Opinion ID: 5813480
Heading Depth: 3
Heading Rank: 1

Heading: Dr. Missar’s report

Text: On remand, the Government again sought restitution. It submitted an expert report prepared by Dr. C. David Missar, a clinical psychologist.5 Dr. Missar reviewed the record, interviewed R.W., and administered several tests to evaluate her. His report recounted R.W.’s history and traumas, including her encounter with Mr. Anthony. As to restitution, Dr. Missar stated that R.W. “will require specific therapy to address the trauma that she suffered during the abuse she endured from her stepgrandfather, Mr. William Johnson, Mr. Maurice Johnson, Ms. Gum, Mr. Duong, Mr. 5 The Government also incorporated by reference its briefing and exhibits from the initial restitution proceeding in its briefing on remand. 8 Appellate Case: 21-6015 Document: 010110630862 Date Filed: 01/12/2022 Page: 9 Baker, and Mr. Anthony.” App., Vol. 4 at 244.6 He opined that “[e]ach incidence of abuse creates a separate and intense traumatic experience, whether or not the victim experiences prior or subsequent trauma.” Id. Dr. Missar noted that R.W. “had a history of child sexual abuse,” “other early traumatic experiences,” “and was sexually trafficked by both Mr. Johnsons.” Id. at 244-45. But he concluded R.W. “would need identical treatment for Mr. Anthony’s offenses . . . even if she had sustained no prior traumas.” Id. at 245. Dr. Missar thus recommended Mr. Anthony pay $833,000 in restitution for R.W.’s treatment costs. Id. at 246.7 Dr. Missar also recommended that Mr. Anthony pay restitution for R.W.’s tutoring and lost wages. He stated that R.W.’s “sex trafficking interfered with her ability to continue her education.” Id. at 246. He also opined that sex trafficking had impaired R.W.’s ability to work to her potential. Id. He thus recommended 6 Although Dr. Missar’s report is under seal, this quote appears in the district court’s opinion. See United States v. Anthony, 2020 WL 6468166, at  (D. Colo. Nov. 3, 2020). The Government also quotes Dr. Missar’s report in its opening brief, see Aplt. Br. at 12-14, as does Mr. Anthony, see Aplee. Br. at 11-12. In quoting Dr. Missar’s report, we draw from quotes already in the public record. 7 Dr. Missar broke down the treatment costs as follows: (1) $30,000 for intensive individual therapy for two years; (2) $435,000 for ongoing individual therapy for 58 years; (3) $50,000 for group therapy for 10 years; (4) $4,800 for two years of monthly psychiatrist visits; (5) $23,200 for 58 years of biannual psychiatrist visits; and (6) $290,000 for 58 years of medications. App., Vol. 4 at 246. 9 Appellate Case: 21-6015 Document: 010110630862 Date Filed: 01/12/2022 Page: 10 $310,000 in restitution for tutoring and lost wages,8 for a total recommendation of $1,143,000. Id. The Government requested the district court to “enter an order of [$1,143,000 in] restitution from Mr. Anthony for child victim R.W. consistent with the expert report of Dr. Missar.” Id. at 218. It did not request a hearing but said Dr. Missar was available to testify. On remand, the Government therefore limited its case for restitution to Dr. Missar’s report, which focused on Mr. Anthony’s abuse of R.W. leading to his child-sex trafficking conviction. Neither the Government nor Dr. Missar attempted to show that R.W. was entitled to restitution based on Mr. Anthony’s participation in a conspiracy apart from his encounter with R.W. As we discuss below, the district court analyzed and decided the restitution issue accordingly.