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SHULEPOVA v. RUSSIA - 34449/03 [2008] ECHR 1666 (11 December 2008)
URL: http://www.bailii.org/eu/cases/ECHR/2008/1666.html
Cite as:
[2008] ECHR 1666
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FIRST
SECTION
CASE OF SHULEPOVA v. RUSSIA
(Application
no. 34449/03)
JUDGMENT
STRASBOURG
11
December 2008
This
judgment will become final in the circumstances set out in Article 44
§ 2 of the Convention. It may be subject to editorial
revision.
In the case of Shulepova v.
Russia,
The
European Court of Human Rights (First Section), sitting as a Chamber
composed of:
Christos Rozakis, President,
Nina
Vajić,
Anatoly Kovler,
Khanlar
Hajiyev,
Sverre Erik Jebens,
Giorgio
Malinverni,
George Nicolaou, judges,
and Søren
Nielsen, Section
Registrar,
Having
deliberated in private on 20 November 2008,
Delivers
the following judgment, which was adopted on that date:
PROCEDURE
The
case originated in an application (no. 34449/03) against the Russian
Federation lodged with the Court under Article 34 of the Convention
for the Protection of Human Rights and Fundamental Freedoms (“the
Convention”) by a Russian national, Ms Valentina Aleksandrovna
Shulepova (“the applicant”), on 26 September 2003.
The
applicant, who had been granted legal aid, was represented by Mr A.
Koss, a lawyer practising in Kaliningrad. The Russian Government
(“the Government”) were represented by Mr P.
Laptev, former Representative of the Russian Federation at the
European Court of Human Rights.
The
applicant complained, in particular, of her allegedly unlawful
detention in a psychiatric hospital and the unfairness of the
proceedings by which the lawfulness of her detention had been
examined.
On
28 November 2005 the President of the First Section decided to
communicate the above complaints to the Government. It was also
decided to examine the merits of the application at the same time as
its admissibility (Article 29 § 3).
THE FACTS
I. THE CIRCUMSTANCES OF THE CASE
The
applicant was born in 1934 and lives in the Kaliningrad Region.
1. The applicant’s detention in a mental hospital
At
the beginning of February 1999 the applicant complained to her doctor
Ms K. about the neighbours, who had allegedly subjected her to
electromagnetic emissions, attempted to contaminate her with HIV,
created noises and draughts and tortured her in a multitude of other
ways. She threatened to pour acid on them.
On 10 February 1999 the applicant was examined by a
medical panel comprising two psychiatrists and three general
practitioners affiliated with the Baltiysk Town Medical Association.
The panel concluded that the applicant suffered from a paranoid
personality disorder and was hallucinatory and aggressive. She was
therefore dangerous to the public and to herself. The doctors also
found that the applicant suffered from hypertension.
On
the same day she was taken to the Kaliningrad Regional psychiatric
hospital No. 1 (hereinafter “the hospital”).
On 12 February 1999 the applicant was examined by the
hospital psychiatrists, who diagnosed her with involutional paranoid
psychosis and concluded that she needed compulsory treatment.
On
the same day the hospital applied to a court for approval of the
applicant’s confinement.
On
16 February 1999 the Leningradskiy District Court of Kaliningrad
ordered that the applicant should provisionally remain in the
hospital until the application was examined. The hearing was
scheduled for 18 February 1999.
On
18 February 1999 the hearing did not go ahead. The record indicated
that the applicant was unable to appoint a representative owing to
her grave mental state.
On
26 March 1999 the applicant consented to medical treatment. She
remained in the hospital until 21 April 1999.
On
13 May 1999 the court proceedings were discontinued as the hospital
had withdrawn its application.
2. Judicial review of the detention
After
her discharge, the applicant complained to the prosecutor’s
office about her allegedly unlawful confinement.
By letter of 1 February 2000, the Head of the
Law-Enforcement Supervision Department of the Kaliningrad Regional
prosecutor’s office acknowledged that from 16 to 26 March 1999
she had been unlawfully held in the hospital without a judicial
decision and advised her that measures would be taken to remedy the
situation.
On
11 April 2002 the Leningradskiy District Court informed the
prosecutor’s office that it would take measures to avoid
similar violations in future and undertook to observe the time-limits
for examining applications from hospitals.
