EXHIBIT Page 1 IN THE UNITED STATES DISTRICT COURT NORTHERN DISTRICT OF ILLINOIS EASTERN DIVISION ANNABEL K. MELONGO, ) ) Plaintiff, ) ) vs. ) Case No. ) 13-cv-04924 ASA ROBERT PODLASEK, ) et al., ) ) Defendants. ) The deposition of MATHEW MARKOS, M.D., called by the Plaintiff for examination, pursuant to Notice, and pursuant to the Rules of Civil Procedure for the United States District Courts, taken before Renee E. Brass, CSR and Notary Public in and for the County of Cook and State of Illinois, at 180 North LaSalle Street, Suite 3600, Chicago, Illinois, on February 20, 2018, at the hour of 10:24 p.m. Page 3 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 PRESENT (continued) OFFICE OF THE ATTORNEY GENERAL STATE OF ILLINOIS BY: MS. SHIRLEY R. CALLOWAY scalloway@atg.state.il.us 100 West Randolph Street Chicago, IL 60601 (312) 814-5581 on behalf of Defendant Kyle French. Reported by: Renee E. Brass, CSR, RPR CSR No. 084-004119 - Expiration Date: May 31, 2019. Page 2 1 2 3 4 5 PRESENT: MILLER SHAKMAN & BEEM BY: MS. JESSICA SCHWARTZ jschwartz@millershakman.com MR. WILLIAM J. KATT wkatt@millershakman.com 180 North LaSalle Street, Suite 3600 Chicago, IL 60601 (312) 263-3700 6 Page 4 1 2 3 4 5 6 7 on behalf of the Plaintiff; 7 8 9 10 11 COOK COUNTY STATE'S ATTORNEY'S OFFICE BY: MR. JAMES E. HANLON, JR. james.hanlon@cookcountyil.gov 50 West Washington Street, Room 500 Chicago, IL 60602 (312) 603-3369 on behalf of all Cook County Defendants; 12 13 14 15 16 17 18 19 20 KAPLAN PAPADAKIS & GOURNIS, P.C. BY: MR. CHRISTOPHER S. WUNDER cwunder@kpglaw.com 180 North LaSalle Street, Suite 2108 Chicago, IL 60601 (312) 726-0531 on behalf of Defendants William Martin and the Village of Schiller Park; ANGELINI, MILLS, WOODS & ORI LAW BY: MS. DINA M. NINFO dnifo@amwolawil.com 155 North Michigan Avenue, Suite 400 Chicago, IL 60601 (312) 621-0000 21 22 23 24 on behalf of Defendant Carol Spizzirri; 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 INDEX EXAMINATIONS PAGE MR. SCHWARTZ 5 EXHIBITS NO. DESCRIPTION PAGE Exhibit No. 1 Summons 48 Exhibit No. 2 Summons 49 Exhibit No. 3 Consolidated Referral 53 Order Exhibit No. 4 Transcript 57 Exhibit No. 5 Appointment Letter 67 Exhibit No. 6 Chronology of Events 72 Exhibit No. 7 Police Report 87 Exhibit No. 8 Report 89 Exhibit No. 9 Chicago Courthouse 90 document Exhibit No. 10 Letter 116 Exhibit No. 11 Day of Arrest Document 119 Exhibit No. 12 Report 127 Exhibit No. 13 Report 128 1 (Pages 1 to 4) ACR REPORTING, LLP (312) 422-0515 Page 5 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 MATHEW MARKOS, M.D., having been first duly sworn, was examined and testified as follows: EXAMINATION BY MR. SCHWARTZ: Q. Good morning, Dr. Markos. A. Good morning to you. Q. My name is Julia Schwartz. I'm going to be taking your deposition today. Please state your name. A. Mathew, spelled with one T, Markos, M-A-R-K-O-S. Q. Have you ever been deposed before, Dr. Markos? A. Yes. Q. How many times? A. I don't remember the exact number. Q. Would you say more than five times? A. Yes. Q. Would you say more than 10 times? A. Again, I don't remember the exact number. Q. Would you say more than 50 times? A. No. Q. So fewer than 50 depositions. More than, Page 7 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 Q. For those private cases that you referred to, were those all in your capacity as an expert witness? A. Yes. Q. In terms of those depositions which were related to your employment at Cook County Courts, were those all cases in which you were a party? A. I was not a party. I was deposed in my role as the director of the agency. Q. Have you ever been deposed in a lawsuit in which you were a party, either the defendant or the plaintiff? A. I do not recall. Q. We may get into some of those details a bit further, but I know you have been deposed a number of times before, but I would like to go over some ground rules before we go further. A. Sure. Q. First, we obviously have a court reporter here today. For her sake, we should try not to talk over one another. I will let you finish your answers. Please also let me finish your questions. Is that okay with you? Page 6 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 say, five? A. Possibly. Q. What sort of cases have you been deposed in? Are they all civil lawsuits? A. Yes. Q. Were all of those lawsuits related to your current employment at Cook County? A. Not all. Q. What did the others relate to? A. There are civil cases that I handled privately outside of Cook County Circuit Court. Q. Let's go through some of those civil cases outside of Cook County. What sort of cases were those? A. Mostly personal injury cases. Q. In those were you a defendant or the plaintiff or were you a witness being deposed? A. I was an expert witness. Q. In all of the cases in which you were deposed outside of your position at Cook County Court, you were an expert witness; is that right? A. There were some cases which had to do with my current employment with Cook County Circuit Court and some private cases. Page 8 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 A. Absolutely. Q. Please give verbal answers. Head nods and uh-uh and huh-uh don't translate well on to the transcript. Are you okay with that? A. Absolutely. Q. If I ask a question and you don't understand it, will you let me know? A. Yes. Q. If you answer one of my questions, I will assume that you understood the question; is that fair? A. It depends. Q. But if you do not understand my question, you will let me know that? A. Certainly. Q. If you need a break at any time, just let me know. The only thing I would ask is that you finish answering whatever question I have just asked; is that okay? A. Definitely. Q. Is there any reason that you can't give truthful and accurate testimony today? 2 (Pages 5 to 8) ACR REPORTING, LLP (312) 422-0515 Page 9 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 A. No. Q. Are you represented by counsel today? A. Yes. Q. That's Mr. Hanlon sitting to your left? A. Correct. Q. What have you done to prepare for today's deposition? A. I reviewed the case file on this case. Q. By case file, what do you mean? A. I mean the file maintained in the Department of Forensic Clinical Services of this individual. Q. Were the contents of that case file to which you just referred produced in this litigation? A. I do not know. Q. Did you meet with your attorney before this deposition? A. Yes. Q. I wanted to go over some general background questions about your background next. First off, what county do you live in? A. I live in DuPage County. Q. I would like to go over your education since high school. What's your educational Page 11 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 1986 -- July 1986 -- I'm sorry. That is essentially in a nutshell my training. Q. I'd like to walk through those points in a little more detail, Dr. Markos. You referred to your medical education in India. Did you do any what would here be equivalent to an undergraduate degree, or did you go straight from high school into medical training at Christian -- what was the name of the -A. Christian Medical College, Brown Memorial Hospital. I did a