Acting under 18 U.S. C. §§ 4244-4248, a Federal District Court
held a hearing on the sanity of petitioner, who had been indicted
for robbery of a post office and felonious assault on a postal
employee and had been found by authorities of a medical center for
federal prisoners to be insane and unlikely to recover in the near
future. After considering conflicting testimony and reports of
psychiatrists, the Court found that petitioner was insane and so
mentally incompetent that he could not stand trial; that, if
released, he probably would endanger the safety of the officers,
property, or other interests of the United States; and that no
suitable arrangements for his custody and care, other than
commitment to the custody of the Attorney General, were available.
The Court therefore committed petitioner to the custody of the
Attorney General until his sanity should be restored or his mental
condition so improved that, if released, he would not endanger the
safety of the officers, property, or other interests of the United
States, or until suitable arrangements could be made for his
custody and care by the State of his residence.
Held: the District Court's action is sustained. Pp.
350 U. S.
367-376.
(a) The statute deals not only with problems of temporary mental
disorder, but also with mental disability which seems more than
temporary. Pp.
350 U. S.
373-374.
(b) As here construed, the statute is within the power of
Congress under the Necessary and Proper Clause, Art. I, § 8, cl.
18. Pp.
350 U. S.
375-376.
219 F.2d 376 affirmed.
Page 350 U. S. 367
MR. JUSTICE FRANKFURTER delivered the opinion of the Court.
This case involves the construction and constitutional validity
of the Act of September 7, 1949, 63 Stat. 686, now codified in 18
U.S.C. §§ 4244-4248,
"To provide for the care and custody of insane persons charged
with or convicted of offenses against the United States, and for
other purposes."
Section 4244 provides a procedure for determining mental
incompetency during the period "after arrest and prior to the
imposition of sentence or prior to the expiration of any period of
probation." [
Footnote 1]
Section 4245 sets up a similar procedure for persons in prison
believed to have been mentally incompetent at the time of their
trial when the issue was not raised or determined before or during
trial. Section 4246 states that, whenever the trial court shall
determine, under §§ 4244 and 4245, that an accused
Page 350 U. S. 368
is or was mentally incompetent, the court may commit the accused
to the custody of the Attorney General until the accused is
mentally competent to stand trial or until the pending charges
against him are disposed of according to law. Section 4246 further
provides that, if the court, after hearing as provided in the
preceding §§ 4244 and 4245, finds that the conditions specified in
§ 4247 exist, the commitment shall be governed by § 4248. [
Footnote 2] Section 4247 states that,
when a prisoner's sentence is about to expire and the prison board
of examiners finds him insane and a probable danger to the
officers, property, or other interests of the United States, then
the court shall hold a hearing, and, if it determines that those
conditions exist, it may commit the prisoner to the custody of the
Attorney General. [
Footnote 3]
Under § 4248, the
Page 350 U. S. 369
commitment shall run until sanity is restored, or until the
prisoner's condition is so improved that he will not endanger the
officers, property, or other interests of the United States, or
until suitable arrangements are made for the care of the prisoner
by his State of residence -- reserving to the prisoner his right to
establish his eligibility to release by writ of habeas corpus.
[
Footnote 4]
Petitioner, a resident of Cleveland, Ohio, was indicted on
November 20, 1952, by a grand jury of the Western District of
Missouri on two counts, for robbery from a United States Post
Office in Kansas City, Missouri, and for felonious assault there on
a postal employee. Under Rule 20 of the Federal Rules of Criminal
Procedure, petitioner signed a waiver of trial in the Western
District of Missouri and was transferred to the Eastern Division of
the Northern District of Ohio. Acting on the suggestion of
appointed counsel, the district judge ordered petitioner examined
by a psychiatrist. After a hearing in which the examining
psychiatrist testified that it was doubtful that petitioner,
because of his mental condition, could have fully understood the
significance of the waiver he signed, the District Court, on
February 2, 1953, remanded
Page 350 U. S. 370
the case to the District Court for the Western District of
Missouri for disposition.