In
the meanwhile on 21 February 2000 the applicant sued doctor K. and
the hospital in tort. She contested the findings of the medical
panels of 10 and 12 February 1999, claiming that she had not suffered
from any mental disorder and that it had not been necessary to
confine her. She further argued that her detention had been unlawful
as it had not been based on a court order. She sought compensation in
respect of non-pecuniary damage. In reply, the hospital’s
representative argued that the medical findings in the applicant’s
case had been correct and her confinement lawful. He asked the court
to reject the applicant’s claims in full.
On
22 June 2000 the Leningradskiy District Court of Kaliningrad found
that there had been no reason to question the findings of the medical
panels and that the applicant’s detention had been lawful.
On
25 October 2000 the Kaliningrad Regional Court quashed the judgment
and remitted the case. It held that the first-instance court had
omitted to address the applicant’s criticism of the findings of
the medical panels of 10 and 12 February 1999 and had failed to
verify whether her confinement had been justified by her mental
condition.
On
31 May 2001 the Leningradskiy District Court found that expert advice
was necessary to assess the applicant’s mental condition in
February 1999. It commissioned the hospital’s medical
specialists to perform a psychiatric examination on the applicant.
The experts were asked to determine whether the findings of the
medical panels of 10 and 12 February 1999 had been correct and
whether the applicant’s state of mental health in February 1999
had warranted compulsory psychiatric treatment.
On
30 July 2002 the experts examined the applicant’s medical file,
in particular the reports of 10 and 12 February 1999, and concluded
that the medical findings contained in those reports had been correct
and that the applicant’s involuntary placement into the
hospital had been justified, taking into account her serious mental
condition in February 1999.
The
applicant challenged the experts’ report. She claimed that the
experts were biased because they were employees of the hospital and
asked the court to dismiss the report.
On
15 January 2003 the Leningradskiy District Court dismissed the
applicant’s claim. In particular, with reference to the medical
reports of 10 and 12 February 1999 and 30 July 2002, it
held that the applicant’s placement in the hospital had been
necessary because she had been a danger to the public and to herself.
The court held that the expert report of 30 July 2002 was admissible
evidence because the experts had been informed that they would be
criminally liable for perjury. Moreover, the panel of 30 July 2002
had not included the psychiatrists who had examined the applicant on
12 February 1999.
As
to the lawfulness of the applicant’s detention from 10 to
26 March 1999, the court found as follows:
“... in accordance with section 33(3) of the
[Psychiatric Treatment Act] a judge ordered that [the applicant]
should remain in the hospital until the decision [on the hospital’s
application for her confinement] had been taken. The hospital’s
application was not examined within five days as required by section
34(1) of the Act because, owing to her mental state, [the applicant]
could not participate in the hearing or name her representative,
whose presence was mandatory under section 34(4) of the Act...
Since the judicial decision committing [the applicant]
to the hospital was not set aside or amended, and the hospital had no
right to discharge [the applicant] in defiance of the order, the
court considers that in those circumstances the hospital was not
responsible for [the applicant’s] involuntary confinement until
26 March 1999.”
The
applicant appealed. In her grounds of appeal she complained, in
particular, that the experts who had produced the report of 30 July
2002 had been partial.
On
2 April 2003 the Kaliningrad Regional Court upheld the judgment,
finding that it had been lawful and justified. As to the experts, it
held that the judgment had not been based solely on the report of 30
July 2002, but was corroborated by other evidence.
II. RELEVANT DOMESTIC LAW
Psychiatric
medical care in Russia is governed by the Law on Psychiatric
Treatment and Associated Guarantees of Citizens’ Rights,
enacted on 2 July 1992 (“the Psychiatric Treatment Act”).
An
individual suffering from a mental disorder may be taken to a
psychiatric hospital against his will or the will of his legal
representative and without a court decision having been taken if the
individual’s examination or treatment may only be carried out
by in-patient care, and the mental disorder is severe enough to give
rise to (a) a direct danger to that individual or to others, or
(b) the individual’s helplessness, that is, an
inability to take care of himself, or (c) a significant
impairment in health as a result of a deteriorating mental condition,
if the affected individual were to be left without psychiatric care
(section 29).
