United States District Court, E.D. Kentucky, Central Division, Lexington
RECOMMENDED DISPOSITION 
ROBERT E. WIER, Magistrate Judge.
The Court conducted a competency hearing in this matter, per 18 U.S.C. §§ 4241 and 4247(d). See DE #31 (Minute Entry Order). Procedurally, the hearing followed Defendant's motion for a psychiatric exam, DE #15, and Defendant's Rule 12.2(a) notice, DE #18. At a motion hearing, the United States did not object to noncustodial psychiatric evaluation, and the Court deemed the Government to have made the motion for an examination encompassing criminal responsibility. DE #19. The Court, upon the required findings, ordered a noncustodial evaluation. DE #21. Powell had been compliant with bond and her liberty interest warranted assessment out of custody.
Dr. Paul A. Ebben, Psy.D., evaluated Defendant at the Lexington office of Insight Psychological Consultants, PSC. Robin Powell ("Robin, " to differentiate her from Defendant), Defendant's daughter-in-law, accompanied Defendant. All parties had access to the resulting competency and criminal responsibility reports. DE ##25 (Sealed Competency Report), 26 (Sealed Criminal Responsibility Report). In the competency report, Dr. Ebben opines that Powell is competent for trial purposes. See DE #25, at 8.
Upon receipt of Dr. Ebben's reports, the Court promptly set a competency hearing, see DE #24, and the parties appeared with counsel. During the course of the hearing, the parties stipulated to admissibility of the competency report, to that report's findings, and to the examiner's qualifications. See DE ##31; 20 (Joint Notice, with CV attached). The parties also waived introduction of other proof, argument in opposition, and the right to cross-examine Dr. Ebben. Id.
Section 4241 substantially codifies the competency principles of Dusky v. United States, 80 S.Ct. 788 (1960). Thus, to be competent, a defendant must have "sufficient present ability to consult with [her] lawyer with a reasonable degree of rational understanding" and "a rational as well as factual understanding of the proceedings against [her]." See Dusky, 80 S.Ct. at 789; see also 18 U.S.C. § 4241(a) (phrasing test as whether defendant is "unable to understand the nature and consequences of the proceedings against [her] or to assist properly in [her] defense"); United States v. Nichols, 56 F.3d 403, 410 (2d Cir. 1995) (applying the "two-prong" competency test from Dusky ). Section 4247(d) governs the hearing and assures certain trial-type rights. These include rights of confrontation, cross-examination, and participation. See 18 U.S.C. § 4247(d); see also 18 U.S.C. § 4241(c) (referencing § 4247(d) for hearing procedure).
Ultimately, per § 4241(d) and based on the required 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 § 4241(a). This framework suggests that the defense bears the burden, although cases disagree on burden allocation. Compare United States v. Chapple, No. 94-5048, 1995 WL 6147, at *2 (6th Cir. Jan. 6, 1995) (table) (burden on United States, though without statutory analysis), and United States v. Salley, 246 F.Supp.2d 970, 976 (N.D. Ill. 2003) (burden on United States), with United States v. Simmons, 993 F.Supp. 168, 170 (W.D.N.Y. 1998) ("The burden to prove a lack of competence is on the defendant."). Here, the proof is not disputed, and the Court need not resolve the burden allocation question, which is not determinative. See, e.g., Medina v. California, 112 S.Ct. 2572, 2579 (1992) (indicating that argument over burden, in competency context, only matters in "narrow class" of cases where proof is "in equipoise").
With a stipulation as to both the admissibility and substance of the competency report, the proof as to current competency largely consists of the expert analysis of Dr. Ebben. In the report, Dr. Ebben thoroughly analyzed Defendant's history, behavior, course of evaluation, and assessment performance. DE #25. Dr. Ebben personally observed Powell via direct interview and subjected her to psychological assessment, as deemed appropriate, including performing a variety of evaluative tests. Id. Dr. Ebben received and reviewed investigative materials regarding the alleged offense, the indictment, and the Court's order for the examination. Id.
