                         IN THE NEBRASKA COURT OF APPEALS

               MEMORANDUM OPINION AND JUDGMENT ON APPEAL
                        (Memorandum Web Opinion)

                                    IN RE INTEREST OF T.J.W.


  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 T.J.W., ALLEGED TO BE A DANGEROUS SEX OFFENDER.

                                       T.J.W., APPELLANT,
                                                V.

                  LANCASTER COUNTY BOARD OF MENTAL HEALTH, APPELLEE.


                              Filed April 21, 2020.   No. A-19-812.


       Appeal from the District Court for Lancaster County: JODI L. NELSON, Judge. Affirmed.
       Jonathan Braaten, of Anderson, Creager & Wittstruck, P.C., L.L.O., for appellant.
       Patrick F. Condon, Lancaster County Attorney, and Christopher D. Seifert for appellee.


       MOORE, Chief Judge, and RIEDMANN and ARTERBURN, Judges.
       MOORE, Chief Judge.
                                       INTRODUCTION
        T.J.W. appeals from an order of the Lancaster County District Court affirming the
Lancaster County Mental Health Board’s order finding T.J.W. was a dangerous sex offender and
that there was no less restrictive treatment alternative available for him other than inpatient sex
offender treatment. For the reasons that follow, we affirm.
                                  FACTUAL BACKGROUND
        On September 13, 2018, the Lancaster County Mental Health Board (hereinafter the
Board), following a contested hearing, found T.J.W. to be a mentally ill and dangerous sex offender
and that there was no less restrictive treatment alternative available for him other than inpatient
sex offender treatment with the Nebraska Department of Health and Human Services at the Norfolk



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Regional Center. T.J.W. did not appeal the September 13 order. T.J.W. later requested a review
hearing on March 28, 2019. The review hearing was held before the Board on April 9, 2019. The
following evidence was heard at the review hearing.
        The State called Dr. Jean Liang, who testified telephonically. Dr. Liang is a licensed
psychologist employed at the Norfolk Regional Center. Dr. Liang testified that when T.J.W. was
admitted to the Norfolk Regional Center following the September 13 order, she was assigned to
do T.J.W.’s initial psychological evaluation and develop his treatment plan. Dr. Liang testified that
T.J.W. had several mental health diagnoses including pedophilic disorder, neurodevelopmental
disorder, personality change due to prenatal exposure to alcohol, and several diagnoses attributed
to past physical and sexual abuse. The most recent treatment update for T.J.W. was also received
in evidence. Dr. Liang testified that T.J.W. has been slow to progress in his treatment plan and that
“he obviously hasn’t met the discharge criteria yet.” Further, Dr. Liang noted that T.J.W. had
previously struggled with outpatient treatment. Dr. Liang testified that, based on a reasonable
degree of psychological certainty, T.J.W. remains a risk of harm to others. Specifically, Dr. Liang
opined that T.J.W. remains a dangerous sex offender and continues to have many of the same risk
factors that were present when he was first placed on an inpatient commitment. Dr. Liang further
opined that outpatient treatment would not be adequate to prevent potential harm.
        T.J.W. also testified at the review hearing. T.J.W. believes that he was placed at the Norfolk
Regional Center illegally in the first place and that he is not supposed to be there.
        The Board entered an order on April 9, 2019, finding that there was no less restrictive
alternative treatment than inpatient commitment with NDHHS for inpatient sex offender treatment
at the Norfolk Regional Center. T.J.W. appealed this order. The Lancaster County District Court,
upon de novo review, affirmed the April 9 order from the Board on August 6, 2019. The district
court found T.J.W. to be a dangerous sex offender and that no less restrictive alternative treatment
is available other than inpatient sex offender treatment at the Norfolk Regional Center. T.J.W. now
appeals the August 6 order from the district court.
                                   ASSIGNMENTS OF ERROR
       T.J.W. assigns that the district court erred in upholding the Board’s finding that he is a
dangerous sex offender and that there was no less restrictive alternative than inpatient commitment
with the Nebraska Department of Health and Human Services for inpatient sex offender treatment.
                                    STANDARD OF REVIEW
       The district court reviews the determination of a mental health board de novo on the record.
In re Interest of J.R., 277 Neb. 362, 762 N.W.2d 305 (2009). In reviewing a district court’s
judgment, an appellate court will affirm the judgment unless we find, as a matter of law, that the
judgment is not supported by clear and convincing evidence. Id. Clear and convincing evidence
means the amount of evidence which produces in the trier of fact a firm belief or conviction about
the existence of a fact to be proved and, further, that it is more than a preponderance of the
evidence, but less than proof beyond a reasonable doubt. In re Interest of Justine J. & Sylissa J.,
288 Neb. 607, 849 N.W.2d 509 (2014).




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                                             ANALYSIS
         T.J.W. asserts that the evidence presented at the review hearing was insufficient to prove
that he was a dangerous sex offender and continued to need inpatient treatment. The State bears
the burden to prove by clear and convincing evidence that the individual remains mentally ill and
dangerous. In re Interest of D.I., 281 Neb. 917, 799 N.W.2d 644 (2011). In order for a person to
be considered a dangerous sex offender, the State must prove by clear and convincing evidence
that the person is likely to engage in repeat acts of sexual violence and that he or she is substantially
unable to control his or her criminal behavior. In re Interest of J.R., 277 Neb. 362, 762 N.W.2d
305 (2009).
         The Board first found T.J.W. was a dangerous sex offender on September 13, 2018. T.J.W.
did not appeal this finding. The Board again determined T.J.W. was a dangerous sex offender after
the review hearing on April 9, 2019. At the hearing, the State presented evidence from Dr. Liang,
who opined that ultimately T.J.W. had been slow to progress, had not yet met the qualifications
for discharge, and remained a dangerous sex offender. T.J.W.’s only evidence was his testimony
that he believed that he was being held at the Norfolk Regional Center illegally. He did not offer
any evidence, through expert testimony or otherwise, to show that he is no longer a dangerous sex
offender. The State provided clear and convincing evidence that T.J.W. remains a dangerous sex
offender.
         The State must also prove that neither voluntary hospitalization nor other alternative
treatment less restrictive than inpatient treatment would prevent the individual from harming
himself or others. In re Interest of O.S., 277 Neb. 577, 763 N.W.2d 723 (2009). T.J.W. argues that
the State did not prove that inpatient treatment was necessary. However, Dr. Liang specifically
testified that T.J.W. failed to complete outpatient treatment prior to his commitment at the Norfolk
Regional Center, and that at this time he has not made the necessary progress for discharge. Again,
T.J.W. did not produce any contradictory evidence. Thus, the State satisfied its burden of proving
that there was no other alternative treatment less restrictive than inpatient commitment.
                                           CONCLUSION
        We conclude that the district court did not err in finding clear and convincing evidence to
support the Board’s determination that T.J.W. is a dangerous sex offender and that there was no
less restrictive alternative than inpatient commitment with the Nebraska Department of Health and
Human Services at the Norfolk Regional Center for inpatient sex offender treatment.
                                                                                        AFFIRMED.




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