A person placed in a psychiatric hospital on the
grounds listed in section 29 shall be subject to compulsory
examination within forty-eight hours by a panel of psychiatrists of
the hospital. The panel is required to take a decision as to the
necessity of confinement. If no reasons for confinement are
established and the individual expresses no intention of remaining in
the hospital, he must be released immediately. If confinement is
considered necessary, a representative of the hospital where the
person is held is required to file, within twenty-four hours, an
application for compulsory confinement with a court having
territorial jurisdiction over the hospital. The application must
contain the grounds for involuntary confinement and must be
accompanied by a reasoned conclusion of a panel of psychiatrists as
to the necessity of the person’s in-patient treatment in a
psychiatric hospital. A judge who receives the application for a
review must immediately order the person’s detention in a
psychiatric hospital for the term necessary for its examination
(sections 32 and 33).
The judge is required to examine the application
within five days of its receipt. The individual concerned has the
right to participate in the hearing. If, according to the information
provided by a representative of the psychiatric hospital, the
individual’s mental state does not allow him to take part in
the hearing, the application must be examined by the judge on the
hospital premises. The presence at the hearing of a public
prosecutor, a representative of the psychiatric institution
requesting confinement, and a representative of the individual
concerned is mandatory (section 34). The Psychiatric Treatment Act
does not contain any specific provisions for the appointment of a
representative for the individual concerned.
After
examination of the application on the merits, the judge must either
allow or dismiss it. The judge’s decision is subject to appeal
within ten days by the person placed in the psychiatric hospital, his
representative, the head of the psychiatric hospital, or by an
organisation entitled by virtue of law or by its charter to protect
citizens’ rights, or by a public prosecutor. The appeal shall
be made in accordance with the rules established in the Code of Civil
Procedure (Section 35).
Complaints of unlawful actions by medical staff may be made to a
court, a supervising authority or a public prosecutor (section 47).
34. The use of expert evidence in court is governed by the Law
on State Forensic Examinations (“the Forensic Examinations
Act”) enacted on 31 May 2003. It establishes that a forensic
expert must be independent from the court, the parties to the
proceedings and other interested parties (section 7).
THE LAW
I. ALLEGED VIOLATION OF ARTICLE 5 § 1 OF THE
CONVENTION
The
applicant complained that she had been unlawfully detained in a
psychiatric hospital from 10 February to 26 March 1999. She
relied on Article 5 § 1 (e) of the Convention, which reads as
follows:
“1. Everyone has the right to liberty
and security of person. No one shall be deprived of his liberty save
in the following cases and in accordance with a procedure prescribed
by law:
...
(e) the lawful detention of persons for the
prevention of the spreading of infectious diseases, of persons of
unsound mind, alcoholics or drug addicts or vagrants...”
A. Admissibility
The Court notes that this complaint is not manifestly
ill-founded within the meaning of Article 35 § 3 of the
Convention. It further notes that it is not inadmissible on any other
grounds. It must therefore be declared admissible.
B. Merits
1. Arguments by the parties
The
applicant maintained that her deprivation of liberty had not been
authorised “in accordance with a procedure prescribed by law”.
In particular, the hospital’s application had not been examined
by a court within five days as required by domestic law. The decision
of 16 February 1999 ordering her provisional detention had been made
in her absence and in the absence of a representative. It could not
therefore constitute a lawful basis for her detention.
The
Government argued that the applicant’s confinement had been
necessary as she had been suffering from paranoid psychosis. On 10
and 12 February 1999 she had been examined by psychiatrists who
had found her hallucinatory and aggressive. As she had threatened
violence against her neighbours, the psychiatrists had concluded that
she was dangerous to others and that it was necessary to commit her
to a psychiatric institution. Her hypertension condition had also
called for her placement in hospital to prevent her health from
deteriorating. The necessity of her internment had been later
reviewed and confirmed by experts and courts.
The
Government further submitted that the applicant’s detention had
been duly authorised by a court, which had made an order on 16
February 1999 for her to remain in detention until the examination of
the hospital’s application for confinement. The application had
never been examined owing to the applicant’s serious mental
condition which had prevented her from participating in the hearing
or appointing a representative, whose presence was mandatory. In the
Government’s opinion, the court order of 16 February 1999
had provided a basis for the applicant’s detention until
26 March 1999, the date on which she had consented to in-patient
treatment.
