predicting
    needs decades into the future, to combat some of this uncertainty,
    the district court should have before it an adequate foundation that
    Victim will likely need these treatments.
    25
    STATE v. OGDEN
    Opinion of the Court
    CONCLUSION
    ¶66 The CVRA requires that a district court include the losses
    that a defendant proximately causes in its complete restitution
    determination. On remand, we remind the district court to ensure
    that it rests its restitution calculation on non-speculative evidence of
    losses that Victim has incurred or will likely incur. We vacate the
    district court’s restitution orders and remand for further proceedings
    consistent with this opinion.
    26
    

Document Info

Docket Number: Case No. 20150922

Citation Numbers: 2018 UT 8, 416 P.3d 1132

Filed Date: 2/27/2018

Precedential Status: Precedential

Modified Date: 1/12/2023

Authorities (19)

Lawrence v. State , 764 P.2d 318 ( 1988 )

Dura Pharmaceuticals, Inc. v. Broudo , 125 S. Ct. 1627 ( 2005 )

Fordham v. Oldroyd , 171 P.3d 411 ( 2007 )

Nichols v. Jacobsen , 374 P.3d 3 ( 2016 )

State v. Miller , 193 P.3d 92 ( 2008 )

State v. Weeks , 61 P.3d 1000 ( 2002 )

Reynolds v. MacFarlane , 322 P.3d 755 ( 2014 )

State v. McBride , 940 P.2d 539 ( 1997 )

Biddle v. Washington Terrace City , 993 P.2d 875 ( 1999 )

Barneck v. UDOT , 353 P.3d 140 ( 2015 )

Bank of America v. Adamson , 391 P.3d 196 ( 2017 )

State v. Wadsworth , 393 P.3d 338 ( 2017 )

Garfield County v. SUWA , 424 P.3d 46 ( 2017 )

State v. Low , 192 P.3d 867 ( 2008 )

State v. Brown , 221 P.3d 273 ( 2009 )

Viking Insurance Co. of Wisconsin v. Coleman , 927 P.2d 661 ( 1996 )

State v. Schweitzer , 943 P.2d 649 ( 1997 )

State v. Robinson , 860 P.2d 979 ( 1993 )

State v. Birkeland , 258 P.3d 662 ( 2011 )

View All Authorities »

Cited By (31)

Nelson v. Hills , 2022 UT 6 ( 2022 )

Kamoe v. Hon. Ridge , 2021 UT 5 ( 2021 )

State v. Richins , 2021 UT 50 ( 2021 )

State v. Huffman , 2021 UT App 125 ( 2021 )

Gregory and Swapp v. Kranendonk , 424 P.3d 897 ( 2018 )

Paxman v. King , 2019 UT 37 ( 2019 )

State v. Grant , 2021 UT App 104 ( 2021 )

State v. Chadwick , 2021 UT App 40 ( 2021 )

State v. Watson , 2021 UT App 37 ( 2021 )

State v. Jamieson , 2021 UT App 3 ( 2021 )

State v. Hebeishy and Sadler , 2022 UT App 136 ( 2022 )

State v. Cegers , 440 P.3d 924 ( 2019 )

State v. Blake , 2022 UT App 104 ( 2022 )

State v. Murray , 2023 UT App 52 ( 2023 )

State v. Becker , 427 P.3d 306 ( 2018 )

State v. Rivera , 440 P.3d 694 ( 2019 )

State v. Baer , 438 P.3d 979 ( 2019 )

State v. Percival , 2020 UT App 75 ( 2020 )

State v. Powell , 2020 UT App 63 ( 2020 )

State v. Sevastopoulos , 2020 UT App 6 ( 2020 )

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