year of premedical prior to joining Christian Medical College doing my graduate medical training, and that's what I did. Q. So what year was your year of premedical training to get to the timeline? A. 1971, '72. Q. When did you start at Christian Medical College, what year? A. 1972. Q. When did you finish your training at Christian Medical College? A. I graduated in 1976. Page 10 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 background since you graduated from high school? A. Since my graduation from high school, I completed my medical education at Christian Medical College and Brown Memorial Hospital in India, where I also completed one year of rotating internship encompassing various specialties, medicine, surgery, so forth and psychiatry, after which I did my post-graduate training in psychiatry in England, UK, where I did my formal post-graduate training in general psychiatry. And after completing that, I came to Chicago to pursue formal post-doctoral training in forensic psychiatry, to which end I completed one year of post-doctoral fellowship at Rush-Presbyterian-St. Lukes Medical Center, currently known as the Rush Medical Center. After completing my fellowship, post-doctoral fellowship in forensics, I completed an additional year of internal medicine at Mt. Sinai Hospital and Medical Center in Chicago, and after finishing this training, I joined Cook County Circuit Court as a staff forensic psychiatrist at the then known Psychiatric Institute of Cook County, currently known as Forensic Clinical Services back in June of Page 12 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 Q. While you were at Christian Medical College, was this general medical training? Did you specialize in any particular area of medicine? A. It is graduate medical training. Q. So it's fairly general. You learned about different areas of medicine? A. In different specialties of medicine. It was not a specialization. Q. You mentioned after Christian Medical College, you did spend some time doing rotating training. What years were those rotations? A. 1976 to '77. It was a one-year, 12-month rotating internship. Q. That was also in India? A. Also at Christian Medical College. Q. Do you recall which rotations you were involved in during that year, which specialties? A. Internal medicine, surgery, OB-GYNE, pediatrics, community medicine, IENT. Q. IENT, does that stand for ear, nose and throat? A. That's correct. Q. You mentioned that after your rotations, you went to the United Kingdom for post-graduate 3 (Pages 9 to 12) ACR REPORTING, LLP (312) 422-0515 Page 13 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 education, specifically in psychiatry? A. That's correct. Q. What was the name of the institution you studied at? A. I worked in various hospitals as part of my post-graduate training, and they include All Saints Hospital, Oakwood Hospital, Leybourne Grange, L-E-Y-B-O-R-N-E (sic), Grange Hospital, all hospitals in the South East Thames area. Q. Which years were you at each of those hospitals? A. I don't remember. Q. Roughly? A. It was between the years of 1979 and '84. Q. At that point were you specialized in psychiatry in terms of your training? A. I completed my post-graduate training in general psychiatry, which encompassed general psychiatry, a rotation in child, adolescence neuro psych, geriatric psychiatric, but the specialty training was general psychiatry. Q. In 1984 did you receive a degree culminating in that? A. The post-graduate training that I did was Page 15 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 post-graduate work in the United kingdom, you moved to Chicago to complete additional education, including a post-doc at Rush. What years were you at Rush completing the post-doc? A. I was at Rush in between 1984 and '85. It was a one-year post-doctoral fellowship in forensics. Q. That year you spent at Rush was to specialize in a particular area of psychiatry, that area being forensic psychiatry? A. Correct, to specialize in a subspecialty of psychiatry, namely forensic psychiatry. Q. Then after that year at Rush, you said you spent a year of additional training doing internal medicine at Mt. Sinai. What years did that span? A. That was from 1985 to '86. Q. What sorts of area were you studying during that year at Mt. Sinai? A. Just internal medicine as a resident. Q. What was the reason for doing another residency in the U.S.? A. The reason was to become eligible to take the board examination, the forensic board examination, which required a year of primary care or Page 14 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 equivalent to a residency training here, so there's no diploma or degree except that completed post-graduate training which qualified me to be board eligible to take the boards. Q. Did that qualify you to be board eligible to take the boards in the United Kingdom or the United States or both? A. Both. Q. Did you take the boards after that in 1984? A. Yes. Q. In the United States or in the United Kingdom? A. Well, I took part of it in England, but I took the full board examination in the United States. Q. What year was that that you took the U.S. board examination? A. I took two board examinations. The board certification in general psychiatry I obtained in 1987. Q. What was the second? A. I'm also board certified in forensic psychiatry by the American Board of Psychiatry and Neurology, which I completed in 1994. Q. You mentioned that after completing your Page 16 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 internal medicine. Q. After you spent a year at Mt. Sinai, you then took the second board examination, board examination for forensic psychiatry in the United States? A. No. I took my boards for the general psychiatry boards, the general certification after completing my internal medicine. Q. When did you become board certified for forensic psychiatry specifically? A. The American Board of Psychiatry and Neurology introduced board certification in 1994. I took the very first exam and took it, so that certification was available only in 1994. Q. How would you define forensic psychiatry as a practice? A. Forensic psychiatry is a subspecialty in the field of medicine and psychiatry which represents the intersection of behavioral sciences and the law. That's essentially what it really is. Q. When you were receiving educational training specific to forensic psychiatry, what were the areas you focused on? What classes did you take as some examples? 