2. The Court’s assessment
(a) Whether the applicant was reliably
shown to be “a person of unsound mind”
The
Court reiterates that the term “a person of unsound mind”
does not lend itself to precise definition since psychiatry is an
evolving field, both medically and in social attitudes. However, it
cannot be taken to permit the detention of someone simply because his
or her views or behaviour deviate from established norms (see
Winterwerp v. the Netherlands, judgment of 24 October
1979, Series A no. 33, § 37).
Detention of a person considered to be of unsound mind must be in
conformity with the purpose of Article 5 § 1 of the
Convention, which is to prevent persons from being deprived of their
liberty in an arbitrary fashion, and with the aim of the restriction
contained in sub-paragraph (e). In this latter respect the Court
reiterates that, according to its established case-law, an individual
cannot be considered to be of “unsound mind” and deprived
of his liberty unless the following three minimum conditions are
satisfied: firstly, he must reliably be shown to be of unsound mind;
secondly, the mental disorder must be of a kind or degree warranting
compulsory confinement; thirdly, the validity of continued
confinement depends upon the persistence of such a disorder (see
Johnson v. the United Kingdom, judgment of 24 October 1997,
Reports of Judgments and Decisions 1997 VII, § 60,
with further references).
No
deprivation of liberty may be deemed in conformity with Article 5
§ 1 (e) of the Convention if it has been ordered without seeking
the opinion of a medical expert. It may be acceptable, in urgent
cases or where a person is arrested because of his violent behaviour,
that such an opinion be obtained immediately after the arrest. In all
other cases a prior consultation is necessary. Where no other
possibility exists, for instance due to a refusal of the person
concerned to appear for an examination, at least an assessment by a
medical expert on the basis of the file must be sought, failing which
it cannot be maintained that the person has reliably been shown to be
of unsound mind (see Varbanov v. Bulgaria, no. 31365/96,
§ 47, ECHR 2000 X).
Turning
to the present case, the Court notes that before her confinement in a
psychiatric hospital the applicant had been examined by a medical
panel including two psychiatrists who had concluded that she suffered
from a paranoid personality disorder, experienced hallucinations and
was dangerous to the public and herself. Upon arrival at the hospital
she was again examined by medical specialists, who confirmed that
diagnosis (see paragraphs 7 and 9 above). The Court is therefore
convinced that there was reliable and objective medical evidence
showing that the applicant was of unsound mind. Moreover, given that
she had threatened violence against her neighbours and was found to
be aggressive, the Court accepts that her mental disorder warranted
compulsory confinement. Finally, there is no reason to believe that
the applicant was kept in confinement longer than her condition
required.
The
Court concludes from the above that the applicant was reliably shown
to be “a person of unsound mind” within the meaning of
Article 5 § 1 (e) of the Convention and that her mental disorder
was of a kind and degree justifying her compulsory confinement during
the entire period under consideration.
(b) Whether the applicant was deprived of her
liberty “in accordance with a procedure prescribed by law”
The Court reiterates that the words “in accordance with a
procedure prescribed by law” essentially refer back to domestic
law; they state the need for compliance with the relevant procedure
under that law. However, the domestic law must itself be in
conformity with the Convention, including the general principles
expressed or implied therein. The notion underlying the term in
question is one of fair and proper procedure, namely that any measure
depriving a person of his liberty should issue from and be executed
by an appropriate authority and should not be arbitrary (see
Winterwerp, cited above, § 45).
It
is in the first place for the national authorities, notably the
courts, to interpret and apply domestic law. However, since under
Article 5 § 1 failure to comply with domestic law entails a
breach of the Convention, it follows that the Court can, and should,
exercise a certain power of review of such compliance (see Benham
v. the United Kingdom, judgment of 10 June 1996, Reports
1996-III, § 41).
The
applicant was involuntary held in a psychiatric hospital from
10 February to 26 March 1999. Before 16 February 1999 her
detention had not been based on a judicial decision, while after that
date she was kept in custody on the basis of a provisional detention
order issued by the Lenigradskiy District Court. The Court will
examine the lawfulness of the applicant’s detention during
these two periods.
