in the Representation of People with Disabilities
May 2003
Robert D. Fleischner
Center for Public Representation
Michael Blinick, Mental Disability, Legal Ethics and Professional Responsibility, 33 Alb. L. Rev.92 (1968)
James A. Cohn, The Attorney-Client Privilege, Ethical Rules, and the Impaired CriminalDefendant, 52 U. Miami L. Rev. 529 (1998)
John H. Cross, Robert D. Fleischner, Jinanne S.J. Elder, Guardianship and Conservatorship inMassachusetts, 2d Edition, § 3.09A (2002 supplement) (Lexis)
James R. Devine, The Ethics of Representing the Disabled Client: Does Model Rule 1.14Adequately Resolve the Best Interest/Advocacy Dilemma?, 49 Mo. L. Rev. 493 (1984).
Robert B. Fleming & Rebecca C. Morgan, Lawyers Ethical Dilemmas: A “Normal” RelationshipWhen Representing Demented Clients and their Families, 35 Ga. L. Rev. 735 (2001)
Martin Guggenheim, A Paradigm for Determining the Role of Counsel for Children, 64 FordhamL. Rev. 1399 (1996) (Symposium Issue)
Fernando J. Gutierrez, Who is Watching Big Brother When Big Brother is Watching MentalHealth Professionals: A Call for the Evaluation of Mental Health Advocates, 20 Law &Psychology Rev. 57 (1996)
Stanley S. Herr, Representation of Clients with Disabilities: Issues of Ethics and Control, 17N.Y.U. Rev. L. & Soc. Change 609 (1989-90).
Neil H. Mickenberg, The Silent Clients: Legal and Ethical Considerations in RepresentingSeverely and Profoundly Retarded Individuals, 31 Stan. L. Rev. 625 (1979).
Joan L. O'Sullivan, Role of Attorney for Alleged Incapacitated Person, 31 Stetson L. Rev.(2002) (Symposium Issue)
Michael L. Perlin, Fatal Assumptions: A Critical Analysis of the Role of Counsel in MentalDisability Cases, 16 Law & Hum. Behav. 39 (1992)
Michael L. Perlin & Robert Sardoff, Ethical Issues in the Representation of Individuals in theCivil Commitment Process, 45 Law & Contemp. Probs. 161 (1982).
Proceedings of the Conference on Ethical Issues in Representing Older Clients: Report ofWorking Group on Client Capacity, 62 Fordham L. Rev. 1003 (1994)
Jan Ellen Rein, Ethics and the Questionably Competent Client: What the Model Rules Say andDon't Say, 9 Stan. L. & Pol'y Rev. 241 (1998) (Symposium Issue)
Steven J. Schwartz, Robert D. Fleischner, et al. Protecting the Rights and Enhancing the Dignityof People with Disabilities: Standards for Effective Legal Advocacy, 14 Rutgers L. J. 541 (1983)(Symposium Issue)
Mark Spiegel, The Story of Mr. G.: Reflections Upon the Questionably Competent Client, 69Fordham L. Rev. 1179 (2000) (Symposium Issue)
Paul R. Tremblay, Response to the Conference: Impromptu Lawyering and De Facto Guardians,62 Fordham L. Rev. 1429 (1994)
Paul R. Tremblay, On Persuasion and Paternalism: Lawyer Decisionmaking and theQuestionably Competent Client, 3 Utah L. Rev. 515 (1987).
Paul R. Tremblay, Response to the Conference: Impromptu Lawyering and De FactoGuardianship, 62 Fordham L. Rev. 961 (1994).
May 2003
Bob Fleischner
| A
client at a State Hospital asked a P& A attorney to help him
toreturn to his (the client's) apartment. The client's social worker
told theattorney that discharge is not possible only because the client
just receivedan eviction notice for non-payment of rent. The worker
showed theattorney the court's summons which required that an answer be
file by thatvery afternoon or the client would default and judgement
for the landlordwould enter forthwith. Acting on the client's assurance that he had made rental paymentsusing checks from his account in the Hospital treasury, the lawyer filed ananswer denying the allegations in the complaint for eviction. A subsequent review of the treasury accounts showed that althoughthe client had ample funds, no rent payments hade been made. Nevertheless, the client, who does not have a guardian, remained insistentthat the rent was paid and demanded that the P&A defend him from theeviction and get him out of the Hospital. What are the attorney's ethical obligations in this case? |
Some Considerations
Problems of this nature often confront P&A attorneys and advocates. The hypothetical is intended to place the attorney in an ethical dilemma _ how to obtain the client's primary goal(discharge) in the face of the client's firm, honest, but apparently “incompetent” insistence that hehad paid his rent and could return to his apartment.
