HANLY A. INGRAM, Magistrate Judge.
On January 8, 2014, the Court conducted a competency hearing in this matter, per 18 U.S.C. §§ 4241 and 4247(d). D.E. 118. Defendant filed a Motion for Psychological Evaluation on October 4, 2013. D.E. 75. On October 10, 2013, the Court granted Defendant's motion following a hearing. D.E. 86. The Court ordered a custodial evaluation, and Defendant was remanded to the custody of the United States Marshal. Id., D.E. 87. The Court, upon the required findings, ordered that the psychiatric or psychological examination be conducted pursuant to 18 U.S.C. § 4241(b). D.E. 87.
The Court ordered the examination to be performed at the Federal Medical Center (FMC) in Lexington, Kentucky. D.E. 90. All parties had access to the Psychiatric Report ("the Report") (D.E. 114) issued by Dr. Judith (Betsy) Campbell, Ph.D. In the Report, Dr. Campbell opined that Defendant is competent for trial purposes. Id. After receipt of the Report, the Court set a hearing for January 7, 2014 (D.E. 117), which was continued due to inclement weather. During the competency hearing on January 8, 2014, the parties appeared with counsel and stipulated to the admissibility of the Report, as well as to the Report's findings. D.E. 118. The parties also waived introduction of other proof and argument in opposition, and waived the right to crossexamine the evaluator.
Section 4241 codifies the competency principles of Dusky v. United States, 362 U.S. 402 (1960). Thus, to be competent, a defendant must have "sufficient present ability to consult with his lawyer with a reasonable degree of rational understanding" and "a rational as well as a factual understanding of the proceedings against him." Dusky v. United States, 362 U.S. 402, 402 (1960); see also 18 U.S.C. § 4241(a) (phrasing test as whether a defendant is "unable to understand the nature and consequences of the proceedings against him or to assist properly in his defense."); United States v. Nichols, 56 F.3d 403, 410 (2nd Cir. 1995) (applying the "twoprong" competency test from Dusky ). Section 4247(d) governs the competency hearing, and assures certain trial-type rights. These include the right to confront and cross-examine witnesses, and the right to participate in the hearing. See id.; see also 18 U.S.C. § 4241(c) (referring to the hearing procedures outlined in section 4247(d)).
Ultimately, per section 4241(d) and based on the hearing, a defendant is not competent if, "after the hearing, the court finds by a preponderance of the evidence that the defendant" meets the incompetency definition of section 4241(a). This framework does not dictate which party bears the burden, which has led to disagreement among the Circuits. Compare United States v. Teague, 956 F.2d 1427, 1431 n.10 (7th Cir. 1992); United States v. Frank, 956 F.2d 872, 875 (9th Cir. 1991); Brown v. Warden, Great Meadow Corr. Facility, 682 F.2d 348, 352 (2nd Cir. 1982); United States v. Hollis, 569 F.2d 199, 205 (3rd Cir. 1977); and United States v. Makris, 535 F.2d 899, 906 (5th Cir. 1976) ("There can be no question that in federal criminal cases the government has the burden of proving defendant competent to stand trial at the s 4244 hearing..."), with United States v. Robison, 404 F.3d 850, 856 (4th Cir. 2005) ("Under federal law the defendant has the burden, by a preponderance of the evidence [to show] that the defendant is presently suffering from a mental disease or defect rendering him mentally incompetent to the extent that he is unable to understand the nature and consequences of the proceedings against him or to assist properly in his defense" (internal quotation marks omitted)), and United States v. Izquierdo, 448 F.3d 1269, 1276 (11th Cir. 2006) ("[T]he relevant competency statute arguably contemplates that the burden will lie with the party making a motion to determine competency."). Here, the proof is not in any way disputed, and the Court need not resolve the burden allocation question. See, e.g., Medina v. California, 505 U.S. 427, 449 (1992) (indicating that argument over burden, in competency context, only matters in "narrow class" of cases where the proof is "in equipoise").
With stipulations from both parties as to both the admissibility and the substance of the Report, the only proof as to current competency is the expert analysis of Dr. Campbell. The Report reflects personal observation, a review of Defendant's medical history and status, sufficient psychological testing, and a thorough assessment of Defendant's status in light of applicable competency standards. The author analyzed Defendant's history, course of evaluation, and testing performance. Dr. Campbell directly observed Defendant via interviews and subjected him to a number of psychological tests. The evaluator also secured and reviewed some of the relevant medical and court records, and conducted telephone interviews with Defendant's appointed counsel, as well as the Assistant United States Attorney assigned to the case.
The Report is a thorough and comprehensive assessment of Defendant's mental and psychiatric condition. Notably:
(1) The evaluation was conducted from October 21, 2013, through December 5, 2013, which constitutes a lengthy period of evaluation during which the evaluator had ample opportunity to observe and evaluate Defendant. D.E. 114 at 1.
(2) The evaluator reviewed a mental health evaluation completed by Alexander Brikman and Vincent Dummer dated March 8, 2004, which found that Defendant suffered from Anorexia Nervosa, Restrictive Type, and Mild Mental Retardation. Id. at 1, 3.
(3) The evaluator administered the Weschler Adult Intelligence Scale (Fourth Edition), the Minnesota Multiphasic Personality Inventory-2 Restructured Form, and also a series of open-ended competency related and personal history questions. Id. at 4-5.
(4) Defendant displayed no problems understanding or following directions provided by the correctional staff, "had no difficulty comprehending unit rules, complying with routine demands of the environment, remembering scheduled appointments, ... participating in the evaluation procedures, " was "viewed as cooperative by unit staff, " and "appropriately sought the assistance of staff in having his medical needs addressed." Id. at 3-4.
(5) The Weschler Adult Intelligence Scale (Fourth Edition) indicated that Defendant was functioning "in the Borderline to Low Average range." Id. at 4. The evaluator noted that "[Defendant's] scores during a previous evaluation conducted in 2004 where considerably lower on all indices, " and attributed this to Defendant's "admitted significant substance abuse during the previous evaluation." Id. at 4.
(6) On the Minnesota Multiphasic Personality Inventory-2 Restructured Format, Defendant seemed to respond openly and honestly, and the results indicated that while he "suffers from symptoms of anxiety and depression, [he] would be a good candidate for psychotherapy and antidepressant medication." Id. at 4-5.
(7) Defendant was "alert, attentive, well-oriented, cooperative, and responsive to interviewing." He additionally showed no signs that he was suffering from a ...