As
to the first period, the Court observes that the applicant was taken
to a psychiatric hospital on 10 February 1999 after a medical panel
concluded that she needed compulsory in-patient treatment. Two days
later the hospital applied to a court for approval of her involuntary
confinement. The Psychiatric Treatment Act required the court
receiving such an application to issue a provisional detention order
immediately (see paragraph 30 above). However, it was not until
16 February 1999, four days later, that the court made such an
order. The Government did not provide any explanation for that delay.
It follows that the applicant’s detention at least from 13 to
16 February 1999 was incompatible with the procedure prescribed
by domestic law.
As
to the second period, the Court notes that on 16 February 1999 the
Leningradskiy District Court issued a provisional detention order
authorising the applicant’s confinement during the period
necessary for examination of the hospital’s application. Under
section 34 of the Psychiatric Treatment Act, the court was required
to examine the hospital’s application for confinement within
five days of its receipt (see paragraph 31 above). In the present
case the hospital’s application was never examined.
The
Court has already found a violation of Article 5 § 1 of the
Convention in a similar case where the hospital’s application
for confinement was not examined within the five-day time-limit
provided for in the Psychiatric Treatment Act. The Court found that
that omission rendered the applicant’s detention unlawful (see
Rakevich v. Russia, no. 58973/00, §§ 31-35,
28 October 2003).
The
Court sees no reason to reach a different conclusion in the present
case. It is not convinced by the Government’s argument that the
provisional detention order of 16 February 1999 provided a
sufficient lawful basis for the applicant’s detention until
26 March 1999. The order of 16 February 1999 was
provisional in nature and was not attended by procedural guarantees.
In particular, it was issued by a court without hearing the applicant
or her representative. Its validity was limited to five days and its
aim was to allow a period of time for the court to prepare for a
hearing and an in-depth examination of the hospital’s
application with the participation of both parties. It could
therefore serve as a basis for the applicant’s detention only
for five days after it had been issued. The Government did not point
to any legal provision which permitted the applicant’s
detention after its expiry. It follows that the applicant’s
detention after the expiry of the five-day time-limit established in
section 34 of the Psychiatric Treatment Act and until 26 March
1999 did not have a legal basis in domestic law. This conclusion is
supported by the prosecutor’s letter of 1 February 2000
acknowledging that the applicant’s detention from 16 to 26
March 1999 had been unlawful (see paragraph 16 above).
As to the Government’s argument that the application for
confinement could not be examined due to the applicant’s
serious mental condition, which prevented her from participating in
the hearing or appointing a representative, the Court notes that the
Psychiatric Treatment Act envisaged situations where a person was too
ill to participate in the hearing. It did not permit the courts to
adjourn the hearing indefinitely, as was done in the applicant’s
case, but required them to provide for a representative and to hold a
hearing on the hospital premises (see paragraph 31 above). The
domestic authorities did not comply with the procedure prescribed by
the Psychiatric Treatment Act.
There
has therefore been a violation of Article 5 § 1 of the
Convention.
II. ALLEGED VIOLATION OF ARTICLE 6 § 1 OF THE
CONVENTION
The
applicant complained that the proceedings concerning the lawfulness
of her detention had been unfair because the court-appointed experts
had been biased. She relied on Article 6 § 1 of the Convention
which reads as follows:
“In the determination of his civil rights and
obligations ..., everyone is entitled to a fair ... hearing ... by
[a] ... tribunal ...”
A. Admissibility
The Court notes that this complaint is not manifestly
ill-founded within the meaning of Article 35 § 3 of the
Convention. It further notes that it is not inadmissible on any other
grounds. It must therefore be declared admissible.
B. Merits
1. Submissions by the parties
The
applicant submitted that the experts appointed by the court to assess
the necessity of her involuntary confinement in the hospital had been
employees of that hospital. In her opinion, the proceedings had been
rendered unfair by the experts’ partiality.