4 (Pages 13 to 16) ACR REPORTING, LLP (312) 422-0515 Page 17 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 A. During my fellowship, I attended law classes at Kent School of Law, Kent IIT, and during the fellowship, the training focused on legal matters pertaining to mental health issues in the broad range of civil and criminal areas. Q. What sorts of legal matters are relevant to a forensic psychiatrist? A. The legal matters fall into two broad categories from the forensic clinical standpoint, criminal forensic psychiatry and civil forensic psychiatry. The criminal forensic issues relate primarily to issues such as competency to stand trial or fitness to stand trial, competency to be sentenced, the sanity or the insanity defense, ability to understand Miranda or waive one's Miranda rights and other issues related to recommendations on patients adjudicated unfit to stand trial or adjudicated not guilty by reason of insanity, and so that's generally the sort of criminal forensic areas. And the civil area is mainly pertaining to personal injury cases, medical malpractice, workmen's comp, testamentary capacity and so forth, so my practice currently is devoted to criminal forensics. Page 19 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 Q. Are there any other educational institutes or trainings that we haven't covered yet that you participated in in your career? A. I'm not clear about your question. Q. I'll start with the first part. Other than the institutions you mentioned, including Rush, Mt. Sinai, Christian Medical College, others, are there any other institutions, educational institutions that you have attended for medical training? A. While I was in England, I did some locum jobs or positions before I came to the U.S., not necessarily as part of the training, but as sort of an additional experience in various hospitals in England. Q. What sort of work were you doing at those hospitals in England? A. As a psychiatry resident. It was during my residency training or the equivalent of residency training in England where it's better known as the post-graduate ETY 1 through 4, so during my training I did some locum assignments at various hospitals in England within the UK. Q. Are there any other educational Page 18 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 Q. You mentioned you took some legal training in addition to your medical training. Was there any other legal training that you participated in over your career in addition to going to Kent? A. In addition to attending classes and mock trials at Kent, the teaching staff, forensic division at that time had attorneys and lawyers, and I received training from attorneys and psychiatrists who specialized in that field, so that's training. Q. When you say the forensics division, are you referring to the forensics division within the Cook County Circuit Court? A. I'm referring to the section on psychiatry and the law, also known as forensic psychiatry at Rush-Presbyterian where I received my training. Once I completed my training, then I continued to practice forensic psychiatry in the criminal arena at Cook County Circuit Court. Q. Since you have been at Cook County Circuit Court, have you received additional educational training? A. I have maintained my continuing medical education by attending conferences, yes, by training other staff. Page 20 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 institutions that you have attended in your career? A. No. Q. In terms of additional training or supplemental training over your career, are there any additional trainings you have participated in, apart from continuing education or legal trainings you mentioned? A. Well, I need to maintain continuing medical education in order to maintain my licensure as a physician, surgeon in the State of Illinois. That's a requirement. In addition to that, I'm also required to maintain a certain number of credits in order to maintain my board certification in forensics psychiatry, the maintenance of certification, so there are various requirements for a physician no matter what specialty to sort of maintain both the medical licensure and board certification above the medical licensure part of it, so I'm required to maintain that. Q. Apart from board certification and continuing education, is there any other training you have participated in? A. I have attended conferences convened by the 5 (Pages 17 to 20) ACR REPORTING, LLP (312) 422-0515 Page 21 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 American Academy of Psychiatry and the Law, the American Academy of Forensics Sciences and so forth which are held in various parts of the country, the annual conferences or midwest chapter, so there are various seminars and conferences I have attended over the years as part of my training, ongoing training. Q. I would like to go through your employment history since you finished at Mt. Sinai. Did you start working with Cook County directly after completing your time at Mt. Sinai? A. Yes. Q. That was in 1987 did you say? A. July of '86. Q. What was your first role at Cook County? A. I'm sorry. I didn't hear you. Q. What was the title of your first position that you started in July 1986? A. I was a full-time staff psychiatrist at the Psychiatric Institute of Cook County Circuit Court. Q. Now that institute is called Forensic Clinical Services at the Circuit Court of Cook County? A. Correct. Q. It's the same otherwise, apart from the Page 23 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 Q. Which other agencies do you collaborate with -- does the Department of Forensic Clinical Services collaborate with? A. Forensic Clinical Services is an agency of the court. It comes directly under the Chief Judge of the Cook County Circuit Court and interfaces with a number of agencies both within the court system and outside the court system, and so there are a number of agencies. Q. What are some of those agencies? A. Agencies within the court system would be like the adult probation department, social service department and the juvenile court, although I work in the adult court, the adult division. And the other agencies we interface with on a regular basis would be the Department of Human Services, previously known as the DMH, now known as DHS, the corrections, the state's attorney's office, the public defender's office, and those would be some of the agencies. Q. Apart from changes to programs related to consultation and collaboration with other agencies, are there any other significant changes in terms of the scope of the work the unit does from when you Page 22 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 name change, same unit within the Circuit Court of Cook County? MR. HANLON: Objection to the extent it calls for a legal conclusion. BY MS. SCHWARTZ: Q. You can answer if you know. A. The scope and nature of our services has essentially remained the same. Q. You said essentially. Are there any differences between the scope then in 1986 and the scope of the forensic clinical services today? A. Over the last 30 years there has been some changes in the kind of services that we have provided, not the nature of the evaluations per se in terms of fitness or sanity, but the consultation or the collaborative work that we have done with other agencies. Q. What do you mean by "changes in terms of the consultation and collaborative work with other agencies"? A. There were programs or services provided by the departments which have been modified either through procedural guidelines or in terms of how they are being serviced. Page 24 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 started in 1986 to today? A. No. Q. You mentioned that you were a full-time staff psychiatrist starting in July 1986. When did you -- how long did you have that role? A. I had that role for approximately eight years. Q. Until around 1994? A. Correct. Q. In that role what were your primary responsibilities? A. My primary responsibilities as a clinical forensic psychiatrist was to conduct court-ordered examinations with respect to defendant's fitness to stand trial, sanity, and so forth, to provide written records and recommendations and testify as an expert witness required or mandated by the court. Q. What was your position after you were a full-time staff psychiatrist? A. I'm sorry. I don't understand your question. Q. You testified that you were a full-time staff psychiatrist until 1994. What was your role in late 1994 or after? 