A. Competency
The hypothetical characterizes the client's belief that he had paid the rent as“incompetent.” The term is employed here in the context it is used in the Model Rules and is intended to distinguish this client from one who is knowingly misrepresenting material facts to hisattorney. Rule 1.14 requires that even if a “client's ability to make adequately considereddecisions in connection with the representation is impaired ... because of mental disability...thelawyer shall, as far as is reasonably possible, maintain a normal client-lawyer relationship with theclient.” However, if the impairment is such that the “lawyer reasonably believes the client hasbecome incompetent ... because the client lacks sufficient capacity to communicate or make adequately considered decisions in connection with the representation” the attorney may takecertain actions which might not be proper in another context.
The hypothetical is intended to provoke some thought about how a P&A attorney mightbest carry out her responsibilities under this Rule.
B. Preliminary considerations
If possible, the attorney should have checked the client's assertions before filing ananswer. Filing a false pleading, without sufficient investigation, could itself violate ethics rules.Likewise, the attorney may now be in the position of repudiating his own pleading. Most state'scivil procedure rules provide that an attorney's signature on a pleading is an assertion that to thebest of his or her knowledge and belief there are good grounds to support the statements in thepleading. The hypothetical facts are intended to imply that the attorney legitimately did not havesufficient time to check the client's assertions and had relied on the client's representations ingood faith.
The hypothetical attorney also should consider all available defenses to the eviction,including most obviously, seeking a reasonable accommodation.. Likewise, the laws of non- payment evictions differ from state to state. For example, in some states it is possible to “cure”non-payment by rendering the full arrearage within in certain number of days after receipt of theeviction notice or compliant. In some circumstances, in some states, non-payment may bedefended as a valid rent withholding. In other states such defenses are not available. P&Aattorneys, of course, should be familiar with those laws and prepared to offer whatever defensesare appropriate.
Because even the quickest of legal processes take time, it could be argued that thehypothetical attorney was mistaken to acquiesce to the psychiatric hospital's position that thereceipt of an eviction notice could prevent or forestall discharge. This, of course, is true. Theremay have been several other appropriate ways for the attorney to advocate for his client'sdischarge. The hypothetical was intended to focus only on the ethical issues that would havearisen in the context of contesting the eviction.
C. Some choices
The attorney's choices are limited and none is particularly comforting. Boston CollegeLaw Professor Paul R. Tremblay suggests there are four available options:
.
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Treat the client as if he were fully competent, accept his instructions and try todefend the case.
.
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Treat the client as if he were fully competent, but actively try to
persuade, evenmanipulate him, to understand his situation and make a
“better” choice.
- Act as a “de facto” guardian for the
client and make decisions for him, perhapsinformed by the insights of
others who know him better.
.
-
Seek appointment of a surrogate, perhaps a guardian or guardian ad litem, for theclient.
(See footnote 1)
In states that have adopted some form of the American Bar Association's Model Rule ofProfessional Conduct 1.14, all of these choices are probably allowed by the Rule.
1. Follow the client's instructions. The first option, following the client's instructions anddefending the eviction, is consistent with traditional ideas of client centered lawyering, with thelawyer following the client's expressed instructions. This choice is premised on respect for theclient's autonomy and dignity. It will probably accomplish nothing for the client here, however,and particularly will not help him to obtain what is perhaps his primary wish _ to be discharged.
However, if the hypothetical attorney chooses the first option _ to follow the client'sexpressed instructions and defend the eviction case _ he may be faced with the possibility ofpresenting a defense that he knows to be untrue. Obviously, the attorney has an obligation tomake only meritorious claims (Model Rule 3.1) and to be candid with the tribunal (Model Rule3.3). If no other defenses are available, it may not be possible to defend solely on an assertion thatthe client paid the rent. Other options, consistent with the client's expressed preference andethical obligations to the client and the court, may be available depending on the circumstances ofthe case. Therefore, the hypothetical attorney will have to give careful thought to how to proceedbefore selecting the first option.