The
Government argued that the Forensic Examinations Act required experts
to be independent and impartial (see paragraph 34 above). They bore
personal responsibility for their findings and were not allowed to
receive instructions from the parties or the court. In the
Government’s opinion, the mere fact that the experts who had
given the expert opinion of 30 July 2002 had been employees of the
hospital where the applicant had received treatment had not violated
the principle of equality of arms. The panel had not included any of
the experts who had examined the applicant on 12 February 1999.
Moreover, the expert report of 30 July 2002 had not been the only
piece of evidence before the court. The court had also relied on
other medical documents and the parties’ submissions.
2. The Court’s assessment
The
Court considers it appropriate to start its assessment, even in the
absence of any disagreement between the parties as to the
applicability of Article 6 § 1, with the question of whether the
proceedings determined the applicant’s civil rights and
obligations.
The
Court has earlier found in a number of cases that proceedings for
review of lawfulness of detention of a person of unsound mind
determined that person’s civil rights. Thus, in the Aerts v.
Belgium case the applicant had been detained under Article 5 §
1 (e) as a person of unsound mind. Following his release, he
instituted proceedings to review the lawfulness of his detention and
sought compensation. The Court found that Article 6 § 1 applied
under its civil head to the proceedings because “the right to
liberty is a civil right” (see Aerts v. Belgium,
judgment of 30 July 1998, Reports of Judgments and Decisions
1998 V, § 59). In two subsequent cases, which also
concerned proceedings relating to the lawfulness of detention in
psychiatric institutions, the Court found Article 6 to be applicable
under its civil head with reference to the Aerts judgment. It
dismissed the Government’s objection of incompatibility ratione
materiae despite the fact that the proceedings at issue concerned
only the lawfulness of the detention without involving any related
pecuniary claims (see Vermeersch v. France (dec.), no.
39277/98, 30 January 2001, and Laidin v. France (no. 2),
no. 39282/98, §§ 73-76, 7 January 2003).
In
the present case, as in the three above-mentioned cases, the
applicant sought a judicial declaration that her detention in a
mental hospital had been unlawful. Therefore, her civil right to
liberty was at stake. In addition, she sought compensation for
unlawful detention. The Court reiterates in this respect that the
right to compensation is, by its very nature, of a civil character
even where derived from public law (see Georgiadis v. Greece,
judgment of 29 May 1997, Reports of Judgments and Decisions
1997 III, § 35, where the claims for compensation for
unlawful detention were found to be civil in nature). The Court is
therefore satisfied that the proceedings determined the applicant’s
civil rights.
The
Court will next examine whether the appointment as experts of medical
specialists employed by the respondent hospital rendered the
proceedings unfair contrary to Article 6 § 1.
The
Court reiterates that the appointment of experts is relevant in
assessing whether the principle of equality of arms has been complied
with. The mere fact that experts are employed by one of the parties
does not suffice to render the proceedings unfair. Although this fact
may give rise to apprehensions as to the neutrality of the experts,
such apprehensions, while having a certain importance, are not
decisive. The requirements of impartiality and independence enshrined
in Article 6 of the Convention do not apply to experts. What is
decisive, however, is the position occupied by the experts throughout
the proceedings, the manner in which they performed their functions
and the way the judges assessed the expert opinion (see Zarb v.
Malta (dec.), no. 16631/04, 27 September 2005, and Lasmane
v. Latvia (dec.), no. 43293/98, 6 June 2002). In
ascertaining the expert’s procedural position and his role in
the proceedings, one must not lose sight of the fact that the opinion
given by a court-appointed expert is likely to carry significant
weight in the court’s assessment of the issues within that
expert’s competence (see Sara Lind Eggertsdóttir v.
Iceland, no. 31930/04, § 47, ECHR 2007 ...,
and Bönisch v. Austria, 6 May 1985, § 33,
Series A no. 92).
The
applicant sued the hospital where she had been involuntarily confined
as a person of unsound mind. She contested the diagnosis given by the
hospital psychiatrists and their findings as to the necessity of her
confinement. The domestic courts appointed the psychiatrists employed
by the same hospital as experts instructed to assess the correctness
of their colleagues’ findings. The court subsequently relied on
their opinion when rejecting the applicant’s claim.