That court ordered the accused delivered to the United States
Medical Center for Federal Prisoners at Springfield, Missouri, for
the purpose of ascertaining his mental condition. On April 15,
1953, the Chief of the Psychiatric Service at the Medical Center
filed his report concluding that the accused was legally insane in
that he was unable to choose between right and wrong and could not,
by reason of his mental condition, adequately cooperate with
counsel in his own defense.
Petitioner was then transferred to jail, but, on November 16,
1953, the District Court entered an order returning him to the
Medical Center for determination whether he was acutely or
chronically insane. The report of the Neuropsychiatric Staff of the
Medical Center, filed February 1, 1954, indicated that petitioner
was "psychotic and incompetent," that "it is unlikely that this
subject will regain his sanity in the near future," and recommended
that "consideration be given to transferring this subject to a
state hospital in his state of residence." The District Court, on
the following day, ordered a further hearing under § 4246 to
"resolve the power to commit defendant as mentally defective under
the conditions specified in Section 4247. . . ," and, for that
purpose, requested the Director and Board of Examiners of the
Medical Center to certify whether, in their judgment, the
defendant, if released, would
"probably endanger the safety of the officers, the property, or
other interests of the United States, and that suitable
arrangements for the custody and care of the [defendant] are not
otherwise available."
The report of the Board, dated February 4, 1954, concluded that
the accused remained "psychotic and incompetent," and stated
that,
"at the present time, there appears to be little likelihood of
his recovering to the extent that he might be considered competent
in the
Page 350 U. S. 371
near future."
In reply to the request of the District Court,
"[t]he Board agreed that this subject might be considered
potentially dangerous to the extent that if released he might
conceivably persist in criminal activities of the type with which
he is presently charged. In considering this man's mental illness,
the Board finds that he does not hold any fixed delusions
concerning wanting to harm any person or group of persons, either
officials of the government or otherwise, so that, in this respect,
he probably would not constitute a danger to the safety of
officers, property, or other interests of the United States. . . .
The Board further recommends that this subject be considered a
suitable candidate for state hospital care if suitable arrangements
can be made."
In May, 1954, petitioner was transferred to the custody of the
State of Ohio, where he was again examined by the psychiatrist who
had made the examination when petitioner was transferred to the
District Court for the Northern District of Ohio in 1952. This
time, the psychiatrist found that petitioner "is now in a state of
remission equivalent to a recovery. He is not now insane in the
legal sense." Petitioner was then released by the Ohio
authorities.
Petitioner was rearrested in Ohio under the original indictment,
which was still pending, and, on June 16, 1954, removed to the
Western District of Missouri. On June 18, counsel appointed for
petitioner moved the court to appoint at least one qualified
psychiatrist to inquire into petitioner's mental competency and to
hold a hearing for that purpose. Two psychiatrists were appointed,
and were directed to report to the court. Petitioner was also
recommitted to the United States Medical Center for Federal
Prisoners at Springfield, Missouri, for further examination.
The hearing on petitioner's sanity was held on July 15. The two
psychiatrists appointed by the court testified
Page 350 U. S. 372
that, in their belief, petitioner was sane. The first three
reports of the Medical Center were received in evidence, along with
a fourth, a report of the Neuropsychiatric Staff of the Medical
Center at Springfield, dated July 8, 1954. This latest report
concluded
"that the subject remains legally insane by reason of a major
mental disorder which would prevent him from having a proper
understanding of the proceeding pending against him and which also
impairs his ability to properly assist in his own defense."
The staff further concluded
"that this subject's prognosis for recovery appears to be poor,
and that he will probably require indefinite hospitalization to
insure his own safety and that of society. The staff does not
consider the subject to be potentially dangerous except to the
extent that, if released, he might persist in engaging in criminal
activities similar to those with which he is presently
charged."
The Chief of the Psychiatric Service at the Medical Center
testified at this hearing to the same effect.
The District Court, in its order of July 30, found that the
accused was insane and so mentally incompetent that he could not
stand trial; that, if released, he would probably endanger the
safety of the officers, property, or other interests of the United
States; and that no suitable arrangements for custody and care,
other than commitment to the custody of the Attorney General, were
available. Petitioner was therefore committed to the custody of the
Attorney General until his sanity should be restored or his mental
condition so improved that, if released, he would not endanger the
safety of the officers, property, or other interests of the United
States or until suitable arrangements could be made for the custody
and care of defendant by Ohio, the State of his residence. 125 F.