2. Use persuasion. The second option, using persuasion or even manipulation, is alsoproblematic. P&As are appropriately sensitive to the paternalism which this approach condones. The Model Rules impliedly countenance such an approach, appearing to allowing attorneys to actcontrary to their client's instructions if the client “lacks sufficient capacity” to make “adequatelyconsidered decisions” and the attorney believes the client is “at risk of substantial harm, physical,mental, financial or otherwise.” If the attorney makes those two determinations, he or she mayeven breach the confidential relationship to consult with others to protect the client.
Despite its paternalism, the persuasion option has some appeal in this case. The attorney isconfronted with two conflicting and mutually exclusive instructions from the client _ first, to gethim out of the Hospital and second not to admit that he is in arrears in his rent. To the extent the attorney believes that obtaining discharge is the client's primary concern, using persuasion toconvince him that he has not paid his rent (even enlisting others in the cause) may seemappropriate.
On the other hand, there are serious drawbacks to this approach. The client's belief that hehas paid the rent may be unshakable and he may resent his attorney's paternalistic intrusion. Theclient is likely to identify such tactics as typical of the way he is treated by Hospital staff. Ifpersuasion fails, the attorney may be left with a battered relationship and little accomplished.
3. Acting as a de facto guardian. The Model Rules suggest that the attorney may act as ade facto guardian for an incompetent client, an approach to lawyering which looks to insure theclient's “best interests.” Although this must mean that the attorney may make decisions for theclient that the client would ordinarily make for himself, the scope of the authority is very unclear.It seems fair to assume that it includes, for example, authority to call witnesses or presentevidence to which the client objects. But, what would happen here, for example, if the landlordoffered to forgive part of the arrearage and to dismiss the eviction upon a small partial payment ofback rent? May the lawyer/de facto guardian accept a settlement without his client's permission?The parameters of this authority are so vague that, in addition to its inherent paternalism, it isprobably an alternative to be avoided.
4. Seek appointment of a surrogate. The Model Rules allow the attorney to seekappointment of a guardian or other surrogate to act in an incompetent client's interest. Here, aguardian could direct the attorney's efforts, could pay the back rent and secure the client'sdischarge. However, even the Comments to the Rule caution that “[i]n many circumstances ...appointment of a legal representative may be ... traumatic.” Rule 1.14, Comment [3]. P&A staffknow too well that a loss of liberty and stigma often attend guardianship. Seeking appointment ofa GAL might seem less onerous. The GAL could instruct the attorney, but would probably nothave access the client's funds. The client is likely to interpret the attorney's request for a GAL ora guardian to be a betrayal of the attorney-client relationship.
Again, the options presented _ none of which is very appealing _ were presented in thecontext of Model Rule 1.14. That is, that the attorney reasonably believed that the client was“incompetent” and that a normal attorney-client relationship could not be maintained. Most P&Aprograms are appropriately cautious about making such determinations. Standards vary, but someprograms have evolved a practice that if the attorney can determine the client's goals,representation can usually go forward. In this hypothetical, the client's primary goal wasdischarge. The problem is that his goal included discharge to his own apartment and his incorrectbut unshakable belief that his rent was paid. The attorney's dilemma was how to achieve the goal.
The choice that the P&A attorney makes will, of course, be based on the facts of the caseand the client's situation. P&A programs may find it helpful to have policies which guide staff inmaking these important decisions. (The Center for Public Representation can direct programs to helpful journal articles.) In this hypothetical case, the option most consistent with a P&A's dualmission to protect and to advocate, may be the second. If appropriate, though non-manipulative, persuasion fails, the stark choice for the attorney will probably be between the first option(following the client's expressed instructions) and the fourth (seeking appointment of asurrogate).
Responsibility to Report a Client's Suicide Threat
American Bar Association: ABA Committee on Ethics and Professional Responsibility, InformalOpinion 83-1500 (1983)
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The intent to commit suicide may so undermine the client's ability to
act in her/his ownbest interests that the attorney should take
protective action to prevent the suicide.
