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Thomas v. Kaven

United States District Court, D. New Mexico

June 14, 2017

Dr. MARY KAVEN, Ph.D., JILL STRAITS, and Dr. ANILLA DEL FABBRO, M.D., in their individual capacities, Defendants.


         This matter comes before the Court on Defendant Dr. Anilla Del Fabbro's Rule 59(e) Motion to Amend Judgment (ECF No. 107). On December 13, 2016, this Court entered a Memorandum Opinion and Order granting summary judgment to Defendants Dr. Mary Kaven and Jill Straits for lack of personal participation in the alleged constitutional violation, but denying summary judgment and qualified immunity to Dr. Del Fabbro. See Mem. Op. and Order 26-27, ECF No. 106. Defendant Del Fabbro (“Defendant”) asks the Court to reconsider its decision denying her summary judgment and enter a new order granting her qualified immunity. Defendant also filed a Notice under Rule 7.8 of supplemental authorities, informing the Court of the Supreme Court's decision in White v. Pauly, 137 S.Ct. 548 (2017). The Court, having considered the motion, the entirety of the record, and the applicable law, particularly White v. Pauly, concludes that it erred in denying Dr. Del Fabbro qualified immunity because the law was not clearly established at the time that placing a medical hold on MT under the circumstances Defendant confronted violated Plaintiffs' right to familial association. The Court will therefore grant the motion to reconsider and dismiss Dr. Del Fabbro from the case.


         The Court extensively reviewed the record in its Memorandum Opinion and Order and incorporates those facts herein. See Mem. Op. and Order 1-14, ECF No. 106.

         II. STANDARD

         Defendant brings this motion under Federal Rule of Civil Procedure 59(e): “A motion to alter or amend a judgment must be filed no later than 28 days after the entry of the judgment.” Although the Court has yet to enter judgment for or against Defendant Del Fabbro, every order short of a final judgment is subject to reopening at the discretion of the district judge. Price v. Philpot, 420 F.3d 1158, 1167 n.9 (10th Cir. 2005) (quoting Moses H. Cone Mem'l Hosp. v. Mercury Constr. Corp., 460 U.S. 1, 12 (1983), and citing Fed.R.Civ.P. 54(b)). “Grounds warranting a motion to reconsider include (1) an intervening change in the controlling law, (2) new evidence previously unavailable, and (3) the need to correct clear error or prevent manifest injustice.” Servants of Paraclete v. Does, 204 F.3d 1005, 1012 (10th Cir. 2000). A motion to reconsider is not appropriate to get a second bite of the apple using the same arguments that were raised or could have been raised in prior briefing; however, it is proper “where the court has misapprehended the facts, a party's position, or the controlling law.” Id.

         As for the relevant controlling law, qualified immunity protects “all but the plainly incompetent or those who knowingly violate the law.” Anderson v. Creighton, 483 U.S. 635, 638 (1987) (quoting Malley v. Briggs, 475 U.S. 335, 341 (1986)). The purpose is to protect against officials being unduly inhibited in the discharge of their duties by the fear of personal monetary liability and litigation. Id. “Officials who are mistaken about the lawfulness of their conduct may still be entitled to qualified immunity if the mistake is reasonable in light of the applicable law and the facts known to them at the time.” Gomes v. Wood, 451 F.3d 1122, 1136 (10th Cir. 2006). If officials of reasonable competence could disagree about the lawfulness of the challenged conduct, then the defendant is entitled to qualified immunity. Id. (quoting Malley, 475 U.S. at 341). The question is whether a reasonable official in Defendant's circumstances could have believed her conduct to be lawful in light of the clearly established law and the information the officials possessed. Id. (quoting Anderson, 483 U.S. at 641). Although a plaintiff can overcome the defense without a favorable case directly on point, existing precedent must have placed the constitutional question “beyond debate.” Aldaba v. Pickens, 844 F.3d 870, 877 (10th Cir. 2016) (quoting Ashcroft v. al-Kidd, 563 U.S. 731, 742 (2011)). Defendant is entitled to qualified immunity “if reasonable officers could at least disagree as to the danger of discharging M.T.” Thomas v. Kaven, 765 F.3d 1183, 1197 (10th Cir. 2014).

         III. ANALYSIS

         Defendant contends that the Court erred by misapplying the law and relying on cases that were at too high a level of generality. Defendant also argues that the Court erred by disregarding the critical, undisputed fact of MT's suicidal statements the day before the hold, by relying on certain other facts in the record that were not material to the qualified immunity defense, and by using a subjective, rather than objective, test. Defendant asserts that application of the law as set forth in White v. Pauly compels the conclusion that she is entitled to qualified immunity. Plaintiff disagrees, arguing that the Court applied the proper objective standard and merely held there was sufficient evidence to create a jury question as to whether a reasonable medical official would have placed a medical hold under the circumstances.