6 (Pages 21 to 24) ACR REPORTING, LLP (312) 422-0515 Page 25 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 A. In 1994 I was appointed as the director of the agency or the program. Q. Have you been in that position since 1994? A. Yes. Q. To present day? A. Yes. Q. You were director of forensic clinical services at the Circuit Court of Cook County in April of 2010? A. Yes. Q. What are your responsibilities as the director of forensic clinical services? A. My responsibilities encompass two areas, both clinical and administrative. Clinical, as I explained earlier, to conduct examinations and to testify as an expert because primarily I'm a forensics psychiatrist. Additionally, I'm responsible for the day-to-day operation of the department and work closely with the office of the chief judge with respect to establishing procedures and policies which meet the expectations of the judiciary in terms of the services that we provide based on the needs of the court. Page 27 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 overall supervision of that staff. Q. When you say each division, what do you mean? What is the organizational structure? A. We have three clinical disciplines of psychiatry, psychology, social service and then the administrative and support staff and the clerical, so the three clinical disciplines and the administrative division, that would be the organizational structure. Q. You are director of all three of those divisions? A. I'm director of the department, yes. Q. So you have oversight as director of the department of all three of those divisions? A. All the divisions, yes. Q. Was that the general structure of the department of forensic clinical services in April 2010 as well? A. Yes. Q. In terms of the staff you supervise, how many evaluators do you supervise who perform fitness-to-stand trial evaluations, fitness-to-represent-one's-self evaluations? A. The number of clinical staff, that's the psychiatrist and psychologist responsible for Page 26 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 I'm responsible for hiring staff, appropriate physicians, psychologists, social workers, support staff, staff training and developments. My administrative responsibilities also include working on the budget and maintaining the budget, working with unions, union negotiations and other administrative chores, so that is, again, in a nutshell my responsibilities as the director, both clinical and administrative, in the day-to-day operation of forensic clinical services for the court. Q. You mentioned you're responsible for hiring staff of various sorts. Do you also supervise those staff members as director of -A. Yes. Q. -- forensic clinical services? A. Yes, I do. Q. How many people do you supervise? A. Well, the number of staff in our department is approximately 30 right now. I work closely, directly with the managers of each division of psychiatry and psychology, social services, support staff, so I'm responsible for the Page 28 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 conducting court-ordered examinations, is right now 10. Q. What was the size of the staff responsible for conducting court-ordered evaluations in April of 2010? A. I do not remember. Q. Would it have been approximately the same amount, 10 or so? A. That would be correct. Q. Do you have any other employment or volunteer work outside of your role at the Circuit Court of Cook County? A. No. Q. You mentioned you testified as an expert in civil cases. Was that outside your work at the Circuit Court of Cook County or was it as part of your general job description as director of forensic clinical services? A. I mentioned I gave depositions in civil cases, and I have testified as an expert on criminal cases. Q. So all of the testimony you mentioned in which you were an expert, those were all in the context of criminal cases? 7 (Pages 25 to 28) ACR REPORTING, LLP (312) 422-0515 Page 29 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 A. Yes. Q. Have you ever testified as an expert in a civil case either at trial or in a deposition? MR. HANLON: Objection. Just to clarify, like a retained expert or -BY MS. SCHWARTZ: Q. Either type of expert, retained, court-appointed. A. I do not remember. Q. Have you ever done any teaching? A. Yes. Q. What sort of teaching have you done? A. I continue to teach. I'm basically a teacher. I teach my staff, my clinical staff. I make presentations to various agencies within the court judiciary, state's attorney's office, public defender's office. I also lecture at Kent Law School. Teaching is a big part of my work. Q. What's the subject of your lectures at Kent Law School? A. The topics generally encompass criminal issues, such as fitness, insanity defense, Miranda, landmark cases in forensics. Page 31 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 and the like. How often do you perform court-appointed evaluations? A. It varies. Q. How many would you guess you perform in a given week? A. It depends. Q. How many would you guess you perform in a given month? A. It's variable. Q. How many court-appointed examinations did you perform in the year 2010? A. I do not remember. Q. Do you think it was more than -- was it more than five court-appointed examinations? A. Yes. Q. Was it more than 10 examinations? A. In 2010? Q. In 2010. A. Yes. Q. Was it more than 30 examinations in 2010? A. Yes. Q. Was it more than 50 examinations in 2010? A. I do not remember. Page 30 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 Q. When you say "landmark cases in forensics," what do you mean? A. Landmark cases which pertain to the core issues that we deal with as it relates to fitness or insanity defense. Q. Do you mean legal cases, court cases? A. Yes, legal. Q. You discussed your general training in forensic psychiatry specifically. Do you have any more particular area of expertise within the umbrella of forensic psychiatry? A. No. Q. Who was your supervisor in April of 2010? A. My supervisor is the Chief Judge of Cook County Circuit Court. Q. Who was the Chief Judge in 2010, do you recall? A. It had to be Honorable Timothy C. Evans. Q. Is Chief Judge Evans your supervisor today? A. Yes. Q. You mentioned that in your capacity as director of forensic clinical services, you still perform some of the same functions you did as a staff psychiatrist, conducting court-appointed evaluations Page 32 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 Q. Could it have been more than 50 examinations? A. Yes. Q. In terms of the balance of your time, what percentage of the time would you guess you spend doing administrative functions and what percentage do you spend doing the clinical functions we discussed? MR. HANLON: Currently or are you sticking to 2010 right now? BY MS. SCHWARTZ: Q. Let's start with currently. A. Again, it depends. Q. If you had to guess in a given year, in the last year. A. It's variable, so variable. Q. Do you have a guess as to what that balance would have been in 2010? A. No. Q. How many evaluations for fitness to stand trial specifically did you complete in 2010? A. I do not know. Q. Would you guess that it was more than 20? A. Could be, yes. Q. But you can't recall the exact number? 