The Berg Case: Parents right to access medical records v. child's right to privacy

A principal obligation of parenthood is to claim certain rights and privileges on behalf of one’s child, as well as make decisions the child is considered incompetent to make on their own. Whether a five-year-old should have an elective tonsillectomy, for example, is more a decision for the child’s parent then for the child herself. Likewise, if a doctor engaged in malpractice while caring for one’s child, the parent would bring the claim on behalf of the injured minor.

However, the water becomes murkier when dealing with children’s medical records and a parent’s access to those records. In the Matter of Berg v. Berg, the father demanded access to his children’s medical records, arguing that his legal rights as a parent overrides the children’s right to privacy. The children’s therapists and the guardian ad litem moved to seal the children’s records, which the trial court denied. The case went to the New Hampshire Supreme Court to answer the following questions: 

1.      Do children have a right to privacy for their medical records and communications?

2.      Does the court have the authority to seal the therapy records of the parties’ minor children when one parent demands access to the records for purposes of litigation?

3.      Should the court have the authority to seal the therapy records of minor children when the parents are in conflict about the release and access to such records.

The Supreme Court overruled the trial court, and answered the three questions in the affirmative. The court found that when parents enter into an acrimonious, contested custody battle, the personal interests of the parents could become adverse to the children’s interests.  The court went on:

Where the privilege is claimed on behalf of the parent rather than that of the child, or where the welfare and interest of the minor will not be protected, a parent should not be permitted to either claim the privilege or, for that matter, to waive it.

The court further justified their holding by noting that, under some circumstances, allowing the parent unfettered access to the child’s therapy records may deny the children the right to effective medical care by destroying the “atmosphere of confidence and trust” that is fundamental for effective therapeutic counseling. 

It is also worth noting that while a parent with potentially conflicting motives cannot assert or waive the privilege on behalf of the child, a neutral GAL may do so. Furthermore, a sufficiently mature child can claim the privilege on their own behalf. In determining whether or not to allow a minor to assert the privilege, at the trial judge’s discretion, the court may consider 1) the child’s age, intelligence and maturity, 2) the intensity with which the child advances his interest, and 3) whether their stated preference is based upon improper influences.

For parents wondering, what does this mean to me, the inquiry the court will make when deciding whether a parent may access their children’s medical records will be whether allowing the parent the right to assert or waive the therapist-client privilege on behalf of their child is in that child’s best interests? If allowing such access would interfere with the child’s ability to succeed in meaningful, productive therapy then it would not be in his best interests and the parent may not waive the privilege on their behalf. If, on the other hand, there is no risk that such disclosure would harm the child, the parents retain the right to waive or claim the privilege.

Crusco Law Office, PPLC Law Clerk Daniel McLaughlin contributed to this post.

How to work with a Guardian ad Litem

A Guardian ad Litem investigation is often a stressful and intrusive process. However, it is important to remain cooperative and informative as possible during the case. Here are some tips on how you should conduct yourself during the process.

· Return the GAL Stipulation and Questionnaire Promptly: When the GAL is first appointed, he will send out to you or your attorney a Guardian ad Litem Stipulation and a questionnaire. The GAL Stipulation is an agreement between you and the GAL that sets forth the issues the GAL will investigate, how the GAL will be paid, and other mattera such as access to the children’s mental health records. The questionnaire is a form that the GAL uses to gather information and background on your family and identify issues and areas of disagreement. It is very important to complete and return these items to the GAL as soon as possible.

·Set up your initial meeting with the GAL per the GAL’s instructions: When the GAL receives the appointment, she will send you a letter with instructions. Some GALs will ask that you return the stipulation and questionnaire first, and then call to set up an appointment. Others will set up an appointment right away. Read the letter from the GAL and follow instructions for setting up your first appointment. If you do not hear from the GAL after a few weeks, call the GAL to check in and see what your next steps should be.