Supp. 777, 778. Petitioner appealed from this judgment, and the
Court of Appeals for the Eighth Circuit, its seven circuit judges
sitting en banc, affirmed, one judge dissenting.
Page 350 U. S. 373
219 F.2d 376. Because of the important issue of federal power
raised by the case, and because of conflicting views in the Courts
of Appeals,
compare Higgins v. United States, 205 F.2d
650,
and Wells v. Attorney General, 201 F.2d 556,
with the decision of the Court of Appeals for the Eighth
Circuit in this case, we granted certiorari. 350 U.S. 821.
A detailed history of the legislation is set forth in the
opinion of the Court of Appeals. 219 F.2d at 380-384. It is
sufficient to note here that the bill was proposed by the Judicial
Conference of the United States after long study by a conspicuously
able committee, followed by consultation with federal district and
circuit judges.
The statute deals comprehensively with those persons charged
with federal crime who are insane or mentally incompetent to stand
trial. It provides a procedure for determination of such insanity
or mental incompetence, and further provides for commitment of
those found to be insane or mentally incompetent. Petitioner's
assertion that the statute deals only with the problem of temporary
mental disorder is not supported by the language of the statute,
and the report of the Committee of the Judicial Conference clearly
indicates that the statute was designed to deal with mental
disability which seems more than temporary:
"If the accused's mental disability appears not to be a
transitory condition, but in all likelihood he will, because of his
insanity, never be brought to trial, it would seem that as a
general rule the federal government should not assume
responsibility for his hospitalization merely because he has been
accused (but not convicted) of a federal crime. Normally such a
person should be turned over to the state of his domicile to be
confined in a state mental hospital if hospitalization is called
for. "
Page 350 U. S. 374
"But there may be cases where the accused's domicile cannot be
satisfactorily established, and where no state will assume
responsibility for his care. The federal government may then be
faced with the practical situation that it has lawful custody of a
person whom it is not safe to let at large. In a recent case in the
District of Massachusetts,
United States v. Torrez
[unreported], a Filipino was brought into the district and indicted
for murder on the high seas. After notice of hearing at which
alienists for the government and for the defendant testified, the
judge found that the defendant was at present insane, and unable
rationally to aid in the conduct of his defense. Obviously, in such
case, there should be authority in the court to cause the
confinement of the accused in a mental hospital."
The District Court pursued the appropriate procedure in holding
a hearing to determine the existence of the conditions specified in
§ 4247 once it determined that the accused's mental incompetence
seemed more than temporary. Although the language of the statute
and the report of the Committee of the Judicial Conference
demonstrate that the statute deals generally with the situations
both of temporary and more than temporary insanity, one could infer
from the reports on the bill by the Committee, by the Judicial
Conference itself, and by the committees of both Houses of Congress
that the specific commitment under § 4248 was designed only for
prisoners whose sentences are about to expire. But this is a case
for applying the canon of construction of the wag who said, when
the legislative history is doubtful, go to the statute. The second
sentence of § 4246 clearly makes commitment under § 4248 applicable
to persons found mentally incompetent under § 4244 who meet the
conditions specified in § 4247.
Page 350 U. S. 375
We reach then the narrow constitutional issue raised by the
order of commitment in the circumstances of this case. The
petitioner came legally into the custody of the United States. The
power that put him into such custody -- the power to prosecute for
federal offenses -- is not exhausted. Its assertion in the form of
the pending indictment persists. The District Court has found that
the accused is mentally incompetent to stand trial at the present
time, and that, if released, he would probably endanger the
officers, property, or other interests of the United States -- and
these findings are adequately supported. In these circumstances,
the District Court has entered an order retaining and restraining
petitioner, while in his present condition, with habeas corpus
always available when circumstances warrant. This commitment, and
therefore the legislation authorizing commitment in the context of
this case, involve an assertion of authority, duly guarded,
auxiliary to incontestable national power. As such, it is plainly
within congressional power under the Necessary and Proper Clause.
Art. I, § 8, cl. 18.
