                          IN THE NEBRASKA COURT OF APPEALS

               MEMORANDUM OPINION AND JUDGMENT ON APPEAL
                        (Memorandum Web Opinion)

                                      IN RE INTEREST OF M.J.


  NOTICE: THIS OPINION IS NOT DESIGNATED FOR PERMANENT PUBLICATION
 AND MAY NOT BE CITED EXCEPT AS PROVIDED BY NEB. CT. R. APP. P. § 2-102(E).


              IN RE INTEREST OF M.J., ALLEGED TO BE A DANGEROUS SEX OFFENDER.

                                         M.J., APPELLANT,
                                                V.

                    LANCASTER COUNTY MENTAL HEALTH BOARD, APPELLEE.


                           Filed December 31, 2019.      No. A-19-367.


       Appeal from the District Court for Lancaster County: SUSAN I. STRONG, Judge. Affirmed.
       Joseph D. Nigro, Lancaster County Public Defender, Kristi Egger, and Ella M. Newell,
Senior Certified Law Student, for appellant.
       Patrick F. Condon, Lancaster County Attorney, and Christopher D. Seifert, for appellee.


       PIRTLE, RIEDMANN, and WELCH, Judges.
       PIRTLE, Judge.
                                       I. INTRODUCTION
         M.J. appeals from an order entered by the district court for Lancaster County affirming a
finding by the Lancaster County Mental Health Board (Board) that he is a dangerous sex offender
in need of involuntary inpatient treatment pursuant to the Nebraska Sex Offender Commitment
Act (SOCA). Neb. Rev. Stat. § 71-1201 et seq. (Reissue 2018). We affirm the decision of the
district court.
                                       II. BACKGROUND
       On June 18, 2018, the State filed a petition before the Board alleging M.J. suffers from a
mental illness making him likely to engage in repeated acts of sexual violence. The petition further



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alleges that because M.J. is a convicted sex offender and is substantially unable to control his
criminal behavior, the least restrictive treatment alternative upon his release from prison is a
Board-ordered hospitalization. In support of the petition the State submitted a sworn affidavit from
Agnes Stairs, Ph.D., a licensed psychologist employed by the Nebraska Department of Corrections
and experienced in performing sex offender assessments.
        The parties presented evidence to the Board during two hearings held on August 2 and 21,
2018. As a preliminary matter, M.J. objected to the appointment of the Lancaster County Public
Defender as counsel because he believed the fact the office had represented him in his criminal
cases created a conflict of interest. The Board chair inquired of M.J., and it became clear the
“conflict” with the public defender’s office was M.J.’s conclusion that he had received ineffective
assistance of counsel. The Board chair asked the public defender if her office had done any
“conflict checks,” and the public defender indicated the office had followed its ordinary procedure
and “found none.” The Board chair ultimately concluded M.J. was “unhappy with the result” of
his prior criminal matters and was unwilling to characterize the situation as a “conflict of interest.”
The Board agreed M.J. could represent himself, but the public defender was ordered to sit next to
M.J. and serve as standby counsel. The record is clear M.J. relied on the public defender for advice
and the presentation of evidence from the outset. There is no indication in the record that M.J.
objected to the public defender’s management of the case, nor is there any presentation of anything
by M.J.
        On August 21, 2018, the Board concluded there was clear and convincing evidence to
support the allegations in the State’s petition. The Board issued an order committing M.J. to
involuntary hospitalization with the Nebraska Department of Health and Human Services (DHHS)
for sex offender treatment. On September 6, M.J. timely appealed the Board’s order. The district
court affirmed the Board’s order on March 18, 2019. M.J. then appealed the court’s order to this
court on April 15.
        During the hearing before the Board, the State’s only witness was Stairs. In the course of
her employment with the Department of Corrections since 2010, Stairs has conducted “over 100
sex offender evaluations under the SOCA” and she has testified “at least three times” as an expert
witness. Stairs testified M.J.’s conviction history subjected him to mandatory evaluation under
SOCA to determine whether he met the definition of “dangerous sex offender.” M.J. refused to
participate in the evaluation because he continued to maintain his innocence of the crime charged
in October 1996, first degree sexual assault of a child. M.J. was sentenced to 25 to 40 years’
imprisonment for this crime on April 2, 1997, and this was the sentence he was serving at the time
of Stairs’ SOCA evaluation.
        In proceeding without him, Stairs reviewed M.J.’s conviction history, his prior
psychological reports, and Department of Corrections’ classification studies. In 1978, M.J. was
convicted of second degree sexual assault while putting a broken bottle or knife to the throat of a
16-year-old male. In 1979, M.J. was convicted of first degree forcible sexual assault on a child
after threatening to stab or shoot his 14-year-old male victim. M.J.’s 1996 conviction involved
digital penetration of a 13-year-old female. During M.J.’s most recent incarceration, he received a
misconduct report for masturbating to pornography in his cell. And over the course of his most