The competency report describes Powell as having general difficulties with memory and various physical medical conditions. She did not, however, "reveal any history of mental health conditions or treatment[.]" Id. at 2. Robin similarly reported general concern (e.g., describing Powell as a "slow learner"), but stated "there really are no other symptoms of concern" and denied that Powell "has ever suffered from any psychiatric condition." Id. Dr. Ebben described Powell as "asymptomatic" from any residual CVA (stroke) symptoms.
The report described Powell's family life, educational background, and work history, and it indicates that she performs most of the activities of daily life by herself, including managing "her own money without any help[.]" Id. at 3. Any functional day-to-day limitations appear to be caused by physical conditions, not any neurocognitive or mental health issue. Id. The report indicates no substance abuse history outside some alcohol consumption 10-12 years ago. Id. at 4.
Dr. Ebben noted that Powell "was alert and cooperative" and made good eye contact. Id. Her receptive and language skills were adequate, but they "reflected a woman functioning below average intellectually." Id. Powell had relevant and logical thoughts, and there was no sign of a thought disorder. "Concentration and memory were fair during normal conversational speech." Id. "Interactions were generally positive so that Ms. Powell presented as polite, in good spirits, affable, showing no signs of distress." Id. Powell scored well below average on the three verbal comprehension subtests, results Dr. Ebben found consistent with his observations of Powell and information previously gathered. Id. at 4-5. Dr. Ebben noted Powell's "limited reading and comprehension skills[.]" Id. at 5. In response to a neurocognitive skills test, Dr. Ebben placed Powell "around the Borderline to Mild Mental Retardation range." Id. However, given Powell's work history and capacity to manage her own funds (among other capacities), Dr. Ebben found that "Mild Mental Retardation is not an appropriate diagnosis[.]" Id. The report summarizes, "Observations and test findings suggest that Ms. Powell, indeed, is functioning on the cusp of Borderline/Mild Mental Retardation[.]" Id. at 6. Dr. Ebben found "no focal signs of neurocognitive impairment[.]" Id.
Dr. Ebben reported that Powell's scores on the trial competency evaluation were normal. Id. at 7-8. Powell expressed a rational understanding of the role her attorney plays and her interactions with Mr. Milner. Dr. Ebben cautioned, however, that all legal proceedings should be explained to Powell in "a rather simple and concrete" manner. Id. at 7. Powell expressed that she understood what probation was and understands the possible prison term if convicted. Id. Further, Powell "understood the roles and responsibilities of the Judge, her attorney, the prosecutor, and the jury." Id. She understood "guilty" and "not guilty, " and she learned the meanings of terms such as "preponderance of the evidence" and "beyond a reasonable doubt." Id. Finally, Dr. Ebben noted that "[a]lthough Ms. Powell did struggle somewhat when it came to weighing pros and cons to make decisions about her case..., with guidance, education, and simplifying terms, she demonstrated the capacity to make rational decisions." Id. "She does not have an irrational view of what might happen in her case." Id.
The Report concludes with Dr. Ebben's professional opinion that Powell "is competent to proceed to trial on her charge." Id. Dr. Ebben correctly applied the Dusky standard in determining that Powell is competent:
Although she will require help reading and understanding (whether it is spoken or written) some information, she demonstrated the capacity to adapt and understand when concepts were explained in simpler terms. It does not appear as if her case is so complex that such a strategy could not be effectively used with her.... Although there are deficiencies in her memory based on test results, her memory skills are essentially consistent with her general intellectual functioning level and she does have functional memory skills... and there is no evidence of a mental health condition at this time that would affect competency related skills.
Id. The Court has not independently observed behavior that conflicts with the examiner's conclusions. At no point during the pendency of this action has the Court perceived Powell as having difficulty in understanding the proceedings. In the courtroom, Powell's manner has been appropriate, and she has been responsive to the Court. She appears to understand and communicate rationally regarding case status and the legal proceedings. Powell may have some difficulty understanding complex legal terms and proceedings, and even some generalized learning/intellectual functioning difficulties, but those elements do not, on this record, threaten ...