The Court has already examined a similar situation in the case of
Sara Lind Eggertsdóttir v. Iceland (cited above). In
that case the applicant sued a hospital for medical negligence. The
court ordered an expert examination, asking the employees of that
hospital to assess the performance of their colleagues and determine
whether they had been medically negligent in their treatment of the
applicant. When rejecting the applicant’s claim, the court
relied on the experts’ finding that their colleagues had not
been negligent. The Court found a violation of Article 6 § 1 on
account of non-compliance with the principle of equality of arms. It
took account of three factors: the nature of the task entrusted to
the experts, the experts’ hierarchical position in the
respondent hospital, and their role in the proceedings, in particular
the weight attached by the court to their opinion. As to the first
factor, the Court observed that the experts were called upon to
assist the court in determining the question of their employer’s
liability. As to the second factor, the Court noted that the experts’
superiors had taken a clear stance on the issue by denying the
hospital’s responsibility. This fact could justifiably give
rise to the fear that the experts would be unable to act with proper
neutrality. As to the third factor, the Court found that the opinion
given by the experts was decisive evidence in the proceedings. It
concluded that as a result of the appointment of the respondent’s
employees as experts who played a dominant role in the proceedings,
the applicant’s position had not been on a par with that of the
respondent hospital in the manner required by the principle of
equality of arms (see Sara Lind Eggertsdóttir, cited
above, §§ 47-55).
A
similar situation obtains in the present case. Indeed, the experts
appointed by the court were employees of the respondent hospital and
owed a general duty of obedience and loyalty to their employer. They
were asked to assess the accuracy of the diagnosis given by their
colleagues and to review their finding as to the necessity of the
applicant’s involuntary confinement. They were thereby required
to analyse the performance of their colleagues with the view to
assisting the court in the determination of their employer’s
liability. Given that the hospital’s representative had clearly
expressed the hospital’s position that the medical findings in
the applicant’s case had been correct and that the applicant’s
claims had been unfounded, the applicant’s apprehension as to
the experts’ neutrality can be considered as objectively
justified.
As
regards the experts’ role in the proceedings, the Court
observes that the main issue in the case was whether the findings of
the medical panels of 10 and 12 February 1999 as to the necessity of
the applicant’s involuntary confinement had been correct. As
the applicant contested those findings, the court appointed experts
to review them. Having no medical qualifications, the judges of the
court were bound to attach significant weight to the experts’
opinion on the medical issue decisive for the outcome of the case.
Indeed, the experts’ opinion was the only evidence confirming
the accuracy of the diagnosis made on 10 and 12 February 1999. It
follows that the experts played a dominant role in the proceedings.
The
Court further notes that the respondent hospital was not the only
institution whose specialists possessed the requisite skills to
perform a psychiatric examination of the applicant. The court could
have obtained expert advice from psychiatrists employed by other
psychiatric hospitals in the Kalinigrad region or other regions of
Russia. Accordingly, there were no obstacles to finding independent
experts (see, by contrast, Zarb, decision cited above, and
Emmanuello v. Italy (dec.), no. 35791/97, 31 August
1999).
Finally,
although it was open for the applicant to call an expert witness of
her choice, the procedural position of that witness would not have
been equal to the position of the court-appointed experts. Statements
of court-appointed experts, who are by the nature of their status
supposed to be a neutral and impartial auxiliary of the court, would
carry greater weight in the court’s assessment than an opinion
of an expert witness called by a party (see Sara Lind
Eggertsdóttir, cited above, § 49, and Bönisch,
cited above, § 33).
The
Court concludes from the above that by appointing the respondent’s
employees as experts, the domestic courts placed the applicant at a
substantial disadvantage vis-à-vis the respondent
hospital. Therefore, the principle of equality of arms has not been
complied with.
Accordingly,
there has been a violation of Article 6 § 1.
III. OTHER ALLEGED VIOLATIONS OF THE CONVENTION
Lastly,
the applicant complained that the judicial proceedings had been
excessively long.
The
period to be taken into consideration in the present case began on 21
February 2000, when the applicant lodged her claims. It ended on
2 April 2003, when the Kaliningrad Regional Court gave final
judgment in the case. The proceedings lasted slightly more than three
years and one month. During that period the applicant’s case
was examined twice before two levels of jurisdiction. The length of
the proceedings does not appear excessive. It follows that this
complaint must be rejected as manifestly ill-founded pursuant to
Article 35 §§ 3 and 4 of the Convention.