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recent sentence, M.J. was found guilty of 63 additional misconduct charges for various rule
violations.
         Stairs then described the assessment tools typically used in SOCA evaluations which were
also used in this instance. The Static 99-R test measures risk of sexual recidivism among sex
offenders and looks at age, romantic history, prior violent history, victim characteristics, including
whether the victim is related to the perpetrator or not, whether the victim was male, and whether
he had only known the perpetrator for 24 hours. The Static 99-R produced a score of seven placing
M.J. in the “well above average” category, or “twice the risk of re-offense as the average sex
offender” within 5 years of release. Stairs testified if she factored in his age at the time of the Board
hearing, he would score a five, which still places him in the “well above average category” for risk
to reoffend. M.J. was 60 years old at the time of the Board hearing. When Stairs first started her
evaluation, she used his current age of 59 because that was his age when he was parole eligible
and is the preferred measure.
         Stairs also used the Psychopathy Checklist-Revised to assess personality traits like
impulsivity, irresponsible or criminal lifestyle, lack of remorse, lack of empathy, manipulative
behavior, and lying. Stairs testified M.J. scored a 27.5 out of 40 on the Psychopathy
Checklist-Revised which indicates “possible psychopathy or antisocial personality disorder.”
         In utilizing the Violence Risk Appraisal Guide-Revised (VRAG-R), Stairs was analyzing
the risk of violent recidivism based on a review of M.J.’s file. This tool considers criminal history,
age at the time of conviction of the current offense, childhood behaviors like conduct disorder,
substance use, and number of jail admissions. In reviewing the results, Stairs concluded M.J. fell
into the “very highest level of risk for an overall violent re-offense” with a score of 38.3. The
Stable-2007 test was not used in M.J.’s case because of his refusal to participate in an interview
with Stairs.
         When asked if she was able to make a diagnosis of M.J. based on a reasonable degree of
psychological certainty, Stairs testified in the affirmative and advised the Board that M.J. met the
criteria for antisocial personality disorder. Typical of this disorder are “deviant sexual interests”
which are a “big predictor of recidivism and re-offense.” Stairs testified it was her professional
opinion that if M.J. were “released today,” he would pose a threat to the community based on his
diagnosis, the presence of significant levels of traits associated with psychopathy, and the actual
assessments placing him in the highest risk group for violent reoffense. Stairs concluded it was her
professional opinion that M.J. met the definition of dangerous sex offender pursuant to Neb. Rev.
Stat. § 83-174.01 (Reissue 2014). As a result of this judgment, Stairs testified to a reasonable
degree of psychological certainty that the least restrictive treatment option for M.J. was an
inpatient program and “anything less would be insufficient to prevent harm” to the community.
         M.J. testified he had “successfully completed” sex offender treatment at the Lincoln
Regional Center from 1980 through 1983 during an earlier incarceration. Stairs testified M.J. was
discharged from treatment in 1983 “without really participating” after reaching “maximum
benefit.” M.J. indicated he would be willing to undergo sex offender treatment on an outpatient
basis if he was released into the community even though he had not made any arrangements to
locate a program at the time of his Board hearing.