Alabama: Alabama Ethics Opinion RO-90-06 (1990)
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Allows disclosure of suicide threat.
Arizona: Arizona State Bar Committee on Rules of Professional Conduct, Opinion 91-18 (1991)
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Lawyer must disclose communication to the extent the lawyer reasonably
believes it isnecessary to prevent the suicide, if attempted suicide
constitutes a crime in the applicablejurisdiction.
Colorado: Colorado Bar Association Ethics Committee, Abstract No. 98/99-04, 28 Colo.Lawyer 41,42 (1999)
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In the case of an elder who chooses suicide instead of major surgeries
and the prospect oflife with considerable pain, the attorney has no
obligation to disclose unless the attorneydecides that the client is
“operating” under a disability or making a pleas for help; theattorney
may consult with a health care provider to make this decision.
Connecticut: Connecticut Bar Association, Formal Opinion 49, 74 Conn. B.J. 238 (2000)
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“In counseling and acting on behalf of a suicidal client, we think the
lawyer should focuson and be respectful of the client and substitute
his judgement for that of the client 'onlywhen the lawyer reasonable
believes that the client lacks the capacity to act in his own
bestinterest.'”
Georgia: State Disciplinary Board, State Bar of Georgia, Opinion 42 (1984)
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Public concern for the sanctity of life is so predominant that the
attorney's duty topreserve confidences does not prevent disclosure,
even if the client has not expressed theintention definitively.
Massachusetts: Massachusetts Bar Association Committee on Professional Ethics, Informal Opinion 83-1500 (1983)
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Disclosure is permitted in light of social concern for the preservation of life.
New York: New York State Bar Association, Committee on Professional Ethics, Opinion 468(1978)
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This opinion is the one most frequently cited by other ethics committees. Accordingly, it isquoted below in some detail:
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“The decriminalization of attempted suicide in this State was not
intended to effect anybasic change in the underlying common law and
statutory policies of deep concern for thepreservation of human life
and the prevention of suicide.” Rather, attempted suicide
wasdecriminalized in this State, as elsewhere, in order to promote the
very same ends whichthe penal law had theretofore sought to accomplish.
We find this fact to be determinative;and, it compels us to treat an
announced intention to commit suicide in a manner similar tothat which
would obtain in the case of proposed criminal conduct under DR
4-101(C)(3).
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“Having noted society's general abhorrence of suicide, it may yet be
observed that suchfeelings will on occasion admit to certain limited
exceptions. Thus, consistent
with thepermissive character of the exception created by DR 4-
101(C)(3), we also note that theremay be circumstances when a lawyer
can properly elect to remain silent. For example, avery much different
situation may be presented by a client of apparently sound mind
whodiscloses that he is contemplating suicide to avoid a lengthy,
painful and expensiveterminal illness. In such circumstances, the
issues are not unlike those involved where aperson of sound mind elects
to refuse lifesaving medical treatment. While it would beillegal to aid
a client or any other person to attempt suicide (Revised Penal Law §
120.30),the circumstances might well be such that a lawyer could
properly decide that nounauthorized disclosure would be appropriate.
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“In sum, the lawyer's action, when a client has disclosed an intent to
commit suicide, mustdepend upon the particular circumstances present,
taking into account policies respectingthe protection of human life and
the prevention of suicide. Where the lawyer has reason tobelieve that
the client's disclosure may be a cry for attention or help, the lawyer
shouldmake a special effort to give the client sympathetic counseling.
Where possible, the lawyershould encourage and assist the client to
seek needed help. The lawyer may thus, andgenerally should, take
appropriate action to keep the client from committing suicide and,for
this purpose, may reveal the client's suicidal intent to others.
Disclosure of clientconfidences respecting contemplated suicide obtained
in the course of the lawyer'srepresentation should not be made,
however, unless the lawyer reasonably believes thatsuch disclosure is
necessary to prevent the client from taking his life.” (Footnotes
andinternal citations omitted).
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Suicide is not a crime in Oregon. However, an attorney may take
“protective action” whenthe attorney reasonably believes the client
cannot adequately act in his or her owninterests.