· Provide complete contact information for references: The GAL will ask you to provide him with references to speak to regarding you and your family. These may be friends and family, or professionals such as teachers who are familiar with either you, your coparent or the children. Provide the GAL with complete contact information for these references, including an address, telephone number and email if appropriate.  

· Provide the GAL with copies of court documents, orders, and pleadings: If you do not have an attorney to manage your case for you, when the GAL is appointed make sure to provide him with copies of the court orders, pleadings or other relevant documents. It is enormously important, as the GAL only receives the GAL appointment and possibly the court order issued with that appointment. Having you provide the pleadings and court orders that necessitated the appointment of the GAL, as well as the orders for the current parenting schedule, will give the GAL important background on your case.

· Cooperate with the GAL investigation: The GAL may ask to schedule a home visit with the children, or that you bring the children to her office. The GAL may also ask for authorizations to speak to medical providers or other professionals that require a release. Respond to the GAL’s requests promptly, and provide her with information that she requests.

·  Be relevant and informative: There are probably a lot of reasons your relationship with the other parent broke down. While the GAL will want a brief overview, unless the issues have significant relevance to the children, try not to spend a lot of time on non-child issues. For example, the breakdown of your marriage may have been caused by an affair your spouse carried on. However, unless your spouse is introducing the children to their new significant other or making concerning choices about priorities between the children and the new relationship, that is an issue best left to the court and your therapist.  

Termination of parental rights in New Hampshire

“Surely there can be few loses more grievous than the abrogation of parental rights.” Those words are as true today as they were when Supreme Court Justice Blackmun first wrote them in Lassiter v. Department of Social Services in 1981. Unfortunately, there are times, however grievous, when it is necessary to terminate parental rights against a parents wishes. There are also times when rigorous defense against a petition to terminate parental rights is warranted.

The United States Supreme Court has long recognized the right and the heavy responsibility of the states to terminate the parent-child relationship when there is cause to do so. In New Hampshire, RSA 170-C provides for involuntary termination of parental rights, and the probate courts, and now also the family divisions, have exclusive jurisdiction over such termination of parental rights matters. If the court orders a termination of parental rights, the effect is to sever all legal rights, privileges and duties between the parent and the child. The two become legal strangers in the eyes of the law, with neither parent or child owing any obligations to the other at any point in the future.

 

A termination petition may be filed, pursuant to RSA 170-C:4 by:

 

a.       Either parent;

b.      The child’s guardian or legal custodian;

c.       The child’s foster parent if the child has resided with that foster parent continuously for 24 months; or

d.      An “authorized agency,” which in termination of parental rights petitions would be the Division for Children, Youth and Families, or DCYF.

 

Additionally, the statute sets forth limited conditions on which such a petition may be brought. RSA 170-C:5 lists six circumstances under which a petition for termination of parental rights will be granted:

 

a.       The parents have abandoned the child

b.      The parents have substantially and continuously neglected to provide the child with the care necessary for mental, emotional, or physical health when they are financially able to do so

c.       The parent(s) have failed to correct conditions that lead to a violation of the Child Protection Act, within twelve months of such a finding

d.      The parent is, and will continue to be, mentally incapable, either by deficiency or illness, of caring for the child

e.       The parent knowingly or willingly caused, or allowed to be caused, severe sexual, physical, emotional or mental abuse of the child

f.       The parent has been convicted of any of the following crimes:

a.       The murder of another child of the parent, a sibling or step-sibling of the child, or the child's other parent;

b.      The manslaughter of another child of the parent, a sibling or step-sibling of the child, the child's other parent;

c.       Attempted murder of the child, step-child, sibling or other parent; or

d.      A felony assault which resulted in injury to the child, a sibling or step-sibling of the child, or the child's other parent.

