Filed 8/22/14 P. v. Rosalinda C. CA1/1
                      NOT TO BE PUBLISHED IN OFFICIAL REPORTS
California Rules of Court, rule 8.1115(a), prohibits courts and parties from citing or relying on opinions not certified for
publication or ordered published, except as specified by rule 8.1115(b). This opinion has not been certified for publication
or ordered published for purposes of rule 8.1115.


              IN THE COURT OF APPEAL OF THE STATE OF CALIFORNIA

                                       FIRST APPELLATE DISTRICT

                                                  DIVISION ONE


THE PEOPLE,
         Plaintiff and Respondent,
                                                                     A140749
v.
ROSALINDA C.,                                                        (Alameda County
                                                                     Super. Ct. No. RM08378235)
         Defendant and Appellant.


         Rosalinda C. has been committed as a developmentally disabled person who is a
danger to herself or others under Welfare and Institutions Code1 section 6500 since 2008
through an initial commitment when she was 18 years old and repeated recommitments,
most recently on January 9, 2014, recommitting her until November 15, 2014. Her
attorney on appeal has filed a brief raising no specific issues, asking us to conduct an
independent review of the record pursuant to People v. Wende (1979) 25 Cal.3d 436
(Wende) and Conservatorship of Ben C. (2007) 40 Cal.4th 529 (Ben C.). Although
Wende review is not mandated, our discretionary review of the record reveals no
meritorious issues for briefing.
                        FACTUAL AND PROCEDURAL BACKGROUND
         The latest petition for recommitment was filed November 6, 2013. On
November 7, Rosalinda was ordered temporarily detained at California Psychiatric


         1
         All statutory references, unless otherwise indicated, are to the Welfare and
Institutions Code.


                                                             1
Transitions (CPT) pending a hearing. Evidence was heard January 8 and 9, 2014, after
which the court granted the petition. The immediately prior recommitment was reviewed
by us in a partially published opinion (People v. Rosalinda C. (2014) 224 Cal.App.4th 1).
That opinion addressed, in the unpublished portion, issues related to insufficiency of the
evidence to support the recommitment. The evidence in the present appeal was similar to
that in the prior recommitment.
       Dr. Scott Turpin, a psychiatrist with CPT and Rosalinda’s attending psychiatrist,
testified by stipulation as an expert. He opined that Rosalina is in need of continued
conservatorship. He diagnosed her with (1) “mental retardation, mild,” (2) “pervasive
developmental disorder not otherwise specified” (which in the new DSM-V is called
“autism spectrum disorder”), (3) “schizophrenia . . . multiple episode,” and
(4) “obsessive-compulsive disorder.”2
       Turpin defined mental retardation, mild, as “cognitive limitations or thinking
limitations” generally associated with some IQ scored in the past under 70, as well as
“difficulties in daily adaptive functioning.” Turpin had observed symptoms of the
diagnosis in Rosalinda: “Things that I would say are associated with that diagnosis
would be sort of limited coping or social skills, poor impulse control, . . . a sort of limited
flexibility in approaching problems.” Poor impulse control means “[b]asically a
difficulty in curbing things like impulsive aggression: striking out at other people,
jumping to an action without maybe being able to step back and consider some more
socially appropriate alternatives.”
       The “autism spectrum disorder” diagnosis basically refers to “difficulties with
communication or social interaction,” difficulties “understanding social interactions or
emotional [cues] from other people,” “maladaptive behavior,” “poor coping skills,” and
“repetitive stereotyped behavior.” Rosalinda had exhibited symptoms such as problems
in establishing relationships, maintaining friendships, and getting along with others. One

       2
        She had also been diagnosed in the past with borderline personality disorder and
personality disorder not otherwise specified, but Turpin did not diagnose her with those
disorders and did not put much weight on those diagnoses.