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        M.J. offered a copy of an email from Victoria Nicholas, a Unit Case Manager from the
Omaha Correctional Center, characterizing M.J. as a model inmate, although he is “anti mental
health and he doesn’t believe he has done anything wrong.” Nicholas acknowledges housing unit
staff have expressed concerns about M.J. pressuring younger inmates for sex but she does not
“remember substantial evidence” to support those allegations. Nicholas says she admires M.J. for
the pride he seems to take in keeping his housing unit clean and appreciates his efforts in helping
other inmates with their chores. Nicholas was not available to appear before the Board in person.
        At the conclusion of the hearing, the Board found that there was clear and convincing
evidence to support the allegations in the State’s petition, that M.J. was a dangerous sex offender
likely to engage in repeat acts of sexual violence, and that the least restrictive alternative was an
inpatient commitment with DHHS.
                                 III. ASSIGNMENTS OF ERROR
        M.J. assigns as error: (1) there was insufficient evidence for the Board to find he was a
dangerous sex offender in need of inpatient treatment and the court erred in upholding the Board’s
findings, (2) the evaluations by Stairs were untimely and the court erred in affirming the Board’s
conclusions, (3) the Board did not have subject matter jurisdiction over the matter and the court
erred in confirming the Board’s findings, (4) the Board erred when it ruled there was no conflict
of interest in the public defender’s representation of him and the court erred in affirming the
Board’s findings, and (5) the Board erred when it admitted inadmissible evidence and the court
sustained the Board’s decisions.
                                  IV. STANDARD OF REVIEW
        The subject of a petition, or the county attorney, may appeal a treatment order of the mental
health board under § 71-1209 to the district court for de novo review on the record. § 71-1214.
And in reviewing a district court’s judgment under SOCA, an appellate court will affirm unless it
finds, as a matter of law, that clear and convincing evidence does not support the judgment. See
In re Interest of D.V., 277 Neb. 586, 763 N.W. 717 (2009).
                                           V. ANALYSIS
                                    1. SUFFICIENCY OF EVIDENCE
       Pursuant to SOCA, the State
       has the burden to prove by clear and convincing evidence that (a) the subject is a dangerous
       sex offender and (b) neither voluntary hospitalization nor other treatment alternatives less
       restrictive of the subject’s liberty than inpatient or outpatient treatment ordered by the
       mental health board are available or would suffice to prevent the harm described in
       subdivision (1) of section 83-174.01.

§ 71-1209. Clear and convincing evidence means that amount of evidence which produces in the
trier of fact a firm belief or conviction about the existence of a fact to be proved. State v. Johnson,
287 Neb. 190, 842 N.W.2d 63 (2014).




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                                (a) M.J. Is Dangerous Sex Offender
       A dangerous sex offender is defined as
       (a) a person who suffers from a mental illness which makes the person likely to engage in
       repeat acts of sexual violence, who has been convicted of one or more sex offenses, and
       who is substantially unable to control his or her criminal behavior or (b) a person with a
       personality disorder which makes the person likely to engage in repeat acts of sexual
       violence, who has been convicted of two or more sex offenses, and who is substantially
       unable to control his or her criminal behavior.

§ 83-174.01(1).
                               (i) M.J. Has “Personality Disorder”
        Stairs diagnosed M.J. with antisocial personality disorder, which describes “deviant sexual
interests” and “is a big predictor of recidivism and re-offense.” M.J. did not refute this testimony,
and therefore, the State provided clear and convincing evidence that M.J. suffers from a personality
disorder making him likely to engage in repeat acts of sexual violence.
                                   (ii) M.J. Is Likely to Reoffend
        Stairs testified that M.J.’s personality disorder makes him likely to engage in repeat acts of
sexual violence and that he poses a risk to the community if he were released without treatment.
Stairs’ evaluation of M.J. revealed “twice the risk of re-offense as the average sex offender” within
5 years of release. Since “deviant sexual interests” are typical of M.J.’s personality disorder and
such interests are a “big predictor of recidivism and re-offense,” the evidence of the risk of
reoffending is clear and convincing. M.J. did not present any evidence clearly establishing
otherwise.
                   (iii) M.J. Has Been Convicted of Two or More Sex Offenses
       M.J. was convicted of a sex offense against a 16-year-old white male in 1978. This crime
involved threats made with a broken bottle or knife placed against the victim’s neck. In 1980, M.J.
was convicted of first degree sexual assault on a child when he threatened to stab or shoot his
14-year-old white male victim. And even though M.J. maintains his innocence and has since 1996,
a jury found him guilty of first degree sexual assault of a child for digitally penetrating a
13-year-old female. The evidence is clear and convincing that M.J. has been convicted of “two or
more sex offenses” over the span of 20 years.
                            (iv) M.J. Is Unable to Control His Behavior
       Stairs testified that the VRAG-R scored M.J. “in the highest or most-riskiest category in
terms of risk for violent re-offense.” And the Static-99-R assessment scored M.J. at a seven (based
on age 59) or five (based on age 60) which, either way, puts him in the well-above-average risk
category to reoffend. In In re Interest of D.I., 281 Neb. 917, 799 N.W.2d 664 (2011), the Nebraska
Supreme Court affirmed a Board’s decision that the committed individual remained a dangerous
sex offender 5 years later where the Static 99-R score was medium to high risk to reoffend.