 

Courts will consider the best interest of the child in rendering a decision, sometimes appointing a Guardian Ad Litem to represent that interest. However, even if the court determines that the child’s best interests are served by terminating a parent’s rights, that finding alone is not sufficient to order termination. A court must make an explicit finding under the statute that one or more of the above criteria has been satisfied. The United States Supreme Court states: in Santosky v. Kramer:

The fundamental liberty interest of natural parents in the care, custody, and management of their child is protected by the 14th Amendment, and does not evaporate simply because they have not been model parents or have lost temporary custody of their child to the State.

The Santosky court also held that, except for clear cases of abuse, the government should not separate children from their families or countermand parental authority.

 

Because termination affects a fundamental constitutional right for parents to raise their children as they see fit, New Hampshire courts have increased the burden on the petitioner to prove that TPR is appropriate. In State v. Robert H., the New Hampshire Supreme Court made it clear that for the termination of parental rights, the standard to be imposed is proof beyond a reasonable doubt that 170-C:5 has been satisfied. It is fitting that the petitioner must meet this highest burden as “the rights of parents (over the family) are held to be natural, essential and inherent rights, within the meaning of the New Hampshire Constitution,” the New Hampshire Supreme Court states. “The permanent termination of the rights of parents over their children is even more final than involuntary commitment or delinquency proceedings” both of which require that heightened standard; no other standard would be appropriate.  

 

The above discussion merely scratches the surface of these intricate and complicated issues. Each case has its own set of unique facts and circumstances. The termination of parental rights is extremely serious, and for that reason, as well as those cited above, it is very important that you retain competent counsel if you are involved in a TPR action, whether as the parent or the petitioner. Contact Crusco Law Office, PLLC for further information. 

 

Crusco Law Office, PLLC law clerk, Daniel McLaughlin, contributed to this post.

Grandparents rights in New Hampshire

Most people have heard of visitation in the context of a divorce or parenting matter for a parent. However, many New Hampshire residents are unaware that New Hampshire grandparents have certain rights to visit with their grandchildren, sometimes even over the objection of the parents. Although parents have constitutional rights and responsibilities regarding how they raise their own children, including where they live, what school they go to, and who they allow to see their children, grandparents are not without their own set of rights pursuant to RSA 461-A:13.

When a conflict arises where a parent or parents of a child decide that their parents are no longer allowed to see their grandchildren, grandparents may petition for a court order provided they meet the requirements of the statute. In order to petition for these rights, there must be an absence of a nuclear family, whether by divorce, death, termination of parental rights or other reason. In other words, if a mother and father who are together decide that the grandparent may not see their grandchild, the grandparent will not have standing to seek the visitation under the statute.    

If an absence of the nuclear family exists, the Court will examine the factors enumerated in the statute to determine whether the visitation should be granted. The factors include:

  • whether visitation with the grandparent would be in the best interest of the child,
  • whether it would interfere with any parent-child relationship, or with that parent’s authority over the child,
  • the nature of the relationship between the grandparent and the child, including the frequency of contact between them, whether they have resided together in the past, and whether there would be an emotional blow to the child by visitation or a lack thereof, and
  • the impact of the relationship between the parents and grandparents on the child, including whether any friction resulting from visitation would have a negative impact on the child.

In addition to examining the above factors, the court will often also appoint a Guardian Ad Litem and listen to her recommendations regarding the proposed grandparent visitation carefully.  If the child is emotionally mature, the court may consider the child’s opinion about the matter as well.   

While New Hampshire grandparents may seek visitation under New Hampshire law, not all states protect the grandparent-grandchild relationship. Additionally, the United States Supreme Court, in Troxel v. Granville, overturned a Washington statute allowing grandparents the right to petition the courts for visitation of children over parental objections. The court stated that parents have a constitutional right to rear their children as they see fit. The court also affirmed that there is “a presumption that fit parents act in the best interests of their children.”

