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Spicola& “SANE” Insanity:Beyond the Smoke and Mirrors Defending a Child Sex Abuse Case
DONALD G. REHKOPF, JR.Brenna, Brenna & Boyce, pllc31 East Main Street, Suite 2000Rochester, New York 14614(585) 454-2000
OVERVIEW People v. Spicola, NY COA HIPPA Issues Discovery Matters Frye Issues / Hearings Cross-Examination Concepts
People v. Spicola,16 N.Y.3d 441 (2011), affirming61 A.D.3d 1434 (4th Dept. 2009)
HIPAA in a Nutshell Health Insurance Portability and Accountability Act 42 U.S.C. 1320d 45 C.F.R 164
BASIC PURPOSE OF HIPAAPatient PrivacyRights
42 U.S.C. § 1320d-5 Civil Liability
42 U.S.C. § 1320d-6 Criminal Liability
45 C.F.R. § 164.510 Patient may restrict disclosures / redisclosures
OCA HIPAA RELEASE http://www.nycourts.gov/forms/hipaa_fillable.pdf
BEWARE OF NY “HIPAA” LAW HIPAA Preempts State Law UNLESS State Law = More Protective Arons v. Jutkowitz, 9 NY3d 393 (2007) Civil case – important “discovery”
Arons- You have the right to demand HIPAA compliant release
Arons, at 409:“This waiver is called for as a matter of basic fairness”
DISCOVERY 55 WAYS TO Drive Them In “SANE”
REHKOPF’s“S.A.F.E.”DiscoveryChecklist
Mental Health Records People v. Earel, 89 NY2d 960 (1997)
SCHOOL RECORDS FEDERAL EDUCATIONAL RIGHTS and PRIVACY ACT  [ FERPA ] 20 U.S.C. § 1232g
§ 1232g(b)(1)(J)(2)(B) requires “judicial order” or  “lawfully issued subpoena” on notice to student or parents if minor.
The New York StateSexual Assault Reform Act (SARA)Sexual Assault Forensic Examiner (SAFE) ProgramNew York State Department of Health
The goals of the SAFE program are to:4. Utilize an interdisciplinary approach by working with rape crisis centers and other service providers, law enforcement and prosecutors’ offices. . . .
5.  Provide expert testimony when needed if the patient chooses to report the crime to law enforcement . . . .
CPL § 240.20(1) Materials Ambulance Records Hospital Emergency Dep’t Hospital - Proper
[object Object],[object Object]
Photographs- General Trauma- Colposcopic- Anoscopic- Crime Scene
Diagrams- General Body- Genitalia- Crime Scene
SCHOOL RECORDS- Disciplinary Records- Medical- Attendance- Reading- Special Programs
BRADY / KYLES / WRIGHT Prior False Complaints Untruthfulness Cell phone records Social Media Records Remuneration
Part II Cross-Examination of a Sexual Assault Forensic Examiner
“Of the delights of this world, man cares most for sexual intercourse.  He will go to any length for it - risk fortune, character, reputation, life itself.”				– Mark Twain
Q: Nurse Ratchett, do you think that one years experience as a SAFE qualifies you to render a medical opinion here?A:   No sir.
Q: Then what facts do you base your conclusion that these injuries are “consistent with” a “violent sexual assault?”
A:  They are the same injuries I received when I was raped at age 22.
And,The VerdictIs?
Frye v. United States, 293 F. 1013 (D.C. Cir. 1923)
People v. Wernick 89 NY2d 111 (1996) Frye is still the test in NY – more or less.
Frye Hearing Frye Hearing on SAFE expressing any medical opinion, especially that certain physical manifestations are “consistent” with anything.  That calls for the jury to comparatively speculate, without any basis in fact - no different than saying, “That is consistent with the truth of what she is saying, Your Honor.”
- A Westlaw™ search in New York cases did not disclose any reported cases where a Frye hearing was done.
Guidelines for Effective Cross-Examination.
“CRITICAL CONCEPTS” Confrontational cross-examination.   This is war - the “cross to kill.”
- Lead with attacks on credibility.- Expose bias, interests and motives up front.- Lay the “theme” early and often.- Once you have control of the witness, then go after “risky areas.
Credibility attacks Are you discrediting the witness?  or, Discrediting the testimony of the witness?
Closing the Cross- insert the theme of the case or for this witness:
-- “But, you lied . . .”-- “But, you changed your story, didn’t you?”--“But, you never interviewed the mother, did you Nurse Ratchett?”
CROSS-EXAMINING THE “SAFE” [ FINALLY! ]
Establish Your Goal for This Cross-Examination. – Why and for what purpose is the ADA calling this witness?  – Prioritize your cross - always get the “good” / “helpful” before you begin your attack.
Lack of evidence- inconsistent with oral history of patient
Quality of the evidencevis-a-vis oral history of patient:
Bias- SAFE is not a neutral forensic evidence gatherer.