8 (Pages 29 to 32) ACR REPORTING, LLP (312) 422-0515 Page 33 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 A. Correct. Q. How many evaluations for fitness for a defendant to represent his or herself did you conduct in 2010? A. Just pro se? Q. For a defendant to go pro se, that's correct. A. I do not remember. Q. Was it more than 10? A. I don't know. Q. When the court orders an evaluation of a defendant, how is that evaluation assigned to a particular psychiatrist or clinical worker? A. It's done by a scheduler, full-time scheduler. Q. Do you supervise the full-time scheduler? A. Not directly. Q. Does the full-time scheduler work within the Department of Forensic Clinical Services? A. Yes. Q. How does the full-time scheduler decide who is assigned to a particular evaluation? A. There are a number of factors that go into scheduling or assigning a particular case. Page 35 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 whether there's one examiner versus two examiners, so there are multiple factors which go into consideration before assigning a particular case. We also maintain continuity of care. In other words, if I have seen a patient before and it comes back on another issue or another charge, unless I'm not available or away at a conference or vacation, that case will come back to me so that someone who is already familiar with the case would be the logical choice to examine that patient. So the scheduler uses or utilizes multiple guidelines in the assignment of an individual or group of cases. Q. Let's take a step back. What's the difference between psychiatry and psychology? A. Okay. A psychiatrist is a physician licensed to practice medicine who has specialized in psychiatry or behavioral sciences. A psychologist is someone either with a master's or a doctorate level of training in the field of psychology, either PhD or a PsyD, and psychologists are specialized to administer psychological testing, and it's a different level of training, and so we have both psychologists and Page 34 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 Q. What are those factors? A. The factors are either clinical or related to the courts. Both psychologists and psychiatrists are qualified to conduct forensic examinations in the State of Illinois. If there's some medical issues that may impact someone's fitness or sanity, there's a likelihood that the case will be assigned to a medical physician, doctor, a psychiatrist. If there's a need for psychology testing, for example, if someone's IQ is in question or if there's a personality issue which requires personality inventory or testing, then obviously a psychologist would be involved. The bigger cases or the major cases, like murder or Class X felonies would as far as possible be seen by both psychology and psychiatry, and if there's an issue of psychotropic medication, then there's an expectation that those cases are seen by a physician or a psychiatrist. Also, the time factor in terms of the turnaround time with respect to the next court date set by the court, not by us, so we try and meet that deadline, so if that is also a factor in terms of Page 36 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 psychiatrists so that -- so we use a multi-disciplinary approach in providing our services to the court. Q. Is it true that generally speaking a psychiatrist would have more years of training in total? A. It depends. Q. You mentioned that there are 10 clinicians who perform court-appointed evaluations. How many of those are psychiatrists versus psychologists? A. Right now it's five psychiatrists and five psychologists. Q. Was that the breakdown in April of 2010? A. I don't remember. Q. Would it have been roughly that same breakdown in April of 2010? A. I don't know. Q. Do you have any control over which court-appointed evaluations you perform yourself? A. No. Q. You would not be able to request a particular evaluation to perform as director of clinical forensic services? A. No. 9 (Pages 33 to 36) ACR REPORTING, LLP (312) 422-0515 Page 37 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 Q. Do you conduct -- strike that. Are the types of evaluations you perform the same types of evaluations that the other clinicians in your unit perform? A. Yes. Q. Are you ever assigned more advanced issues or more complex cases given your role as director? A. Only if the court makes such a request. Q. What kind of cases would the court make such a request? MR. HANLON: Objection, foundation. BY MS. SCHWARTZ: Q. You can answer if you know. A. It's up to the court. Q. In your experience there have been particular cases where the court has requested that you as opposed to one of your staff clinicians perform an evaluation? A. In a few select cases, yes. Q. Do you recall what the charges were on those cases? A. No. Q. Do you recall what the medical issues or psychiatric issues were in those particular cases? Page 39 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 A. Depending on our opinions. If a defendant has been found unfit, then we are likely to be an expert for the defense. If a defendant has been found legally insane, then we are likely to, again, be asked by the defense to testify. And if the finding was one of sanity, then we are more likely to be an expert for the witness, so we testify for both sides depending on our opinion, and we work for the court, not for the state, not for the defense. Q. In instances where you testify for the state, for instance, would a particular prosecutor contact you to request your testimony at a trial? A. It is our practice to prepare for testimony and there's often a conference, a pre-testimony conference before we take the stand. That's not unusual. And we do that both with the defense and the state depending on our opinion and who we are testifying for. Q. How would you or a clinician in your office learn that you are being asked to testify? A. Because a requesting attorney would contact Page 38 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 A. No. Q. If the court requested that you perform the evaluation, would that be reflected in the court's order directing an examination? A. Yes. Every examination is conducted pursuant to a court order. If the court has specifically asked for my examination, that would be in the court order. Q. As director, is it unusual for you to perform evaluations? A. No. Q. Dr. Markos, you testified regarding your interactions with other