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Utilizing the same instrument in this case, Stairs concluded M.J. was in “the highest, most riskiest
category to reoffend,” which we believe is clear and convincing evidence that M.J. is unable to
control his behavior. M.J. did not present any evidence refuting Stairs’ expert testimony.
        In our judgment, the expert testimony was sufficient to establish by clear and convincing
evidence that M.J. meets the statutory definition of a dangerous sex offender. M.J. did not present
any evidence shaking our belief that he was in “the most riskiest category” of offenders to reoffend
as to any element of the statutory definition.
                     (b) Involuntary Inpatient Treatment Is Least Restrictive
         The second factor that the State was required to prove is that neither voluntary
hospitalization nor other treatment alternatives less restrictive than inpatient treatment would
suffice to prevent the harm described in § 83-174.01(1). Stairs testified to a reasonable degree of
psychological certainty that anything less that inpatient treatment would not be sufficient to protect
the community from the risk of harm. M.J. testified he would comply with treatment in the
community, but he acknowledged he had not located a program.
         M.J. relies on In re Interest of O.S., 277 Neb. 577, 763 N.W.2d 723 (2009), for the
proposition that expert testimony which only established dangerousness was insufficient for the
Board to order an involuntary commitment. M.J. argues Stairs’ failure to conduct a personal
interview as part of her evaluation results in the same insufficiency with regard to commitment
since all she did was review documents dating back to the 1970’s.
         M.J. cannot have it both ways. M.J. refused to speak with Stairs. Nevertheless, Stairs
concluded to a reasonable degree of psychological certainty that inpatient commitment is the least
restrictive alternative for M.J. based on her document review, the assessment tools, M.J.’s ongoing
denial of responsibility for the 1996 crime, and the fact that he never completed a treatment
program. We believe the evidence is clear and convincing that an inpatient commitment is the least
restrictive alternative in this case. See In re Interest of D.I., supra (court held Board did not err
when it determined that no less restrictive alternative to involuntary inpatient treatment was
available where D.I. had not cooperated in completing treatment and continued to claim he had
done nothing wrong).
                                     2. UNTIMELY EVALUATION
        M.J. asserts the State violated Neb. Rev. Stat. § 83-174.02 (Cum. Supp. 2018) by failing to
determine whether he was a dangerous sex offender 180 days prior to his scheduled release, and
further, by failing to provide him notice of the results within 150 days. Neb. Rev. Stat. § 83-174.02
provides:
                 (1) The Department of Correctional Services shall order an evaluation of the
        following individuals by a mental health professional to determine whether or not the
        individual is a dangerous sex offender:
                 (a) Individuals who have been convicted of (i) sexual assault of a child in the first
        degree pursuant to section 28-319.01 or (ii) sexual assault in the first degree pursuant to
        section 28-319;




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               (b) Individuals who have been convicted of two or more offenses requiring
       registration as a sex offender under section 29-4003 if one of the convictions was for any
       of the following offenses: (i) Kidnapping of a minor pursuant to section 28-313, except
       when the person is the parent of the minor and was not convicted of any other offense; (ii)
       sexual assault in the first degree pursuant to section 28-319 or sexual assault in the second
       degree pursuant to section 28-320; (iii) sexual assault of a child pursuant to section
       28-320.01; (iv) sexual assault of a child in the first degree pursuant to section 28-319.01;
       (v) sexual assault of a child in the second or third degree pursuant to section 28-320.01;
       (vi) sexual assault of a vulnerable adult or senior adult pursuant to subdivision (1)(c) of
       section 28-386; (vii) incest of a minor pursuant to section 28-703; (viii) visual depiction of
       sexually explicit conduct of a child pursuant to section 28-1463.03; or (ix) any offense that
       is substantially equivalent to an offense listed in this section by any state, territory,
       commonwealth, or other jurisdiction of the United States, by the United States
       Government, or by court-martial or other military tribunal, notwithstanding a procedure
       comparable in effect to that described in section 29-2264 or any other procedure to nullify
       a conviction other than by pardon;
               (c) Individuals convicted of a sex offense against a minor who have refused to
       participate in or failed to successfully complete the sex offender treatment program offered
       by the Department of Correctional Services or the Department of Health and Human
       Services during the term of incarceration. The failure to successfully complete a treatment
       program due to time constraints or the unavailability of treatment programming shall not
       constitute a refusal to participate in treatment; and
               (d) Individuals convicted of failure to comply with the registration requirements of
       the Sex Offender Registration Act who have previously been convicted for failure to
       comply with the registration requirements of the act or a similar registration requirement
       in another state.
               (2) The evaluation required by this section shall be ordered at least one hundred
       eighty days before the scheduled release of the individual. Upon completion of the
       evaluation, and not later than one hundred fifty days prior to the scheduled release of the
       individual, the department shall send written notice to the Attorney General, the county
       attorney of the county where the offender is incarcerated, and the prosecuting county
       attorney. The notice shall contain an affidavit of the mental health professional describing
       his or her findings with respect to whether or not the individual is a dangerous sex offender.

