That's what the Ohio Court of Appeals (State v. 
Daley<http://www.supremecourt.ohio.gov/rod/docs/pdf/8/2011/2011-ohio-3584.pdf>, 
decided yesterday) said happened in the court below; the appellate court 
reversed the trial court's mental incompetence finding.

Daley was charged in March 2010 with retaliation, intimidation, aggravated 
menacing, menacing, and telecommunications harassment. The charges stemmed from 
allegedly threatening voicemail messages left by Daley on the telephone 
messaging system of an employee of the Cuyahoga County Support Enforcement 
Agency ("CSEA"). The charges also stemmed from an allegedly threatening letter 
written by Daley to the CSEA employee.

The trial court referred Daley to the court's psychiatric clinic for a 
competency evaluation and a hearing was held on same. The evaluating 
psychiatrist, Dr. Stephen Noffsinger, diagnosed Daley with psychotic disorder, 
not otherwise specified, and opined that Daley was not competent to stand trial 
because he was not able to assist in his defense. Daley declined an independent 
evaluation.

Daley testified at the competency hearing that he had been and was able to 
continue assisting his attorney in his defense. He also testified that his 
descriptions of the American legal system, such as his description of divorce 
court as the "high court of Satan," were not meant to hurt anybody, but were 
based on his religious belief that divorce is against the word of God.

At the conclusion of the hearing, the trial court found Daley incompetent to 
stand trial and ordered him hospitalized for restoration to competency. The 
trial court also ordered that Daley be treated with antipsychotic medication if 
needed....

Upon review, we do not find that there was "some reliable, credible evidence 
supporting the trial court's conclusion" that Daley was incompetent. Rather, 
Dr. Noffsinger's opinion that Daley was incompetent, formulated after an hour 
and ten-minute evaluation, was based solely on Daley's religious beliefs. 
Specifically, Dr. Noffsinger opined that Daley, a "radical Christian," 
"expresses such extreme intensity of religious belief in very unorthodox 
religious beliefs to the point to constitute psychosis." Noffsinger further 
testified that treating Daley would "change his psychotic symptoms of which are 
a religious theme[,]" so that his "intensity and [ ] preoccupation with his 
religious beliefs will be greatly decreased."

Daley's religious beliefs are constitutionally protected, however. Because the 
record demonstrates that Dr. Noffsinger's diagnosis was based solely on Daley's 
religious beliefs, we find that the trial court erred in finding him 
incompetent.

Those interested in the issue more generally might want to also check out the 
cases cited at Is a Patient Who Believes "Jesus Would Save [Me]" Competent to 
Refuse Life-Saving Medical Treatment? (July 
2010)<http://volokh.com/2010/07/15/is-a-patient-who-believes-jesus-would-save-me-competent-to-refuse-life-saving-medical-treatment/>
 and May Court Order Hysterectomy as Treatment for Cancer, on the Grounds that 
the Woman's Refusal Is Based on a Religious Delusion? (March 
2011)<http://volokh.com/2011/03/07/may-court-order-hysterectomy-as-treatment-for-cancer-on-the-grounds-that-the-womans-refusal-is-based-on-a-religious-delusion/>.

<http://volokh.com/>
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