agencies. Do you work with the Cook County State's Attorney's office? A. I'm not clear about your question. Q. In your role as director of forensic clinical services, do you interact with individuals from the Cook County State's Attorney's office? A. In my work I interact with both the state's attorney's office and the public defender's office. When it comes to testimonies, I and my staff, we testify for both sides. Q. When you say you testify for both sides, what do you mean? Page 40 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 our office and schedule the testimony and, in many occasions, a conference before the testimony itself in preparation for trial. Q. Are those requests made over the phone, by letter, by fax? A. It depends. It could be a phone call. It could be a subpoena. It could be in writing. Communication is made, again, with the scheduler for the department who schedules both examinations and testimonies, not the clinicians themselves. Q. What is the name of the scheduler, the full-time scheduler? A. Back in 2010? Q. Back in 2010. A. I do not remember. Q. Who is the full-time scheduler today? A. We have more than one scheduler, and one of the schedulers is -- her name is Elana Tapia, T-A-P-I-A, Sherry Ford, Ms. Terry. We have more than one scheduler, so there's a backup in case the primary scheduler is off or not available, so... Q. Apart from testifying for either the state 10 (Pages 37 to 40) ACR REPORTING, LLP (312) 422-0515 Page 41 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 or the public defender that you mentioned, does your office have any other interactions with the state's attorney's office? A. The state's attorney's office does represent the department in other legal actions such as this. Q. Does your office have any other interactions with the state's attorney's office? A. No. Q. Does your office have interactions with the Cook County Sheriff's office? A. The sheriff's office provides security during our examinations and, as such, is present on site during the examinations outside the examining rooms. Other than that, there's no interactions. Q. Is someone from the Cook County Sheriff's office present for every single evaluation? A. Yes. Q. So there's no -- it's not just evaluations where there's a particular concern over safety? A. We do not conduct any examination unless security is available and a sheriff's deputy, male and female, are available since we examine both female and male defendants, and these examinations Page 43 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 Attorney's office ever ask your unit to conduct evaluations of defendants? A. No. Q. It would only be the court that would order such an evaluation? A. Yes. Q. Do employees of the Cook County State's Attorney's office ever ask you to ask particular questions during court-appointed -- court-ordered evaluations? A. No. Q. Do employees of the Cook County State's Attorney's office ever ask you to help identify whether an individual is dangerous or a threat? A. No. Q. Do employees of the Cook County Sheriff's office ever ask you to conduct evaluations? A. No. Q. Do employees of the Cook County Sheriff's office ever ask you to ask particular questions of a criminal defendant during an evaluation? A. No. Q. Are the clinicians in your office part of law enforcement? Page 42 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 are conducted in specific examining rooms in our department. And the sheriff's personnel are present directly outside the examining room and are responsible for transporting the defendants back and forth from Cook County jail, so the sheriff's deputies, both male and female, are present on site during examinations. Q. Is that true even if the person who is being examined is not in Cook County custody at the time of the examination? A. Correct. It applies to all examinations, including bond cases, EMP cases, cases that come from the Department of Human Services or any other source. Q. By EMP, do you mean the electronic monitoring program? A. That's correct. Q. Are the people from the Cook County Sheriff's office who provide security during the evaluations, what unit within the Cook County Sheriff's office do they come from? A. I do not know. Q. Does the Cook County State's Attorney's office or any employees of the Cook County State's Page 44 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 A. No. Q. Have you spoken or communicated with anyone about this lawsuit apart from your attorney? A. No. Q. I want to ask you a few questions about the other parties in this case. Do you know who Robert Podlasek is? A. No. Q. Have you ever met Robert Podlasek? A. No. Q. Never spoken to Mr. Podlasek about this lawsuit? A. No. Q. You have never spoken to Mr. Podlasek about Annabel Melongo? A. No. Q. Have you had any written communications with Mr. Podlasek? A. No. Q. Do you know who Julie Gunnigle is? A. No. Q. Have you ever spoken to Julie Gunnigle? A. No. Q. Have you ever exchanged written 11 (Pages 41 to 44) ACR REPORTING, LLP (312) 422-0515 Page 45 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 communications with Julie Gunnigle? A. No. Q. Do you know who Kate Garcia or Kate O'Hara is? A. No. Q. Never spoken to Kate Garcia, also known as Kate O'Hara? A. No. MR. HANLON: Let her finish the question. BY MS. SCHWARTZ: Q. Do you know who Antonio Rubino is? A. No. Q. Never spoken to Antonio Rubino? A. No. Q. Do you know who Richard Lesiak is? A. No. Q. You have never spoken to Richard Lesiak? A. No. Q. Do you know who Sergeant Dillon is? A. No. Q. You have never spoken to Sergeant Dillon? A. No. Q. Do you know who Randy Roberts is? A. No. Page 47 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 communications with Carol Spizzirri? A. No. Q. Do you know who Annabel Melongo is? A. I don't know her. Q. Do you know who she is though? A. Based off my records, I examined Ms. Melongo back in 2010. Q. Do you remember meeting Ms. Melongo in 2010? A. No. Q. Your recollection is based solely on your records? A. I do not recall Ms. Melongo. I reviewed my report prior to this deposition. Q. Do you recall what Ms. Melongo's criminal cases were about? A. I know based on the review of my report what the case was about. Q. What do you know about her criminal case or cases? A. Based on my review of my report, I do know that I examined her back in 2010 pursuant to court order on a charge of computer tampering. Q. Do you know of any other criminal charges Page 46 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 Q. You have never spoken to Randy Roberts? A. No. Q. Never exchanged written communications with Randy Roberts? A. No. Q. Do you know who William Martin is? A. No. Q. Have you ever spoken to William Martin? A. No. Q. Have you ever exchanged written communications with William Martin? A. No. Q. Do you know who Kyle French is? A. No. Q. You've never spoken to Kyle French? A. No. Q. Never exchanged written communications with Kyle French? A. No. Q. Do you know who Carol Spizzirri is? A. No. Q. You have never spoken to Carol Spizzirri? A. No. Q. You have never exchanged written Page 48 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 