The End
Ithaca Ppt Revised

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Ithaca Ppt Revised

  • 1. Spicola& “SANE” Insanity:Beyond the Smoke and Mirrors Defending a Child Sex Abuse Case
  • 2. DONALD G. REHKOPF, JR.Brenna, Brenna & Boyce, pllc31 East Main Street, Suite 2000Rochester, New York 14614(585) 454-2000
  • 3. OVERVIEW People v. Spicola, NY COA HIPPA Issues Discovery Matters Frye Issues / Hearings Cross-Examination Concepts
  • 4. People v. Spicola,16 N.Y.3d 441 (2011), affirming61 A.D.3d 1434 (4th Dept. 2009)
  • 5. HIPAA in a Nutshell Health Insurance Portability and Accountability Act 42 U.S.C. 1320d 45 C.F.R 164
  • 6. BASIC PURPOSE OF HIPAAPatient PrivacyRights
  • 7. 42 U.S.C. § 1320d-5 Civil Liability
  • 8. 42 U.S.C. § 1320d-6 Criminal Liability
  • 9. 45 C.F.R. § 164.510 Patient may restrict disclosures / redisclosures
  • 10. OCA HIPAA RELEASE http://www.nycourts.gov/forms/hipaa_fillable.pdf
  • 11. BEWARE OF NY “HIPAA” LAW HIPAA Preempts State Law UNLESS State Law = More Protective Arons v. Jutkowitz, 9 NY3d 393 (2007) Civil case – important “discovery”
  • 12. Arons- You have the right to demand HIPAA compliant release
  • 13. Arons, at 409:“This waiver is called for as a matter of basic fairness”
  • 14. DISCOVERY 55 WAYS TO Drive Them In “SANE”
  • 16. Mental Health Records People v. Earel, 89 NY2d 960 (1997)
  • 17. SCHOOL RECORDS FEDERAL EDUCATIONAL RIGHTS and PRIVACY ACT [ FERPA ] 20 U.S.C. § 1232g
  • 18. § 1232g(b)(1)(J)(2)(B) requires “judicial order” or “lawfully issued subpoena” on notice to student or parents if minor.
  • 19. The New York StateSexual Assault Reform Act (SARA)Sexual Assault Forensic Examiner (SAFE) ProgramNew York State Department of Health
  • 20. The goals of the SAFE program are to:4. Utilize an interdisciplinary approach by working with rape crisis centers and other service providers, law enforcement and prosecutors’ offices. . . .
  • 21. 5. Provide expert testimony when needed if the patient chooses to report the crime to law enforcement . . . .
  • 22. CPL § 240.20(1) Materials Ambulance Records Hospital Emergency Dep’t Hospital - Proper
  • 23.
  • 24. Photographs- General Trauma- Colposcopic- Anoscopic- Crime Scene
  • 25. Diagrams- General Body- Genitalia- Crime Scene
  • 26. SCHOOL RECORDS- Disciplinary Records- Medical- Attendance- Reading- Special Programs
  • 27. BRADY / KYLES / WRIGHT Prior False Complaints Untruthfulness Cell phone records Social Media Records Remuneration
  • 28. Part II Cross-Examination of a Sexual Assault Forensic Examiner
  • 29.
  • 30. “Of the delights of this world, man cares most for sexual intercourse. He will go to any length for it - risk fortune, character, reputation, life itself.” – Mark Twain
  • 31. Q: Nurse Ratchett, do you think that one years experience as a SAFE qualifies you to render a medical opinion here?A: No sir.
  • 32. Q: Then what facts do you base your conclusion that these injuries are “consistent with” a “violent sexual assault?”
  • 33. A: They are the same injuries I received when I was raped at age 22.
  • 35. Frye v. United States, 293 F. 1013 (D.C. Cir. 1923)
  • 36. People v. Wernick 89 NY2d 111 (1996) Frye is still the test in NY – more or less.
  • 37. Frye Hearing Frye Hearing on SAFE expressing any medical opinion, especially that certain physical manifestations are “consistent” with anything. That calls for the jury to comparatively speculate, without any basis in fact - no different than saying, “That is consistent with the truth of what she is saying, Your Honor.”
  • 38. - A Westlaw™ search in New York cases did not disclose any reported cases where a Frye hearing was done.
  • 39. Guidelines for Effective Cross-Examination.
  • 40. “CRITICAL CONCEPTS” Confrontational cross-examination. This is war - the “cross to kill.”
  • 41. - Lead with attacks on credibility.- Expose bias, interests and motives up front.- Lay the “theme” early and often.- Once you have control of the witness, then go after “risky areas.
  • 42. Credibility attacks Are you discrediting the witness? or, Discrediting the testimony of the witness?
  • 43. Closing the Cross- insert the theme of the case or for this witness:
  • 44. -- “But, you lied . . .”-- “But, you changed your story, didn’t you?”--“But, you never interviewed the mother, did you Nurse Ratchett?”
  • 46. Establish Your Goal for This Cross-Examination. – Why and for what purpose is the ADA calling this witness? – Prioritize your cross - always get the “good” / “helpful” before you begin your attack.
  • 47. Lack of evidence- inconsistent with oral history of patient
  • 48. Quality of the evidencevis-a-vis oral history of patient:
  • 49. Bias- SAFE is not a neutral forensic evidence gatherer.