As a result of these failures, M.J. argues the Board was wrong to consider Stairs’ evaluation.
       The Supreme Court has considered the meaning of § 83-174.02 and has concluded:
                The time periods mentioned in § 83-174.02(2) designate when DCS shall provide
       information to prosecutors, but the statute does not prescribe any type of notice to the
       offender. We conclude that § 83-174.02 provides a mechanism for identifying potentially
       dangerous sex offenders prior to their release from incarceration and for notifying
       prosecuting authorities so that they will have adequate time to determine whether to file a
       petition under SOCA before the offender’s release date. But the statute does not create any



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       substantive or procedural rights in the offender who is the subject of the mental health
       evaluation.

In re Interest of D.H., 281 Neb. 554, 561, 797 N.W.2d 263, 269 (2011). The statute does not pertain
to Board proceedings and does not restrict a Board’s consideration of evaluations, even if they
were not provided to county attorneys within the required time frames. We note M.J.’s
disagreement with In re Interest of D.H., supra, but this court is bound by the decisions of the
Nebraska Supreme Court. As a result, this argument fails.
                                      3. LACK OF JURISDICTION
          M.J. argues the Board lacked jurisdiction over the matter because the criminal information
filed against him on September 3, 1996, was not filed 24 hours prior to his arraignment as required
by Neb. Rev. Stat. § 29-424 (Reissue 2016). M.J. does not explain how this fact divests the Board
of any authority over him.
          Nebraska statutes give each presiding judge in each judicial district the authority to create
mental health boards and empowers the board to carry out its duties. Neb. Rev. Stat. § 71-915
(Reissue 2018). “Mental health board proceedings shall be deemed to have commenced upon the
. . . filing of a petition under section 71-1205.” § 71-1206. The petition in this case was filed by
the Lancaster County Attorney on June 26, 2018, pursuant to the provisions of the SOCA, and
alleged that M.J. is a mentally ill and dangerous sex offender, unable to control his behavior, for
whom involuntary inpatient treatment is required. Since the petition against M.J. made allegations
within the purview of the Board and was properly filed, the Board had jurisdiction over the matter
and over M.J.
                                      4. CONFLICT OF INTEREST
         M.J. alleges the Board erred in allowing the Lancaster County Public Defender to represent
him because he claims the office failed to protect his interests in the “1996 matter.” The Board
told M.J. it did not have the ability to appoint alternative counsel for him because the public
defender had been appointed by the district court. The Board did allow M.J. to represent himself
but, in addition, the public defender was also appointed standby counsel. Within minutes of the
start of the hearing M.J. deferred without objection to the public defender presenting the case. M.J.
did not contribute to the presentation of any evidence or make any objections, and he did not appear
to have any control over the case. There is no evidence in the record that the public defender’s
management of the case was in violation of M.J.’s wishes or without his consent. Before the
hearing had progressed beyond three pages of typed transcript, the public defender had asked leave
to voir dire the expert witness, which was granted, without any comment by M.J. See State v.
Green, 238 Neb. 328, 470 N.W.2d 736 (1991) (standby counsel should be available to take over
representation if termination of self-representation is necessary). Additionally, the public defender
represented M.J. in proceedings before both the district court and this court. If a conflict existed,
and we see no evidence of any, M.J. effectively waived any opportunity to raise this issue as error
since he appeared to delegate his representation to the public defender.




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                                     5. INADMISSIBLE EVIDENCE
       On appeal, M.J. complains that the admission of his prior convictions was error because
they happened more than 10 years ago and therefore were not recent enough to have any
evidentiary value. M.J. did not raise this issue before the district court nor did the district court
consider the question. Therefore, we will not consider it here. See State v. Feiling, 255 Neb. 427,
585 N.W.2d 456 (1998) (in reviewing decisions of district court, higher appellate court will only
consider errors specifically assigned in appeal to district court and again assigned as error in appeal
to higher appellate court).
                                        VI. CONCLUSION
       For the foregoing reasons, we affirm the order of the district court.
                                                                                           AFFIRMED.




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