that were brought against Ms. Melongo? A. No. Q. Do you know the details of the computer tampering allegations against Ms. Melongo? A. No. Q. How did you first hear about Ms. Melongo? A. The court issued an order asking our department to conduct a forensics examination with respect to her fitness to stand trial and pro se fitness. Q. And that was the first you heard about Annabel Melongo? A. Yes. Q. When did you become aware that Ms. Melongo had filed a lawsuit against you? A. I don't remember. MS. SCHWARTZ: I'm going to hand the court reporter what's going to be marked as Exhibit No. 1. (Markos Exhibit No. 1 marked for identification.) BY MS. SCHWARTZ: Q. Do you recognize Exhibit No. 1? A. No, I don't. Q. Do you see the stamp at the bottom of the 12 (Pages 45 to 48) ACR REPORTING, LLP (312) 422-0515 Page 49 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 first page of Exhibit No. 1? A. Yes. Q. It's Bates number Markos 0001. A. Yes. Q. What is that stamp? MR. HANLON: You are asking about the Bates stamp? MS. SCHWARTZ: I'm sorry. The stamp with a date in the middle -MR. HANLON: Okay. BY MS. SCHWARTZ: Q. It says June 25, 2014. A. That's a forensics clinical services stamp indicating that it was received by the department on that date. Q. Did you receive this document after it was received by the department? A. I do not remember this document. MS. SCHWARTZ: I'm handing the court reporter what will be marked as Markos No. 2. (Markos Exhibit No. 2 marked for identification.) BY MS. SCHWARTZ: Q. Do you recognize Markos Deposition Page 51 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 A. I do not remember. Q. You didn't file an answer in this civil lawsuit until July of 2017; is that correct? A. Yes. I don't remember when the response was prepared. Q. Why did it take so long for you to file an answer in this lawsuit? MR. HANLON: Objection. BY MS. SCHWARTZ: Q. Why did it take three years from the time this civil summons was served on your offices to file an answer in this case? MR. HANLON: Objection to the extent it calls for a legal conclusion. Objection to the extent it assumes the service was effective. You can answer. THE WITNESS: I don't know. BY MS. SCHWARTZ: Q. Dr. Markos, you haven't objected to the service of summons in this case; is that right? MR. HANLON: Objection to the extent it calls for a legal conclusion. BY MS. SCHWARTZ: Q. You can answer. Page 50 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 Exhibit 2? A. No, I don't. Q. If you turn to the third page of Exhibit No. 2, do you recognize this proof of service page? A. I see the proof of service page, yes. Q. Does it reflect that this summons was received by someone in the Department of Forensic Clinical Services? A. Yes. Q. Who was that? A. This document indicates that this proof of service was received by Ms. Elena, E-L-E-N-A, Tapia, T-A-P-I-A, an employee of the Department of Forensic Clinical Services. Q. Did you ever receive a copy of this document? A. I do not remember. Q. Did you become aware Ms. Melongo had named you as a defendant in a civil suit in 2014? A. I do not remember the date or the year when I was named in the lawsuit. Q. Did you discover that you were named in the lawsuit in 2014, some time in 2014? Page 52 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 A. I don't believe I have understood your question. Q. Have you in this litigation challenged the validity of the service of the summons in this civil litigation? MR. HANLON: Objection to the extent it calls for a legal conclusion. THE WITNESS: I have no response. MS. SCHWARTZ: Let's take a five-minute break. (A recess was had.) BY MS. SCHWARTZ: Q. I'd like to direct your attention to April 13, 2010. Do you recall conducting an evaluation on Annabel Melongo on that date? A. No. Q. But you mentioned you reviewed her case file which reflected that you had conducted an evaluation of Annabel Melongo on that date? A. Yes. Q. Based on that case report, did it refresh your recollection that an evaluation had happened with Ms. Melongo on that date? A. Yes. 13 (Pages 49 to 52) ACR REPORTING, LLP (312) 422-0515 Page 53 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 Q. What time did the evaluation begin? A. I do not remember. Q. How long did the evaluation last? A. I do not remember. Q. How were you first notified of the assignment to evaluate Ms. Melongo? A. It was put on my schedule. Q. Who put the evaluation of Ms. Melongo on your schedule? A. The scheduler at that time. Q. So you did not have any control over being assigned to Ms. Melongo's evaluation? A. That's correct. Q. It was the scheduler who made the decision that you were to evaluate Ms. Melongo? A. The scheduler makes the decision to assign cases to all staff. Q. I'm handing to the court reporter to be handed to you what we're going to mark as Markos Deposition 3. (Markos Exhibit No. 3 marked for identification.) BY MS. SCHWARTZ: Q. Do you recognize Exhibit No. 3? Page 55 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 THE WITNESS: I do not know. BY MS. SCHWARTZ: Q. Generally when a court orders an examination of a defendant for fitness to stand trial, what is the process by which your unit receives those orders? A. There are a number of ways in which the court order is delivered to the Department of forensic Clinical Services, but on certain occasions attorneys drop these court orders in the department itself. They physically bring it to the department. In other situations it's put into interoffice mail. If it's a referral that's come from one of the outlying districts, then it is both faxed to the department and/or sent via currier or coordinator for interoffice mail, so there's a number of ways in which a court order may get to the Department of Forensic Clinical Services from the court itself. Q. Can you tell by looking at Exhibit 3 which way this was delivered to forensic clinical services? A. No. Q. Did you speak to anyone about this court order? MR. HANLON: Ever? Page 54 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 A. Yes. Q. What is Exhibit No. 3? A. Exhibit No. 3 is a consolidated referral order from Cook County Circuit Court issued by Judge Brosnahan ordering forensic clinical services to conduct an examination with respect to Ms. Annabel Melongo's fitness to stand trial and also fitness to represent herself dated March 3, 2010. Q. Is Exhibit 3 a true and correct copy of the referral order that you received to conduct an evaluation of Ms. Melongo? A. Yes. Q. Who prepared this order marked as Exhibit No. 3? A. I do not know. Q. Does the stamp in the top right-hand corner that says forensic clinical services, March 3, central intake unit, does that reflect that it was received by your unit? A. Yes. Q. How did your unit receive this order marked as Exhibit 3? MR. HANLON: Objection, foundation. You can answer if you know. Page 56 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 BY MS. SCHWARTZ: Q. In March or April of 2010, did you speak to anyone about this court order? A. I discussed the court order with the defendant during the examination, Ms. Melongo herself, to advise her that my examination was pursuant to a court order, so I did discuss based on my report with Ms. Melongo. That's as far as I remember based on my report. Q. Apart from Ms. Melongo, did you speak to anyone else in March or April of 2010 about this court order? A. I don't remember. Q. You don't recall talking to any prosecutor who was working on the case about the court order? A. As mentioned earlier, I have not had discussions with the state's attorney in the case. Q. Why was Ms. Melongo ordered by the court to submit to an examination? MR. HANLON: Objection, form and foundation. BY MS. SCHWARTZ: Q. You can answer. 