gno.law

People v. Adam CA4/1

California Court of Appeal · D082400 · 2024-03-26 · Unpublished

Proceeding
appeal from an order
Trial court
Superior Court of San Diego County · No. MH119725, CD296614
Trial judge
Steven E. Stone
Outcome
affirmed — Affirmed.
Area
other
Panel
Buchanan (author), Truc T. Do, Michele M. Castillo

Analysis

A model's reading — qwen3.8-27b, prompt v1, 2026-10-13T04:15Z · confidence high

The trial court found the defendant incompetent to stand trial and authorized the involuntary administration of antipsychotic medication based on expert reports, despite using a form that stated serious harm was 'possible' rather than 'probable.' The Court of Appeal affirmed the order, finding substantial evidence supported the statutory requirements and that the form error was harmless.

Ruling reviewedStandardThe courtThe model
Order authorizing involuntary administration of antipsychotic medication
“We conclude there is substantial evidence of each of the two elements disputed by Adam.”
substantial evidencecorrectagree with court
The court correctly applied the substantial evidence standard, assuming without deciding that the underlying standard of proof was clear and convincing evidence. The record contains expert testimony and jail records supporting the findings that the defendant required antipsychotic treatment and that serious harm was probable without it, satisfying the requirements of Penal Code section 1370, subdivision (a)(2)(B)(i)(I).
Trial court's use of 'possible' instead of 'probable' on the commitment form
“Because the trial court relied on Dr. Takamura’s recommendation in making its order, and Dr. Takamura’s opinion was that serious harm was probable rather than merely possible, “the form order’s error was harmless beyond a reasonable doubt.””
unclearharmless erroragree with court
The court treated the discrepancy between the form's language ('possible') and the statutory requirement ('probable') as a harmless error. It reasoned that because the trial court explicitly relied on the expert's recommendation, which correctly stated that harm was 'probable,' the error in the preprinted form did not affect the outcome.
Claim of ineffective assistance of counsel for failing to object to the medication order
“As in Garcia, therefore, Adam “has not established a reasonable probability that a different result would have occurred if [his] trial counsel had objected.””
unclearnot reachedagree with court
The court rejected the claim by applying the Strickland standard, specifically the prejudice prong. It concluded that because the existing record contained substantial evidence supporting the order and no contrary evidence was presented, an objection would not have changed the trial court's decision.

Authorities

  • relied: People v. Garcia (2024) 99 Cal.App.5th 1048 — Holding that similar expert reports provide substantial evidence for involuntary medication orders and that identical form errors are harmless.
  • relied: Chapman v. California (1967) 386 U.S. 18 — Establishing the harmless beyond a reasonable doubt standard for constitutional errors.
  • relied: Strickland v. Washington (1984) 466 U.S. 668 — Establishing the two-prong test for ineffective assistance of counsel claims.

The appellate opinion: sound — The opinion is sound because it relies on a recent, identical decision from the same division (Garcia) to resolve the legal issues, ensuring consistency. The court correctly identifies the statutory requirements and applies the substantial evidence standard to the specific facts in the record.

How this analysis was made · dispute it

unusual disposition

A model's reading — claude-fable-5-1, prompt v1, 2026-10-13T04:30Z · confidence low

The trial court found Adam incompetent to stand trial, committed him to a state hospital under Penal Code section 1370, and authorized involuntary administration of antipsychotic medication based on the first statutory ground (probable serious harm to the defendant), using a preprinted form that mistakenly said harm was "possible" rather than "probable." The Court of Appeal, following its recent published decision in People v. Garcia, held substantial evidence supported both disputed statutory elements, found the form error harmless beyond a reasonable doubt, rejected the ineffective-assistance claim, and affirmed.