In spite of the Troxel ruling, New Hampshire courts have continued to grant grandparents rights because the statute contains safeguards for a parents rights over their children. Even if grandparents are in some way infringing on parental rights, what is most important is the best interest of the children. Sometimes, those interests are best served by maintaining a healthy grandparent-grandchild relationship, even over the objection of the parents. 

Crusco Law Office Law Clerk Daniel McLaughlin contributed to this post.

How do I relocate with my children out of state?

Q: I have primary residential responsibility for my children, and I want to move out of state with them, what do I need to do to move?

A: The relocation statute (NH RSA 461-A:12) requires that the relocating parent shall provide reasonable notice to the other parent of the move. While “reasonable notice” may vary depending on special factors present in your case, in most cases 60 days is presumed reasonable notice. This notice requirement applies in all parenting rights and responsibilities cases unless specifically addressed otherwise in the parties’ existing order or agreement. However, it does not apply when the relocation will move the parent and children closer to the other parent or within the same school district.

 

If the non-relocating parent objects, the court will hold a hearing on the matter at the request of either parent. Often, the court will appoint a guardian ad litem to investigate the issues and make a recommendation to the court regarding the relocation.

 

In order for the relocating parent’s request to be approved, that parent must show that their relocation is for a legitimate purpose and that the proposed relocation is reasonable in light of that purpose. In other words, if the relocating parent is moving to be near her family that lives in Florida, the proposed move should be to Florida and not North Dakota. A legitimate purpose may be for a variety of different reasons, including economic opportunities such as employment or the ability to be self-supportive, to be close to a support network of friends and family, or for an educational opportunity for the parent or children.

 

If the relocating parent proves, by a preponderance of the evidence (more probable than not), that the relocation is for a legitimate purpose, then the burden shifts to the non-relocating parent who must show the court that the proposed relocating is not in the best interests of the children. Even if the relocating parent has a legitimate purpose, and is not moving for nefarious purposes such as interfering in the other parent’s relationship with the children, the court may find that it is not in the children’s best interests and deny to relocation.

 

When considering the relocation, the court may consider several factors enumerated in the NH Supreme Court cases Tomasko and Pfeuffer:

 

·         Each parent’s reasons for seeking or opposing the move;

·         The quality of the relationships between the child and the custodial and noncustodial parents;

·         The impact of the move on the quantity and quality of the child's future contact with the noncustodial parent;

·         The degree to which the custodial parent’s and child’s life may be enhanced economically, emotionally, and educationally by the move;

·         The feasibility of preserving the relationship between the noncustodial parent and child through suitable visitation arrangements;

·         Any negative impact from continued or exacerbated hostility between the custodial and noncustodial parents; and

·         The effect that the move may have on any extended family relations.

 

No single factor is presumed to be dispositive, and the court may consider additional factors as the case demands.

What is the difference between a CASA and a GAL?

I had a conversation today in which the person stated that most Guardian ad Litem's are volunteers, and that it is very unusual to have a GAL who is paid for his services. I thought this topic was worth a blog post to clear up this misconception that seems to derive from the common mix up between a CASA and a GAL.

As discussed previously on this blog, a GAL is a professional appointed by the court to perform an independent investigation and to make recommendations to the court regarding the best interests of a child. A GAL may be appointed in all types of family law cases, from divorces to guardianships, and is paid for her services. GALs are not volunteers, although most GALs work for drastically reduced rates and work far more hours on a case than are billed.

On the other hand, a Court Appointed Special Advocate or CASA is a trained volunteer who serves as an advocate for children in abuse or neglect cases. An abuse or neglect case is a type of case brought to the court by the Division of Children, Youth and Families under the Child Protection Act to protect the health, safety and welfare of a child. Although a CASA's role is very similar to that of a GAL, a CASA only works on abuse or neglect cases or derivative termination of parental rights.

How will the court determine what my parenting rights and responsibilities will be?