                                               2
of the symptoms of autism spectrum disorder or borderline personality disorder is “hitting
others when she is feeling either upset or jealous instead of being able to talk it through
or do something else like go outside for a walk until she has cooled off.” The last
incident of violence was when she hit her team leader on December 6, 2013.
       The schizophrenia diagnosis refers to a mental illness characterized by positive
and negative symptoms. The positive symptoms are hallucinations or delusions, while
the negative symptoms are “things like lack of motivation, social withdrawal, not
attending as well to hygiene.” Rosalinda had, as of November 2011, reported auditory
hallucinations, but Turpin himself had not observed positive symptoms in her. On cross-
examination, he said he is not seeing positive symptoms of schizophrenia, because it is
controlled with medication.
       Obsessive-compulsive disorder involves the compulsion to do certain things or
obsessional thoughts. Behavior Rosalinda exhibited included repetitive “digging in the
trash, having to have things just so in certain ways, like one, always having to be last in
line for meetings or medications . . . .” Such behaviors had occurred during the past three
months.
       Rosalinda’s rating was 18 out of 100 on the Global Assessment of Functioning
(GAF) scale. After further testimony, the court asked, “Is it fair to say, Doctor, that if the
range is below 20, that that indicates that the person is a substantial risk of harm to
themself [sic] or others?” Turpin answered, “Correct.” However, later during cross-
examination Turpin admitted he does not place much weight on the numerical portion of
the GAF scale.
       When asked whether Rosalinda is a danger to herself, he said, “[I]n our sort of
supportive setting, that’s not a major concern of mine currently. But in a less supportive
setting, I would be.” He then described the supports she receives at CPT, including being
checked by staff every 15 minutes, mostly to monitor aggression toward others. She has
not been able “to demonstrate a solid enough [two-week] period of no aggression within
the context of the facility” to alleviate his concerns. “It could be a frank assault like
striking somebody, it could be making a verbal threat, or significantly agitated enough


                                              3
behavior that we are afraid it’s putting people at risk. Like if Rosalinda basically throws
a tantrum, goes into the dining hall and starts throwing chairs around.” She is on a
medication watch because she has a history of “cheeking” the medication and spitting it
out. She has also had issues with obesity, allergies, hygiene and incontinence. Her
hygiene had improved recently, but she still needed reminders to get up and go to the
bathroom at night to avoid incontinence. As of the quarterly review on January 1, 2014,
she was continuing to “urinate on herself intentionally as a part of her ritualistic
behavior,” requiring prompts from staff thereafter to get herself cleaned up. At her
current level of supervision, Rosalinda is not allowed supervised group outings, much
less unsupervised outings.
       With regard to dangerousness to others, Turpin had a “significant concern” about
Rosalinda. She hit her team leader on December 6, 2013, according to Turpin, and was
“still having episodes where she will get agitated and start turning over or tossing chairs,
making verbal threats, striking others.”
       There were also two aggressive episodes in September 2013 in which she pushed
two peers and attempted to strike a staff member. In fact, the October 1, 2013 quarterly
report indicated a total of eight incidents during the quarter, which included on separate
occasions: (1) striking two peers with an open hand with light force on their backs;
(2) grabbing and attempting to strike a staff member; (3) slapping staff “multiple times
with light force after they prompted her to use the restroom”; (4) charging at and
threatening to hit a staff member, then grabbing at her three times and scratching her on
her hand, then stepping toward a peer in a threatening manner, saying, “Fuck you!”;
(5) pushing someone on his or her back “with medium force”; and (6) charging toward a
male staff member, attempting to assault him with her hands, and then scratching a staff
member, requiring that Rosalinda be placed in a hold and walked outside. The quarterly
report dated July 1, 2013 (covering April 1, 2013 through June 30, 2013) documented 23
incidents of assaultive behavior.
       Turpin reported that Rosalinda continued to engage in assaultive behavior on five
occasions during the most recent reporting period. Although her aggression had been


                                              4
better the last three months, he opined that she was still currently a danger to others. In
explaining that conclusion he relied on: “Her past history of assaults, her recent assaults,
. . . her poor impulsive control, her diagnoses, her current treatment status, . . .
cooperation with unit rules, her [in]ability to take safety directions consistently, and also
whether she has been able to work up through the privilege levels, come off every-15-
minute checks.” He opined that Rosalinda has serious difficulty controlling her
dangerous behavior in part because of mental retardation. At the time of his testimony,
Turpin opined that Rosalinda was not ready to make a transition into the community.
       On redirect examination, he was asked to clarify the relationship of the various
diagnoses: “If you were to completely remove the diagnosis of mental retardation,
completely remove the diagnosis of the autism spectrum disorder, would the negative
symptoms of her schizophrenia explain her dangerousness?” He answered, “No.” On
recross-examination, he was asked, “And you testified that you cannot tease out what part
is what?” He answered, “Correct.”
       Before Rosalinda was called as a witness, defense counsel filed a “Motion to
Preserve Respondent’s Privilege Against Self Incrimination,” citing Cramer v. Tyars
(1979) 23 Cal.3d 131. After substantial discussion, the district attorney offered
Rosalinda use immunity, and the court ordered her testimony sealed for purposes of
criminal prosecution. Defense counsel then made, and the court acknowledged, a
continuing objection “[r]egarding the violation of her self-incrimination rights under both
State and Federal Constitution.”
       As the testimony has been sealed, discussion of Rosalinda’s testimony is omitted
from this synopsis. We have, however, reviewed that testimony in its entirety.
                                        DISCUSSION
       Counsel on appeal filed a Wende brief, asking us to conduct a full record review to
determine whether there are any issues upon which we require briefing. In addition to
setting forth the facts and procedural posture of the case, counsel filed a declaration
indicating he had discussed the case with a staff attorney at First District Appellate
Project, had informed Rosalinda of his intention to file a Wende brief, had advised her