Ruling reviewedStandardThe courtThe model
Finding that Adam's mental disorder requires medical treatment with antipsychotic medication (section 1370, subd. (a)(2)(B)(i)(I), second element), including rejection of the section 1369 challenges to the experts' opinions
“Taken in its totality, this evidence was sufficient to establish that Adam suffered from a mental disorder requiring medical treatment with antipsychotic medication.”
substantial evidencecorrectagree with court
The court applied substantial-evidence review adjusted for an assumed clear-and-convincing burden and pointed to concrete record evidence: diagnoses of bipolar disorder and psychosis, a prior psychiatric hospitalization, delusional and paranoid thinking observed by both experts, head banging in jail, prescription of Zyprexa, and both experts' opinions that antipsychotic medication was required. The section 1369 scope-of-license and content arguments were resolved by adopting the reasoning of the published Garcia decision, which addressed identical arguments.
Finding that it is probable serious harm to Adam's physical or mental health will result without antipsychotic medication (section 1370, subd. (a)(2)(B)(i)(I), third element)
“These expert opinions are adequately supported by the record and provide substantial evidence that the statutory serious harm condition was satisfied.”
substantial evidencecorrectagree with court
The statute requires evidence the defendant is presently suffering adverse effects or has previously suffered them and is substantially deteriorating; the court identified present symptoms (paranoia, delusions, grandiosity), recent head banging requiring medical ward placement, a history of suicide attempts, and a paranoid/manic state during the charged knife assault, plus both experts' opinions that serious harm was likely or probable. It also correctly distinguished reliance on symptoms from reliance on diagnosis alone, consistent with Garcia.
Use of preprinted form stating serious harm was "possible" rather than the statutory "probable" standard
“In Garcia, we found the identical error on the same form to be harmless beyond a reasonable doubt under Chapman v. California (1967) 386 U.S. 18, 24.”
de novoharmless erroragree with court
The court acknowledged the form misstated the standard but found the error harmless under Chapman because the trial court expressly based its oral order on Dr. Takamura's recommendation, which stated that serious harm was "probable," so the findings would equally support an order under the correct standard. Applying the stricter Chapman standard and finding harmlessness on this record is a defensible application of Garcia; the oral ruling tying the order to Takamura's recommendation strongly supports the conclusion.
Claim that trial counsel was ineffective for failing to object to the involuntary medication order
“There was no contrary evidence and Adam offers no persuasive reason why the trial court would have viewed the issue any differently if his counsel had objected.”
de novocorrectagree with court
Under Strickland, the defendant must show prejudice; because both expert reports supported the order and there was no contrary evidence, the court reasonably concluded there was no reasonable probability of a different result had counsel objected. This tracks Garcia's resolution of the same claim.

Authorities

  • relied: People v. Garcia (2024) 99 Cal.App.5th 1048 — Substantial evidence review of a section 1370 involuntary medication order assuming a clear-and-convincing standard; expert reports satisfying sections 1369 and 1370; symptoms of a diagnosed disorder may show adverse effects; the 'possible' versus 'probable' form error is harmless beyond a reasonable doubt where the order rests on expert opinion of probable harm; no ineffective assistance where objection would not have changed the result.
  • relied: Chapman v. California (1967) 386 U.S. 18 — Constitutional error is harmless only if shown harmless beyond a reasonable doubt.
  • relied: Strickland v. Washington (1984) 466 U.S. 668 — Ineffective assistance of counsel requires deficient performance and a reasonable probability of a different result.

The appellate opinion: sound — The opinion answers each argument with record-specific evidence and relies on the court's own recently published decision in Garcia, which resolved identical statutory, harmless-error, and ineffective-assistance claims arising from the same form. The reasoning is coherent and the authorities cited support the result; the only blemish is a typographical citation error ("9 Cal.App.5th") that does not affect the analysis.

How this analysis was made · dispute it

Opinion

Filed 3/26/24 P. v. Adam CA4/1 NOT TO BE PUBLISHED IN OFFICIAL REPORTS California Rules of Court, rule 8.1115(a), prohibits courts and parties from citing or relying on opinions not certified for publication or ordered published, except as specified by rule 8.1115(b). This opinion has not been certified for publication or ordered published for purposes of rule 8.1115.

COURT OF APPEAL, FOURTH APPELLATE DISTRICT

DIVISION ONE

STATE OF CALIFORNIA

THE PEOPLE, D082400

Plaintiff and Respondent, v. (Super. Ct. Nos. MH119725, GRANT PARKER ADAM, CD296614)

Defendant and Appellant.

APPEAL from an order of the Superior Court of San Diego County, Steven E. Stone, Judge. Affirmed.