         In White v. Pauly, the Supreme Court considered the Tenth Circuit's denial of qualified immunity to “an officer who-having arrived late to an ongoing police action and having witnessed shots being fired by one of several individuals in a house surrounded by other officers-shoots and kills an armed occupant of the house without first giving a warning.” White, 137 S.Ct. at 549. The Tenth Circuit, in affirming the denial of qualified immunity, relied on general statements in the case law that (1) the reasonableness of the use of force depends partially on the level of danger at the precise moment the officer used force; and (2) if a suspect threatens an officer with a weapon, the officer may use deadly force to prevent escape, and where feasible, after some warning has been given. Id. at 551. The Supreme Court reversed: “The panel majority misunderstood the ‘clearly established' analysis: It failed to identify a case where an officer acting under similar circumstances as Officer White was held to have violated the Fourth Amendment.” Id. at 552. It clarified once more that “clearly established law” must not be defined “at a high level of generality.” Id. (quoting Al-Kidd, 563 U.S. at 742). Instead, the unlawfulness must be apparent and pre-existing law must have placed the constitutional question beyond debate. Id. at 551.

         In its initial opinion, the Court concluded that factual questions existed as to whether Dr. Del Fabbro violated Plaintiffs' liberty interest in familial association. See Mem. Op. and Order 17-22, ECF No. 106. The Court also determined that questions of fact concerning the immediacy of the need for the medical hold precluded granting qualified immunity to Dr. Del Fabbro, relying on case law establishing that a state official may not infringe on a parent's right to the care and custody of her child without an immediate health or safety risk to that child. See Id. at 22. The Court relied on evidence that, construed in Plaintiffs' favor, suggested that MT's medical condition did not improve between April 29, 2010, and May 6, 2010, yet Dr. Del Fabbro authorized MT's release on the latter date after the hospital received notice that Plaintiff's insurer would no longer cover MT's stay. See Id. at 22-23. The Court stated that Plaintiffs' evidence cast doubt on the sincerity and reasonableness of Dr. Del Fabbro's belief. See id.

         The qualified immunity test, however, asks whether the right was sufficiently clear to a reasonable official. Thomas, 765 F.3d at 1194. The sincerity of Dr. Del Fabbro's belief is not relevant to the second prong of the qualified immunity analysis. Even assuming Dr. Del Fabbro released the medical hold, not because MT's condition improved but because her stay was no longer paid for, [1] the ultimate analysis on qualified immunity is the objective view of a reasonable medical official with the facts known to Dr. Del Fabbro on April 29, 2010, when she placed the medical hold.

         With respect to those known facts, the Court found significant Dr. Kaven's statements in her psychological evaluation that MT was more likely than most people her age to demonstrate generally adaptive interpersonal behavior most of the time and had sufficient psychological resources to cope adequately with the demands life imposed on her. See Mem. Op. and Order 20, 23, ECF No. 106; Aff. of Samuel Roll, Ph.D ¶¶ 8(B), ECF No. 102-9. Dr. Roll opined that these statements, and the psychological test data taken as a whole, were inconsistent with a need for forced hospitalization. See Aff. of Samuel Roll, Ph.D ¶ 8(D), ECF No. 102-9. Although Dr. Del Fabbro did not rely on the psychological evaluation when placing the hold, the facts construed in favor of Plaintiffs suggest she was aware of the contents of the evaluation. The Court stands by its previous determination that Dr. Kaven's statements and Dr. Roll's opinions create a question of fact as to the need for the medical hold and whether Dr. Del Fabbro erred. After reconsidering Dr. Roll's opinion, however, the Court finds it does not create factual questions going to the “clearly established law” portion of the analysis. Dr. Roll does not opine that, when considering all the facts Dr. Del Fabbro had before her, no reasonable official would agree there was an immediate threat to the safety of MT.

         This Court relied in its initial opinion extensively on the Tenth Circuit's decision remanding this case for reconsideration. The Tenth Circuit, however, made clear that on a Rule 12(b)(6) motion, Defendants were subject to a more challenging standard of review than would apply on summary judgment. Thomas, 765 F.3d at 1194. It also noted that the complaint did not contain facts showing MT's suicide risk on April 29, 2010. Id. at 1197. On summary judgment, it is undisputed that Dr. Del Fabbro knew that MT stated on April 28, 2010 that if she were to go home, her suicidal ideation would be 8 out of 10 for the likelihood of hurting herself and 5 or 6 for wanting to kill herself. See Mem. Op. and Order 7, ECF No. 106.

         After reconsidering the summary judgment record and existing precedent, the Court concludes that this undisputed fact makes this case a unique one, subject to the qualified immunity defense. Cf. White, 137 S.Ct. at 552 (stating that important indication that defendant did not violate clearly established right is where case presents a unique set of facts and circumstances). Plaintiffs did not provide, and the Court did not find, a case similar to the one here, as White v. Pauly instructs is necessary to overcome the defense. See Id. Instead, in initially finding the law clearly established, this Court relied on the cases of Suasnavas v. Stover, 196 F. App'x 647 (10th Cir. Aug. 25, 2006), and Roska ...

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