State v. Brett
126 Wash. 2d 136, 892 P. 2d 29 (1995)

In the Matter of Brett
142 Wash. 2d 868, 16 P. 3d 601 (2001)

After Brett was convicted of murder, his trial attorney asked for a one month delay to obtain a diagnosis regarding FAS/FAE. The motion was denied, and after a sentencing hearing the jury imposed the death penalty.

On direct appeal Brett challenged the denial of the requested delay, objecting that it prevented him from obtaining such a diagnosis. The Washington Supreme Court in 1995 rejected that argument and upheld Brett's sentence. 892 P. 2d at 63-65.

Brett then brought a state post-conviction proceeding, in which he asserted he had been denied the effective assistance of counsel because his trial attorney had failed to obtain such a diagnosis prior to trial. In 2000 the trial attorney was disbarred. 16 P. 2d at 609 n. 2. In 2001 the Washington Supreme Court held that Brett had been denied the effective assistance of counsel, and overturned his death sentence.

Diagnosis and Symptoms

In connection with the post-conviction proceeding two doctors diagnosed Brett as having FAE. Dr. Moore performed a clinical interview with Brett and reviewed his Department of Juvenile Rehabilitation records, school records, as well as other medical reports and records and affidavits from family members. Dr. Dolan did a physical examination of Brett and reviewed Brett's medical, educational and psychological records and the 1992 trial testimony. 16 P. 2d at 604-05.

The court in 2001 explained that:

"Fetal alcohol effect is defined as behavioral or cognitive abnormality evidenced through learning difficulties, deficits in school performance, poor impulse control, problems in social perception, deficits in higher level receptive and expressive language, poor capacity for abstraction or metacognition, and specific deficits in mathematical skills or problems in memory, attention, or judgment."

16 P. 2d at 605. Dr. Robin A. LaDue testified that FAE had

"'a significant impact' on Brett's mental abilities, including his impaired judgment, his inability to understand cause and effect, and his difficulty controlling impulses."

16 P. 2d at 605.

Expert Witnesses

One month prior to trial the defense attorney obtained the appointment of a mental health expert, Dr. Stanulis, who reviewed Brett's school, medical and Department of Corrections records. On the day he was schedule to testify, however, Dr. Stanulis informed counsel that because he was a psychologist, not a psychiatrist, he was not qualified to diagnose or testify about FAS/FAE. 16 P. 2d at 606. Thus "the only expert defense [witness] retained by the defense could not render expert opinion and could not be used to support a defense theory." 16 P. 2d at 606.

At the post-conviction proceeding both Dr. LaDue and a Dr. Michael A. Dolan testified that a diagnosis of FAE could only be made by a qualified medical doctor or geneticist. 16 P. 2d at 605.

The 2001 opinion recites that defense counsel at the last minute instead presented another witness in place of Dr. Stanulis.

"However, this witness was not qualified to testify concerning Brett's medical conditions and the mental effects, did not make an individualized diagnosis of Brett, and provided erroneous testimony regarding fetal alcohol effect."

16 P. 2d at 606 n.1.

At the post-conviction proceeding Brett offered diagnoses of FAE by Dr. Julia L. Moore, a psychiatrist, and Dr. Michael A. Dolan, a medical doctor and an expert on prenatal exposure to alcohol. Dr. Ladue testified about the impact of FAE. 16 P. 2d at 605.

In this case the trial judge permitted defense counsel, even in the absence of a formal diagnosis, to urge the jury to conclude that Brett had FAS or FAE. The judge concluded that the jury could make such an inference where the record included (a) evidence that Brett's mother drank (it is unclear if the evidence referred specifically to drinking during the pregnancy), (b) evidence of the behavior characteristics typical of FAS/FAE, and (c) testimony that Brett had behaved in that manner. 892 P. 2d at 64.

"The defense presented testimony from Dr. Ryan, a chemical dependency and mental health counselor, regarding the symptoms exhibited by persons suffering from FAS and FAE and the causative factors leading to those conditions. Testimony was presented regarding Brett's upbringing and behavior which allowed the defense to argue and the jury to infer that Brett suffered from FAS or FAE.

In addition, a diagnosis of FAS/FAE, according to defense retained expert Dr. Stanulis, would place nothing more than a label on Brett's lower intelligence and behavioral problems, evidence which was already before the jury. With or without the diagnosis or label, the defense could argue that such evidence mitigated in favor of the lesser sentence."

892 P. 2d at 64.

The subsequent 2001 decision seems intelligible only as embodying a conclusion that it might well have effected the outcome of the case if Brett had also had a formal FAE diagnosis, a conclusion seemingly inconsistent with the court's 1995 opinion. The distinction seems critical to this and most FAS/FAE ineffectiveness claims. There is a world of difference between evidence of past behavioral problems, and evidence that a defendant has organic brain damage, FAS/FAE, which caused such behavior. A critical question in sentencing is whether a defendant may not be (fully) responsible for the actions which constituted the crime. A history of behavior problems, without that causal explanation, may convince the jury only that the defendant is a chronic miscreant. That is what occurred in the sentencing opinion in the Bonner case.

Ineffective Assistance of Counsel
Sentencing

The critical failing of the defense attorney was delay. Brett's trial attorney knew that Brett had mental problems. The attorney did not seek to retain a mental health expert until a month before trial was to begin. The expert was only appointed 19 days before trial, and the expert was not provided with Brett's school, medical and Department of Corrections records until two days before trial. 16 P. 2d at 606. By the time the expert had identified FAS/FAE as the critical problem, and disclosed that he could not diagnose or testify about that condition, it was the very day on which the expert was supposed to testify.

The physicians who testified in the post-conviction proceeding specifically stated that in 1992, at the time of the original trial, it was possible to diagnose FAE. 16 P. 2d at 604-05.

In holding that the attorney's representation was constitutionally insufficient, the Washington Supreme Court explained:

"When defense counsel knows or has reason to know of a capital defendant's medical and mental problems that are relevant to making an informed defense theory, defense counsel has a duty to conduct a reasonable investigation into the defendant's medical and mental health, have such problems fully assessed and, if necessary, retain qualified experts to testify accordingly."

16 P. 2d at 607.

A sentence or conviction can only be overturned because of ineffective representation if there is a showing that that ineffectiveness might have affected the sentence or conviction that occurred. In a large number of cases in which defendants have based an ineffectiveness claim on the failure of defense counsel to raise FAS/FAE as a possible mitigating factor, the courts have summarily held, without explanation, that the sentence would have been the same even if that evidence had been developed and presented. In this case, the Washington Supreme Court reached the opposite conclusion, but also did so without any explanation of how it concluded that the missing evidence might have mattered.

"We find Brett has shown by a preponderance of the evidence there is a reasonable probability that, but for counsel's errors, the results of his trial would have been different." 16 P. 3d at 608.