Paul R. Kraus, under appointment by the Court of Appeal, for Defendant and Appellant. Rob Bonta, Attorney General, Lance E. Winters, Chief Assistant Attorney General, Charles C. Ragland, Assistant Attorney General, Collette C. Cavalier, and James Spradley, Deputy Attorneys General, for Plaintiff and Respondent. After being found incompetent to stand trial and committed to a state hospital under Penal Code1 section 1368, Grant Parker Adam appeals from a portion of the commitment order authorizing involuntary administration of antipsychotic medications. Following our own recent decision rejecting many of the same claims of error in People v. Garcia (2024) 99 Cal.App.5th 1048 (Garcia), we find no error and affirm the order. FACTUAL AND PROCEDURAL BACKGROUND Adam was charged in a complaint filed in October 2022. As amended in February 2023, the complaint charged him with making a criminal threat (§ 422; count one) while personally using a deadly or dangerous weapon, a knife (§ 12022, subd. (b)(1)); assault with a deadly weapon (§ 245, subd. (a)(1); count two); five counts of violating a protective order (§ 166, subd. (c)(1); counts three through seven); vandalism under $400 (§ 594, subd. (a)(b)(2)(A); count eight); three counts of attempted carjacking (§§ 664, 215, subd. (a); counts nine through eleven); resisting an executive officer (§ 69; count 12); assault by means of force likely to produce great bodily injury (§ 245, subd. (a)(4); count 13); and battery with serious bodily injury (§ 243, subd. (d); count 14). Adam pled not guilty to all charges. In January 2023, the trial court declared a doubt as to his competency to stand trial under section 1368. The court suspended the proceedings and directed the performance of a mental health evaluation. Dr. Benedetto Brunetto, a psychologist with the County of San Diego’s Forensic Psychiatry Clinic, evaluated Adam on February 28, 2023 and filed two reports with the court. In the first report, Dr. Brunetto 1 All further statutory references are to the Penal Code. 2 concluded that Adam was not competent to stand trial, and in the second, he recommended involuntary administration of antipsychotic medication. Adam objected to Dr. Brunetto’s findings. The court directed that Adam be reevaluated by another doctor. Dr. Michael M. Takamura, a psychiatrist with the Forensic Psychiatry Unit, evaluated Adam on May 2, 2023 and filed two reports with the court. In the first report, Dr. Takamura concluded that Adam was not competent to stand trial, and in the second, he recommended involuntary administration of antipsychotic medication. On May 8, 2023, the parties stipulated to the experts’ qualifications and submitted the matter on their findings. The court received Dr. Takamura’s reports into evidence. Based on Dr. Takamura’s reports, the court found that Adam was not competent to stand trial and committed him to the state hospital for a maximum of two years. The court further ruled: “And pursuant to the recommendation of Dr. Takamura, the court authorizes the involuntary administration of antipsychotic medication to the defendant when and as prescribed by the defendant’s treating psychiatrist, any facility housing the defendant.” After the court made its ruling, defense counsel requested that Dr. Brunetto’s reports be admitted into evidence as well. The court granted the request. The court filled out and signed a preprinted superior court form entitled Judgment of Mental Incompetency and Order for Commitment. The form had four different boxes for court findings relating to antipsychotic medication. The first box (left unchecked) was for administering the medication with the defendant’s consent. The other three boxes corresponded to the different statutory grounds for ordering involuntary administration of antipsychotic medication: (1) serious harm to the defendant’s physical or 3 mental health; (2) danger to others; or (3) restoration to competency for a serious crime against person or property. (§ 1370, subd. (a)(2)(B)(i)(I-III).) The court checked only the first of these three boxes, thereby making the following findings: “The defendant lacks capacity to make a decision regarding antipsychotic medication. The defendant’s mental disorder requires medical treatment with antipsychotic medication, and if the defendant’s mental disorder is not treated with anti-psychotic medication, it is possible that serious harm to the physical or mental health of the patient will result.”2 DISCUSSION On appeal, Adam does not contest the trial court’s finding of incompetence to stand trial or his commitment. He only challenges the order authorizing involuntary administration of antipsychotic medication. Adam argues that substantial evidence does not support the medication order because: (1) there is insufficient evidence that his mental disorder requires treatment with antipsychotic medication; and (2) there is insufficient evidence that it is probable serious harm to his physical or mental health will result without the medication. Adam further argues that the trial court applied the wrong legal standard in making its order, and his counsel was ineffective in failing to object to the entry of the order. We address each of these arguments in turn.

