BILL ANALYSIS                                                                                                                                                                                                    �



                                                                      



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          |SENATE RULES COMMITTEE            |                  SB 1134|
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                                 THIRD READING


          Bill No:  SB 1134
          Author:   Yee (D)
          Amended:  5/8/12
          Vote:     21

           
           SENATE JUDICIARY COMMITTEE  :  5-0, 5/1/12
          AYES:  Evans, Harman, Blakeslee, Corbett, Leno


           SUBJECT  :    Persons of unsound mind:  psychotherapist duty 
          to protect

           SOURCE  :     California Association of Marriage and Family 
          Therapists


           DIGEST  :    This bill deletes from the immunity from 
          monetary liability statute concerning a psychotherapist's 
          "duty to warn and protect" of threatened violent behavior 
          of a patient the phrase "duty to warn" thus keeping the 
          term "duty to protect", as specified.

           ANALYSIS  :    Under common law, persons generally owe no 
          duty to control the conduct of another, or to warn anyone 
          endangered by the conduct of another.  An exception to that 
          general rule applies to individuals who have a special 
          relationship to the person whose conduct needs to be 
          controlled or to the foreseeable victim of that conduct.  
          (Tarasoff v. Regents of University of Cal. (1976) 17 Cal.3d 
          425, 435.)  In Tarasoff, the California Supreme Court held 
          that when a psychotherapist "determines, or pursuant to the 
          standards of �the] profession should determine, that 
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          �their] patient presents a serious danger of violence to 
          another, �the psychotherapist] incurs an obligation to use 
          reasonable care to protect the intended victim against such 
          danger."  (17 Cal.3d 425, 431.)  To discharge their duty, 
          psychotherapists may be required to "warn the intended 
          victim or others likely to apprise the victim of the 
          danger, to notify the police, or to take whatever other 
          steps are reasonably necessary under the circumstances."  
          (Id.)  In 1985, AB 1133 (McAlister, Chapter 737, Statutes 
          of 1985) codified both the psychotherapists' duty and one 
          method to discharge that duty.  Specifically, AB 1133 
          stated that a psychotherapist's duty to warn and protect 
          shall be discharged upon "making reasonable efforts to 
          communicate the �patient's] threat to the victim or victims 
          and to a law enforcement agency."  (Civil Code Section 
          43.92.)  AB 733 (Nation, Chapter 136, Statutes of 2006) 
          altered this immunity provision to clarify, by implication, 
          that a psychotherapist may fulfill his or her duty by 
          taking reasonable actions "other" than notifying a 
          potential victim and law enforcement of a patient's 
          threatened violent behavior.  

          This bill seeks to further clarify psychotherapists' duty 
          under the above circumstance by changing the duty referred 
          to by the statute from a "duty to warn and protect" to a 
          "duty to protect." 

           Changes to Existing Law
           
          Existing case law provides that generally "one person 
          owe�s] no duty to control the conduct of another . . . nor 
          to warn those endangered by such conduct ? �C]ourts have 
          carved out an exception to �that] rule in cases in which 
          the defendant stands in some special relationship to either 
          the person whose conduct needs to be controlled or in a 
          relationship to the foreseeable victim of that conduct ?"  
          �Tarasoff v. Regents of University of California (1976) 17 
          Cal.3d 425, 435]

          Existing law states that there shall be no liability on the 
          part of, and no cause of action shall arise against, a 
          psychotherapist for failing to warn of and protect from a 
          patient's threatened violent behavior or failing to predict 
          and warn of and protect from a patient's violent behavior 

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          except where the patient has communicated to the 
          psychotherapist a serious threat of physical violence 
          against a reasonably identifiable victim or victims.  
          (Civil Code (CIV) Section 43.92 (a))

          Existing law provides for immunity from liability if a 
          psychotherapist discharges his/her duty to warn and protect 
          by making reasonable efforts to communicate the threat to 
          the victim(s) and to a law enforcement agency.  (CIV 
          Section 43.92(b))

          This bill removes references to a duty to warn in the above 
          language. 

          This bill states that it is the intent of the Legislature 
          that the amendments made by the act only change the name of 
          the duty referenced in this section (CIV Section 43.92) 
          from a duty to warn and protect to a duty to protect.  
          Nothing in this section shall be construed to be a 
          substantive change, and any duty of a psychotherapist shall 
          not me modified as a result of changing the wording in this 
          section.  This bill states that it is the intent of the 
          Legislature that a court interpret this section in a manner 
          consistent with the interpretation of this section as it 
          read prior to January 1, 2013.

           FISCAL EFFECT  :    Appropriation:  No   Fiscal Com.:  No   
          Local:  No

           SUPPORT  :   (Verified  5/8/12)

          California Association of Marriage and Family Therapists 
          (source)
          California Psychological Association

           ARGUMENTS IN SUPPORT  :    According to the author: 

            In a circumstance where a patient makes a serious threat 
            of physical violence against a reasonably identifiable 
            victim to their therapist, the therapist will have 
            immunity from liability if he or she makes reasonable 
            efforts to communicate the threat to the victim and to a 
            law enforcement agency.  Current law essentially provides 
            a "safe harbor" for therapists that do both of these 

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            things, but it does not require the therapist to take 
            such action.  If the therapist takes action other than 
            notifying the potential victim and law enforcement, they 
            will be held liable if it is proven that the therapist 
            did not make reasonable efforts to protect the victim.  
            Under existing law, the statute that refers to this 
            responsibility (43.92 of the Civil Code) refers to the 
            duty as a "duty to warn and protect."  

            The language in Section 43.92 of the Civil Code that 
            states a psychotherapist's duty as a "duty to warn and 
            protect" is �neither] consistent with the language in the 
            decision in Tarasoff v. University of California nor the 
            language in the CACI jury instructions which both state 
            the duty as a "duty to protect."  This creates 
            unnecessary inconsistency, which can cause confusion and 
            uncertainty to the actual duty of a psychotherapist in 
            such cases. 

            This bill renames the duty of a psychotherapist from a 
            "duty to warn and protect" to a "duty to protect," so 
            that it reflects and conforms with the changes made in 
            2007 to the Judicial Council of California Jury 
            Instructions, Section 503A, which properly renamed the 
            duty to a "duty to protect" and eliminated its prior 
            reference to a "duty to warn."  These changes are 
            consistent with the duty created in the �Tarasoff case].


          RJG:mw  5/9/12   Senate Floor Analyses 

                         SUPPORT/OPPOSITION:  SEE ABOVE

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