                                               5
that she could request appointment of a new attorney, and had advised her that she may
file a supplemental brief within 30 days. We have not received a supplemental brief.
       We begin by noting that Wende review is required only for “appointed appellate
counsel’s representation of an indigent criminal defendant in his first appeal as of right.”
(In re Sade C. (1996) 13 Cal.4th 952, 978.) Acknowledging that this case arises in a
different, noncriminal context, counsel nevertheless urges us to conduct a discretionary
independent review of the entire record, relying on Ben C., supra, 40 Cal.4th 529, 544,
fn. 7, and the dissenting opinion in that case. In Ben C., at pages 537, 543, our Supreme
Court held that Wende review is inapplicable in a proceeding brought under the
Lanterman-Petris-Short Act. (§ 5000 et seq.) In so holding, Ben C. refused to extend the
right to independent review by the appellate court to judgments that are civil in nature,
even when those judgments result in the deprivation of a liberty interest. (Ben C., at pp.
535, 537, 544.) Proceedings under section 6500 are predominantly civil, not criminal, in
nature. (Cramer v. Tyars, supra, 23 Cal.3d at p. 137.)
       Cases decided after Ben C. have similarly resisted extending Wende review to
other noncriminal contexts, including appeals similar to the one before us. (People v.
Taylor (2008) 160 Cal.App.4th 304, 308, 313 [Wende review not required in appeal from
order declaring the appellant a mentally disordered offender]; People v. Dobson (2008)
161 Cal.App.4th 1422, 1425 [no Wende review of order denying outpatient status
pursuant to petition to restore competency under Penal Code section 1026.2]; see also
In re Sade C., supra, 13 Cal.4th at p. 959 [pre-Ben C. case holding no Wende review in
appeals from orders affecting parental custody in juvenile dependency cases].) In
accordance with the foregoing authorities, we conclude that mandatory whole record
review similar to that required by Wende does not apply to section 6500 proceedings.
       We are mindful, however, of the forceful dissent in Ben C. authored by former
Chief Justice George and joined by Justices Kennard and Moreno, which stated, “It is
undisputed that the private interests at stake are of the most fundamental nature, as the
conservatee may be subjected to restraints upon physical freedom and personal autonomy
for lengthy periods, and may be denied other basic civil rights as well.” (Ben C., supra,


                                              6
40 Cal.4th. at p. 545.) As the dissent indicated, under the circumstances it is a small
matter for the Court of Appeal “to confirm that proper procedures were followed and that
the order is supported by sufficient evidence.” (Id. at p. 555.) As also stated by the
dissenting justices, “The majority’s holding that independent review is not
constitutionally required in LPS appeals in no way prevents the Courts of Appeal from
expending the minimal effort required to provide these appeals with a second look and to
provide an opinion that briefly notes the court has reviewed the record and that identifies
the findings and evidence supporting the order.” (Id. at p. 556.)
       While asserting that we are not required to conduct a full record review, we elect
in this case to exercise our discretion to do so, in part because the record is short and we
are familiar with the case, having recently filed an opinion relating to it, and because a
constitutional issue was vigorously presented in the trial court. After conducting the
discretionary review requested by appellate counsel, we find no issues that require
briefing on the merits. As recited above, there was substantial evidence to support the
trial court’s order of recommitment. Rosalinda was ably represented by counsel in the
trial court, who filed not only the written motion referenced above, but a written trial
brief. We have reviewed the cases cited in the trial court in relation to the self-
incrimination issue, as well as Rosalinda’s testimony. Given the immunity offered by the
prosecutor and the protective measures taken by the court, we see no reason to require
further briefing on that issue. Even disregarding Rosalinda’s own testimony, the
evidence that she fell within the statutory criteria was undisputed and overwhelming.
                                      DISPOSITION
       The court’s order extending the commitment from November 15, 2013 to
November 15, 2014 is affirmed.




                                              7
                                                  _________________________
                                                  Becton, J.*



We concur:


_________________________
Margulies, Acting P.J.


_________________________
Banke, J.




       *
           Judge of the Contra Costa County Superior Court, assigned by the Chief Justice
pursuant to article VI, section 6 of the California Constitution.


                                              8