IV. APPLICATION OF ARTICLE 41 OF THE CONVENTION
Article 41 of the Convention provides:
“If the Court finds that there has been a
violation of the Convention or the Protocols thereto, and if the
internal law of the High Contracting Party concerned allows only
partial reparation to be made, the Court shall, if necessary, afford
just satisfaction to the injured party.”
A. Damage
The
applicant claimed 6,000 euros (EUR) in respect of non-pecuniary
damage.
The
Government considered that the claim was excessive and that the
finding of a violation would in itself constitute sufficient just
satisfaction.
The
Court accepts that the applicant suffered distress and frustration
resulting from her unlawful detention in a psychiatric hospital and
unfair civil proceedings. The non-pecuniary damage sustained is not
sufficiently compensated for by the finding of a violation of the
Convention. However, the Court finds the amount claimed by the
applicant excessive. Making its assessment on an equitable basis, it
awards the applicant EUR 4,000 under this head, plus any tax
that may be chargeable on that amount.
B. Costs and expenses
The
applicant did not claim costs and expenses. Accordingly, there is no
call to make an award under this head.
C. Default interest
The
Court considers it appropriate that the default interest should be
based on the marginal lending rate of the European Central Bank, to
which should be added three percentage points.
FOR THESE REASONS, THE COURT UNANIMOUSLY
Declares the complaints concerning the alleged
unlawfulness of the applicant’s detention and the alleged
unfairness of the judicial proceedings admissible and the remainder
of the application inadmissible;
Holds that there has been a violation of Article
5 § 1 of the Convention;
Holds that there has been a violation of Article
6 § 1 of the Convention;
Holds
(a) that
the respondent State is to pay the applicant, within three months
from the date on which the judgment becomes final in accordance with
Article 44 § 2 of the Convention, EUR 4,000 (four
thousand euros), plus any tax that may be chargeable, in respect of
non-pecuniary damage, to be converted into Russian roubles at the
rate applicable at the date of settlement;
(b) that
from the expiry of the above-mentioned three months until settlement
simple interest shall be payable on the above amount at a rate equal
to the marginal lending rate of the European Central Bank during the
default period plus three percentage points;
Dismisses the remainder of the applicant’s
claim for just satisfaction.
Done in English, and notified in writing on 11 December 2008,
pursuant to Rule 77 §§ 2 and 3 of the Rules of Court.
Søren Nielsen Christos Rozakis
Registrar President
In
accordance with Article 45 § 2 of the Convention and Rule 74 §
2 of the Rules of Court, the concurring opinion of Judge Malinverni
is annexed to this judgment.
C.L.R.
S.N.
CONCURRING OPINION OF JUDGE MALINVERNI
I
voted with all my colleagues in favour of finding a violation of
Article 6 § 1 on account of the fact that the psychiatric
experts appointed by the competent court to assess the necessity of
the applicant’s involuntary confinement in a psychiatric
hospital had been doctors employed by that hospital.
After the finding that the requirements of independence and
impartiality enshrined in Article 6 apply only to judges and not to
experts (see paragraph 62), the subsequent reasoning of the judgment
is based entirely on the principle of the equality of arms (see
paragraphs 62 to 69), leading to the Court’s conclusion that
“by appointing the respondent’s employees as experts, the
domestic courts placed the applicant at a substantial disadvantage
vis-à-vis the respondent hospital. Therefore, the
principle of equality of arms has not been complied with”
(paragraph 69).
One has the impression, however, when reading the relevant
considerations in the judgment, that the real problem underlying the
appointment of the experts is not so much a problem of equality of
arms but one related to their independence and impartiality, as is in
fact revealed by the Court’s use of the word “neutrality”
in paragraphs 62 and 65.
I
would thus personally have found it preferable if the line of
reasoning had been developed around the question of the independence
and impartiality of the experts. Admittedly, under Article 6 those
two guarantees apply only to judges. However, in an area such as that
which forms the subject matter of the present case, the opinion of
experts is of such importance that it is practically binding on the
judge. Would it therefore be unreasonable to require that the expert
too, like the judge, should be independent and impartial?