Pennsylvania: Pennsylvania Bar Association Committee on Legal Ethics and ProfessionalResponsibility, Informal Opinion Number 93-187, Inquiry No. 93-187 (1993)
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“I received an emergency call today from the ethics hotline from an
inquirer who had spentthe morning in court with a client in a domestic
relations matter. Over the lunch break, theclient had called the
inquirer and advised the inquirer that the client was going to
commitsuicide...
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“I referred the inquirer to [the Rule] dealing with confidentiality of
information. I indicatedand explained the discretionary disclosure
permitted by [the] Rule ...and particularly thatdealing with the
commission of a criminal act
which may result in death or substantialbodily harm and that as I
interpret the phrase it relates to bodily harm to the client as wellas
others. I then reiterated the provisions of Rule 1.14 dealing with
clients under adisability and counseled the inquirer that if the
inquirer had a reasonable belief that theinquirer was acting
irrationally or in a mentally unstable manner that 1.14
authorizedinquirer to take other protective action with respect to the
client. The action wouldinclude the notification of appropriate social
welfare and medical mental health agencies toprovide care and attention
to the client...
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“I reviewed with counsel the fact that an ex parte approach to the
court was authorized byRule 3.3. If an ex parte conference is held with
the court, the inquirer should explain, in asnarrow a disclosure as is
possible, but with sufficient information
to provide the court withall of the material facts needed by the court
to make an informed decision on the situation.
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“ The inquirer indicated that the judge in question would most likely
not entertain an exparte contact and then asked if an ex parte contact
was refused by the trial judge, should aconference with the judge and
opposing counsel be requested. I advised the inquirer that1.16(c)
authorizes a discretionary disclosure to opposing counsel under the
circumstancespresented by this inquiry if the judge refuses an ex parte
conference in which the requestfor a continuance was to be made.
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“I reiterated to the inquirer that the disclosure to the court should
be premised uponPa.R.P.C. 1.14 that the client was operating under a
disability and may indeed have beenundergoing a nervous breakdown. I
counseled the inquirer to refrain from disclosing thesuicide threat
unless that became necessary in response to questions asked by the
judge.”
South Carolina: South Carolina Bar Ethics Advisory Committee, Ethics Advisory Opinion 99-12
(1999)
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A lawyer would not violate his duty of confidentiality by taking such
action as is necessaryto prevent his client from committing suicide
and/or preventing harm to others. A lawyermay reveal, to the extent the
lawyer reasonably believes is necessary, any information toprevent the
client from commit-ting a criminal act. Suicide is a crime in South
Carolina.
Utah: Utah State Bar, Ethics Advisory Opinion Committee, Opinion No. 95 (1989)
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“In view of the compelling interest in disclosing a suicide threat to
authorities, it isbelieved that the better course of action is to free
the attorney from the strict requirementof the Rule 1.6(B)(1), with the
caveat that circumstances should be such as to cause areasonably
prudent attorney to deem the situation to be exigent in nature and of
sufficientgravity to require the attorney in the exercise of his
professional judgment to make such adisclosure, and that the preferable
recipient of such disclosure should be a Court or otherauthorities who
might help prevent it as opposed to family members or other
thirdparties.” (Internal citations omitted).
United States Air Force: AJAG Policy #26, Air Force Rules of Professional Conduct and AirForce Rules for Criminal Justice, Standard 4-3.7 (1998)
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Air Force Rules state that counsel may reveal information to prevent a
client fromattempting suicide or tp assist the Air Force to locate a
client whom authorities believemay attempt suicide.
United States Army: Department of the Army Pamphlet 27-50-227, TJAGSA Practice Notes,Suicide and Confidentiality, 1991 Nov. Army Lawyer 36 (Informal opinion of Lt. Col Holland,JAG)
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It is not clear whether suicide is a crime. However, attempted suicide
may be prosecutedas malingering under the UCMJ if the person sought to
commit suicide to avoid duty. Theintent to commit suicide, arguably,
may so undermine the client's ability to act in her or hisown best
interest that the attorney should take protective action.
Robert D. Fleischner
-
Center for Public Representation
May 2003
Footnote: 1 Withdrawal from the case may also be an option. Withdrawal may have been analternative if the client was competent and was simply refusing to cooperate in his defense. Itseems to be less viable here, however, where the client is not capable to fully participate and noother representation is likely to be available. P&A programs should be cautious about decisionsto withdraw from representation.