2 The People request judicial notice of a subsequent order of September 14, 2023 finding that Adam was then mentally competent, reinstating the criminal proceedings, and ordering his return to county jail. However, the People do not explain the relevance of this order to the issues on appeal and do not argue that it renders the appeal moot. (See § 1370, subd. (a)(2)(B)(iii) [order authorizing involuntary administration of antipsychotic medication remains in effect when defendant returns to county custody but shall be valid for no more than one year].) Accordingly, we deny the request for judicial notice. 4 A. Substantial Evidence Supports the Order We recently decided a similar case involving the identical issues Adam raises here. (Garcia, supra, 99 Cal.App.5th at p. 1054.) As we did in Garcia, we will assume without deciding that the standard of proof for a section 1370 order authorizing involuntary administration of antipsychotic medication is clear and convincing evidence. (Ibid., fn. 2.) Our substantial evidence review must take this heightened standard into account. Accordingly, the question before us is whether the record as a whole contains substantial evidence from which a reasonable fact finder could have found it highly probable that the facts required for such an order were true. (Id. at p. 1054) Section 1370 allows a trial court to authorize involuntary administration of antipsychotic medication to a defendant who is found incompetent to stand trial. The statute has provisions permitting such an order in any of three circumstances. (§ 1370, subd. (a)(2)(B)(i)(I-III).) Here, the trial court only made findings under the first of these provisions, which states: “Based upon the opinion of the psychiatrist or licensed psychologist offered to the court pursuant to subparagraph (A) of paragraph (2) of subdivision (a) of section 1369, [1] the defendant lacks capacity to make decisions regarding antipsychotic medication, [2] the defendant’s mental disorder requires medical treatment with antipsychotic medication, and, [3] if the defendant’s mental disorder is not treated with antipsychotic medication, it is probable that serious harm to the physical or mental health of the defendant will result.” (§ 1370, subd. (a)(2)(B)(i)(I).) Adam disputes only the second and third of these statutory requirements. As to the third, the statute further states: “Probability of serious harm to the physical or mental health of the defendant requires evidence that the defendant is presently suffering adverse effects to their 5 physical or mental health, or the defendant has previously suffered these effects as a result of a mental disorder and their condition is substantially deteriorating. The fact that a defendant has a diagnosis of a mental disorder does not alone establish probability of serious harm to the physical or mental health of the defendant.” (§ 1370, subd. (a)(2)(B)(i)(I).) We conclude there is substantial evidence of each of the two elements disputed by Adam. First, the expert reports admitted into evidence support the trial court’s finding that Adam suffered from a mental disorder requiring medical treatment with antipsychotic medication. According to the reports, Adam has a history of mental illness, including bipolar disorder, psychosis, anxiety, and posttraumatic stress disorder (PTSD). He admitted he had a prior psychiatric hospitalization for psychosis in 2017. Several previous criminal cases against him in Minnesota were resolved with court orders for psychiatric and substance abuse treatment. In his interviews with the two mental health experts, Adam exhibited paranoid, grandiose, and delusional thinking. According to the jail records for March 8, 2023, Adam had been “in the medical ward, because of head banging.” While in jail for the current offenses, he was diagnosed with unspecified psychotic and mood disorders and bipolar disorder, and he started taking Zoloft for PTSD and Zyprexa for mood/psychosis. In his own evaluation, Dr. Takamura diagnosed Adam with bipolar disorder, PTSD, and anxiety disorder. Based in part on his own interactions with Adam, he concluded that although Adam’s mental health had improved while in jail, he still suffered from paranoid and delusional thinking that could interfere with his factual understanding of the charges and his ability to cooperate with his attorney in the preparation of a rational defense. Dr. Takamura recommended that Adam be found incompetent to stand trial 6 because of his “ongoing bipolar and psychotic impairments.” Dr. Takamura further recommended involuntary antipsychotic medication and stated that “antipsychotic medications are in the patient’s best medical interest in light of his current condition.” Dr. Brunetto agreed that Adam was “suffering from a severe mental disorder which requires medical treatment with antipsychotic medication.” Taken in its totality, this evidence was sufficient to establish that Adam suffered from a mental disorder requiring medical treatment with antipsychotic medication. (§ 1370, subd. (a)(2)(B)(i)(I).) In fact, the trial court could reasonably have inferred that Adam’s mental condition improved in the two months between Dr. Brunetto’s