The court uses a “best interests of the child” standard as set forth in RSA 461-A, and specifically RSA 461-A:6. The statute does more than just identify a grocery list of twelve factors to guide a court’s evaluation of parenting rights and responsibilities. It sets forth an assessment designed to determine the best interests of the child or children involved in such a proceeding.

It also gives courts the ability to: consider what the child wants; take certain steps to protect victims of sexual abuse or assault from a parent; grant reasonable visitation privileges to stepparents and grandparents; and appoint a guardian ad litem (GAL) to represent the child. Additionally, RSA 461-A:6 prevents the court from including the sex of the child or parent or even the parent’s financial means as part of its evaluation.

With that said, the factors are important and cover a spectrum of considerations as follows:

a)      The relationship of the child with each parent and the ability of each parent to provide the child with nurture, love, affection, and guidance.

b)      The ability of each parent to assure that the child receives adequate food, clothing, shelter, medical care, and a safe environment.

c)      The child's developmental needs and the ability of each parent to meet them, both in the present and in the future.

d)     The quality of the child's adjustment to the child's school and community and the potential effect of any change.

e)      The ability and disposition of each parent to foster a positive relationship and frequent and continuing physical, written, and telephonic contact with the other parent, except where contact will result in harm to the child or to a parent.

f)       The support of each parent for the child's contact with the other parent as shown by allowing and promoting such contact.

g)      The support of each parent for the child's relationship with the other parent.

h)      The relationship of the child with any other person who may significantly affect the child.

i)        The ability of the parents to communicate, cooperate with each other, and make joint decisions concerning the children.

j)        Any evidence of abuse, as defined in RSA 173-B:1, I or RSA 169-C:3, II, and the impact of the abuse on the child and on the relationship between the child and the abusing parent.

k)      If a parent is incarcerated, the reason for and the length of the incarceration, and any unique issues that arise as a result of incarceration.

l)        Any other additional factors the court deems relevant.

These factors are a guide for the court, and no single factor is determinative for an award of parenting rights and responsibilities. In the end, it is at the discretion of the court as to how heavily it will weigh each factor and be guided by a guardian ad litem's recommendation.

Blog Credit: Tara Moore, Crusco Law Office Law Clerk

Guardian Ad Litem fees in New Hampshire

When parties disagree about the parenting rights and responsibilities of each parent, often the court appoints a Guardian Ad Litem. This adds an additional time and cost to a divorce or parenting case. As with attorney fees, the cost of GAL can vary depending on the rate that he charges and the time demanded by the complexity of the case. 

A GAL can be paid through "private pay" or through the "court fund."  When a GAL is paid through a"private pay" case, the court's order of appointment apportions the payment of the GAL's retainer. The cost is not always split 50/50, and the division of the fees is reviewable at a final hearing. In New Hampshire, the retainer usually ranges between $1,000 and $1,500. Additionally, the hourly rate varies from $60 to $100 per hour.

When one or both parties cannot afford to pay for the GAL, the court may order the payment of services from the Guardian ad Litem court fund. When a party qualifies to use the court fund, the GAL is paid for her fees through the court's fund. However, a party is required to contact the New Hampshire Office of Cost Containment to determine their ability to repay the fund for their share of the GAL services in their case.

 

What is a Guardian ad Litem?

A guardian ad litem, often referred to as a "GAL," is a person appointed by the court to represent the best interests of an individual. Unlike a guardian, a GAL does not manage the affairs of of persons, nor do they act as their attorney.  

In a divorce or parenting petition proceedings, the GAL is usually appointed to represent the best interests of the children. The court charges the GAL with the responsibility of investigating designated issues and making recommendations to the court. Issues can include parenting responsibility, parenting schedules, ability of either parent, influence of significant others, and special needs of the children. The GAL is a valuable tool for the court since the GAL can gather a lot of information to provide to the court and aid in making a decision regarding parenting rights and responsibilities.

For more information on Guardian ad Litems, the New Hampshire guardian ad litem board has useful information on their site.