The fact that, at present, there may be little likelihood of
recovery does not defeat federal power to make this initial
commitment of the petitioner. We cannot say that federal authority
to prosecute has now been irretrievably frustrated. The record
shows that two court-appointed psychiatrists found petitioner sane
and competent for trial. While the District Court did not accept
their conclusion, their testimony illustrates the uncertainty of
diagnosis in this field and the tentativeness of professional
judgment. The only certain thing that can be said about the present
state of knowledge and therapy regarding mental disease is that
science has not reached finality of judgment, even about a
situation as unpromising as petitioner's, at least as indicated by
the report of the United States Medical Center at Springfield.
Page 350 U. S. 376
Certainly, denial of constitutional power of commitment to
Congress in dealing with a situation like this ought not to rest on
dogmatic adherence to one view or another on controversial
psychiatric issues.
We decide no more than the situation before us presents, and
equally do not imply an opinion on situations not now before us.
The judgment of the Court of Appeals is
Affirmed.
MR. JUSTICE HARLAN took no part in the consideration or decision
of this case.
[
Footnote 1]
Sec. 4244:
"Whenever, after arrest and prior to the imposition of sentence
or prior to the expiration of any period of probation, the United
States Attorney has reasonable cause to believe that a person
charged with an offense against the United States may be presently
insane or otherwise so mentally incompetent as to be unable to
understand the proceedings against him or properly to assist in his
own defense, he shall file a motion for a judicial determination of
such mental competency of the accused, setting forth the ground for
such belief with the trial court in which proceedings are pending.
Upon such a motion or upon a similar motion in behalf of the
accused, or upon its own motion, the court shall cause the accused
. . . to be examined as to his mental condition by at least one
qualified psychiatrist, who shall report to the court. For the
purpose of the examination, the court may order the accused
committed for such reasonable period as the court may determine to
a suitable hospital or other facility to be designated by the
court. If the report of the psychiatrist indicates a state of
present insanity or such mental incompetency in the accused, the
court shall hold a hearing, upon due notice, at which evidence as
to the mental condition of the accused may be submitted, including
that of the reporting psychiatrist, and make a finding with respect
thereto. . . ."
[
Footnote 2]
Sec. 4246:
"Whenever the trial court shall determine, in accordance with
sections 4244 and 4245, . . . that an accused is or was mentally
incompetent, the court may commit the accused to the custody of the
Attorney General or his authorized representative until the accused
shall be mentally competent to stand trial or until the pending
charges against him are disposed of according to law. And if the
court, after hearing as provided in the preceding sections 4244 and
4245, shall determine that the conditions specified in the
following section 4247 exist, the commitment shall be governed by
section 4248, as herein provided."
[
Footnote 3]
Sec. 4247:
"Whenever the Director of the Bureau of Prisons shall certify
that a prisoner whose sentence is about to expire has been examined
by the board of examiners referred to in . . . section 4241, and
that, in the judgment of the Director and the board of examiners,
the prisoner is insane or mentally incompetent, and that, if
released, he will probably endanger the safety of the officers, the
property, or other interests of the United States, and that
suitable arrangements for the custody and care of the prisoner are
not otherwise available, the Attorney General shall transmit the
certificate to the clerk of the court for the district in which the
prisoner is confined. . . . If, upon such hearing, the court shall
determine that the conditions specified above exist, the court may
commit the prisoner to the custody of the Attorney General or his
authorized representative."
[
Footnote 4]
Sec. 4248:
"Whenever a person shall be committed pursuant to section 4247 .
. . , his commitment shall run until the sanity or mental
competency of the person shall be restored or until the mental
condition of the person is so improved that, if he be released, he
will not endanger the safety of the officers, the property, or
other interests of the United States, or until suitable
arrangements have been made for the custody and care of the
prisoner by the State of his residence, whichever event shall first
occur. . . .
Provided, however, That nothing herein
contained shall preclude a prisoner committed under the authority
of section 4247 hereof from establishing his eligibility for
release under the provisions of this section by a writ of habeas
corpus. The Attorney General or his authorized representative shall
have authority at any time to transfer a prisoner committed to his
custody under the authority of section 4246 or section 4247 hereof
to the proper authorities of the State of his residence."