evaluation and Dr. Takamura’s evaluation precisely because he had started taking Zyprexa (an antipsychotic medication) one week after Dr. Brunetto’s evaluation. Adam argues that Dr. Brunetto’s opinion exceeded the scope of his license in violation of section 1369, subdivision (a)(2)(B), and Dr. Takamura’s opinion lacked certain information required by the same provision. We rejected identical arguments made by the defendant in Garcia. (Garcia, supra, 99 Cal.App.5th at p. 1057.) We adopt the Garcia holding and reasoning as our own. Dr. Takamura gave the same opinion as the psychiatrist in Garcia, which we found to be proper under sections 1369 and 1370. (Id. at p. 1059.) Second, the evidence was sufficient to support a finding that if Adam’s mental disorder was not treated with antipsychotic medication, it was probable that serious harm to his physical or mental health would result. Immediately before Adam was put on Zyprexa in the jail, he was in the medical ward “because of head banging.” According to his mother, Adam had a history of suicide attempts as a teenager. According to Dr. Brunetto’s 7 report, Adam was “paranoid and manic” when he committed the charged assault on his mother with a kitchen knife in October 2022. Dr. Takamura concluded that Adam was still suffering symptoms of paranoia, delusion, and grandiosity—satisfying the statutory requirement that he was “presently suffering adverse effects to [his] physical or mental health . . . .” (§ 1370, subd. (a)(2)(B)(i)(I).) In the opinions of both experts, based on their evaluations of Adam and the materials they reviewed, it was “likely” or “probable” that Adam would suffer serious harm to his physical or mental health without appropriate treatment with antipsychotic medication. These expert opinions are adequately supported by the record and provide substantial evidence that the statutory serious harm condition was satisfied. (Garcia, supra, 9 Cal.App.5th at p. 1056 [holding that similar expert reports provided substantial evidence of the same statutory condition and rejecting argument that they contained only “ ‘conclusory, perfunctory language’ regarding the likelihood of serious harm to Garcia”].) For the reasons explained in Garcia, we also reject Adam’s contention that reliance on his mental health symptoms violates the statutory mandate that a diagnosis of mental disorder alone does not establish a probability of serious harm. The statute “does not preclude using symptoms of the diagnosis to show adverse effects to [the defendant]’s health to establish a probability of serious harm.” (Ibid.) B. The Error on the Superior Court Form Was Harmless Adam also argues that the trial court applied the wrong legal standard in making the serious harm determination because of an error on the preprinted superior court form used for the order. Specifically, the court checked a box on the form stating that without antipsychotic medication, “it is possible that serious harm to the physical or mental health of the patient 8 will result.” (Italics added.) Adam argues this was error because the statute requires a finding that “it is probable that serious harm to the physical or emotional health of the defendant will result.” (§ 1370, subd. (a)(2)(B)(i)(I), italics added.) In Garcia, we found the identical error on the same form to be harmless beyond a reasonable doubt under Chapman v. California (1967) 386 U.S. 18, 24. (Garcia, supra, 99 Cal.App.5th at p. 1059.) We noted that the trial court based its findings on the expert reports, and “[t]heir findings and conclusions would have equally supported the court’s order if it had stated serious harm was ‘probable,’ rather than merely ‘possible.’ ” (Id. at p. 1060.) Likewise, the trial court here based its order authorizing antipsychotic medications on the recommendation of Dr. Takamura. In his recommendation for antipsychotic medications, Dr. Takamura stated that without the appropriate treatment, “it is probable that continuous serious harm could come to [Adam’s] physical and/or mental health.” (Italics added.) Because the trial court relied on Dr. Takamura’s recommendation in making its order, and Dr. Takamura’s opinion was that serious harm was probable rather than merely possible, “the form order’s error was harmless beyond a reasonable doubt.” (Garcia, supra, 99 Cal.App.5th at p. 1060.) C. There Was No Ineffective Assistance of Counsel Finally, Adam argues that his attorney was ineffective because he failed to object to the involuntary psychiatric medication order. (Strickland v. Washington (1984) 466 U.S. 668.) Once again, we rejected the identical claim in Garcia. (Garcia, supra, 99 Cal.App.5th at p. 1060.) As we have explained, the expert reports provided substantial evidence to support the trial court’s order. There was no contrary evidence and Adam offers no persuasive reason why the trial court would have viewed the issue any 9 differently if his counsel had objected. As in Garcia, therefore, Adam “has not established a reasonable probability that a different result would have occurred if [his] trial counsel had objected.” (Ibid.) DISPOSITION The commitment order is affirmed.

BUCHANAN, J.

WE CONCUR:

DO, Acting P. J.

CASTILLO, J.