# U ni te d S ta te s Co ur t of A pp ea ls For the Eig hth Circu it

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__ __ __ __ __ __ __ __ __ __ __ __ __ _ Uni te d S ta te s o f Am eri ca

ll ll ll ll ll ll ll ll ll ll l Pla in ti

ff - App el le e

v.

Tim ot hy O'L au gh li n

ll ll ll ll ll ll ll ll ll ll l Defe nd

an t - Ap pe ll an t

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Uni te d S ta te s Di st ric t Co ur t fo r th e Weste rn Dis tri ct of M is so ur i - Sp rin gf ie ld

__ __ __ __ __ __ Su bm it te d: Ju ly 27, 2 01 7 Fi le d: Aug us t 1 0, 2 01 7 [Un pu bl is he d]

__ __ __ __ __ __ Befo re COLLOTON, MURPHY, and KELLY , Cir cu it Ju dg es

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PER CURI AM.

Tim ot h y O ’L au gh li n, who was fo un d in co m pe te nt to st an d tri al un de r 18 U.S.C. § 42 41 (d ) on cri m in al ch arg es in vo lv in g st al ki ng an d m ak in g th reat s, ap pe al sth e di st ric t co ur t’s or de r ci v i l l y c om m it ti ng hi m un de r 18 U.S.C. § 42 46 , whi ch 1
pr ov id es fo r th e ho sp it al iz at io n of a pe rs on fo un d aft er a he ari ng to be su ffer in g fro m

a m en ta l di se as e or de fect su ch th at hi s rel eas e wou ld crea te a su bs ta nt ia l r i s k o f bo di ly in jury to an ot he r pe rs on or se rio u s d am ag e to th e pr op ert y of an ot he r. See Uni te d St at es v. Wi l l ia m s, 29 9 F.3 d 67 3, 67 6 (8 th Ci r. 20 02 ). Fo r rev ers al , O’ Lau gh li n c ha ll en ge s t he su ffi ci en cy of t he ev id en ce jus ti fy in g h is co m m it m en t.

Hav in g rev ie wed fo r cl ear erro r th e fact ua l de te rm in at io ns un de rlyin g th e

co m m it m en t de ci si on , se e id ., we affi rm

. Sp eci fic al ly, th e di st ric t co ur t’s or de r is

su pp or te d by th e op in io ns of m en ta l he al th ex pe rts who ha ve as se ss ed O’ Lau gh li n at th e Uni te d St at es Med ic a l Cen te r fo r Fed eral Pri so ne rs in Sp rin gf ie ld , Mi ss ou ri-

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w he re he is pr es en tl y co nf in ed fo r tre at m en t-- th at O’ Lau gh li n was in ne ed o f in pa ti en t t reat m en t un de r se ct io n 42 46 , i n pa rt be cau se th e sym pt om s o f hi s m en ta l

co nd it io n in cl ud ed de lu si on s an d pa ran oi d be li efs th at cau se d hi m to la sh ou t at th os e he pe rcei ve d t o be ta rg et in g hi m ; he la ck ed in si gh t in to hi s m en ta l co nd it io n, th e sym pt om s of whi ch are im

pr ov ed bu t no t res ol ve d wit h m ed ic at io n; he ha d a hi st or y of no t ta ki ng pr es cri be d m ed ic at io n; an d h e mini m iz ed th e se rio us ne ss of , an d

rece nt ly con ti nu ed to en ga ge in , t he be ha vi or s th at le d t o h is cri m in al ch arg es . See W il li am s, 29 9 F.3 d at 67 7- 78 ; Uni te d St at es v. Eck er, 30 F.3 d 96 6, 97 0 (8 th Ci r.19 94 ) (s ug ge st ed fact o r s in de te rm in in g po te nt ia l da ng ero us ne ss ). W e no te th at th e Att or ne y Gen eral m

us t co nt in ue effo rts to pl ace O’ Lau gh li n in a suita ble st at e faci li ty,

an d th at whi le co nf

in e d O ’L a u g hl in sh al l rece iv e tre at m en t whi ch m ay le ad to hi s rel eas e o r co nd it io na l re le as e. See 1 8 U.S.C. § 42 46 (d )-(e ); Eck er, 3 0 F .3d at 9 71

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The jud gm en t i s af

fir m ed , and co un se l’s m ot io n t o wi th dr aw is gra nt ed

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The Hon or ab le Dou gl as Harp oo l, Uni te d St at es Dis tri ct Ju dg e fo r th e W es te rn 1 Dis tri ct of Mi ss ou ri, ad op ti ng th e re p o rt an d reco m m en da ti on s of th e Hon or ab le Dav id P. Ru sh , Uni te d St at es Mag is tra te Ju dg e fo r th e W es te rn Dis tri ct of Mi ss ou ri.

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