14 (Pages 53 to 56) ACR REPORTING, LLP (312) 422-0515 Page 57 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 A. I just don't know. Q. You don't know the reason the evaluation was ordered? A. No. Q. I'm handing you what will be marked Markos Deposition Exhibit No. 4. (Markos Exhibit No. 4 marked for identification.) BY MS. SCHWARTZ: Q. Do you recognize Deposition Exhibit No. 4, which I should note has Bates number that begins with CCSAO 004641 and ends with Bates number CCSAO 004661. A. No, I don't. Q. I'll represent to you this is the transcript of the hearing in which Ms. Melongo was ordered to submit to a court-appointed evaluation. Have you seen this transcript before today? A. I don't remember. Q. Do you ever review transcripts of court proceedings in which a court-appointed evaluation is ordered before conducting an evaluation? A. If court transcripts are provided to me prior to an examination, then as part of an examination, I'll review the transcripts submitted by Page 59 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 I'm fully aware what it means. BY MS. SCHWARTZ: Q. So if the judge in Ms. Melongo's case said she was ordering a BCX, what does that mean to you? A. If a judge were to use that term, which I have not often heard -- it's usually attorneys and outside agencies -- I would take that to mean that a case has been referred to our department for a forensic evaluation. Q. Would the same be true if an attorney used that term, a prosecutor or a defense attorney? A. Yes. Q. Generally speaking, what is the purpose of a consolidated referral order such as the one we see in Exhibit No. 3? A. Well, the consolidated order is a document utilized by a judicial officer to order a court-ordered examination by our department. Q. Turning again to Exhibit No. 3, the consolidated referral order, which is Bates marked Markos 0025 to 0026, can you tell from looking at the order what is the purpose of this particular referral referenced in Exhibit No. 3? A. The purpose of this order issued by a judge Page 58 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 the court as it relates to the specific issue of fitness or sanity. Q. If it's not listed in your report as something you reviewed, does that mean you did not review the court transcript? A. That's correct. Q. What does BCX stand for? A. BCX is a historical acronym for behavioral clinic examination. Since the department many decades ago was known as the Behavioral Clinic of Cook County Circuit Court and from that name evolved the procedure of BCX-ing case, which essentially means a case has been referred for an examination by the behavioral clinic for a forensic evaluation, so it's a historical term which is still in use. Q. And today or in April of 2010 or March of 2010, it was used to refer to a court-appointed -court-ordered examination? MR. HANLON: Objection, foundation. You can answer if you can. THE WITNESS: It's a terminology that is used by personnel outside the department. It is not a term that I personally use, but Page 60 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 was for the Department of Forensic Clinical Services to examine Ms. Melongo, Annabel Melongo, for the purpose of determining if she was fit to stand trial and if she was fit to represent herself. Q. What does a fitness-to-stand-trial evaluation involve? A. A fitness-to-stand-trial examination essentially involves two parts. The first part is a review of pertinent records available from court, and the second part is a clinical examination, the purpose of which is to determine if the defendant has a mental illness and, B, if that person is competent to stand trial, if that person meets the statutory criteria for fitness to stand to trial in the State of Illinois. Q. In the first part you mentioned reviewing records. What is the reason for reviewing records in advance of a fitness-to-stand-trial evaluation? A. The first step in a forensic evaluation, after advising the defendant of the nonconfidential nature of the report, is to determine what the person is being examined for and on what charge. Therefore, it is important for a forensic 15 (Pages 57 to 60) ACR REPORTING, LLP (312) 422-0515 Page 61 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 examiner or evaluator to know what the formal complaint is as part of the fitness evaluation. Q. Is it important to get a general understanding of the factual allegations underlying the criminal charges? A. It is important to know what the charge is. Q. Why is it important? What's the relevance of the specific charge? A. Because it's important to determine if the defendant is cognizant of the charge pending against him or her, therefore, a formal complaint needs to be available to the examiner to corroborate the charge with the defendant. Q. Are there any other records that are pertinent to a fitness-to-stand-trial evaluation that you would review in advance? A. It depends. Q. You mentioned the statutory criteria for fitness to stand trial. What makes someone fit or unfit to stand trial? A. The State of Illinois, fitness criteria are clearly articulated in the statutes, that's 725 ILCS 5/104-13, which requires that a defendant be cognizant or aware of the charge, the nature and Page 63 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 extremely variable. Q. Are they generally less than an hour, more than an hour? A. It depends. Q. How do you determine if someone is cognizant of the charges against them? A. It's based on a direct examination, clinical examination where the defendant is actually asked if he or she is aware of the charge pending against her and what the charge is and what that means, and so that's done through direct examination. Q. Is the test whether a defendant can explain what the charge is, generally can explain the allegations, is that the question? A. Yes, and also if the defendant understands if it's a felony or misdemeanor, what's the difference, if they can make a distinction between a misdemeanor and a felony as part of the fitness evaluation. Q. In terms of whether the defendant understands the nature of the court proceedings, what are you looking for in that part of the analysis? A. In order to determine that specific issue, whether the defendant has a comprehension of the Page 62 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 purpose of the court proceedings and that the defendant has the ability or capacity to assist counsel in a rational manner, and the Illinois statute comports with the Dusky standard. Q. I'm sorry. What standard? A. Dusky, D-U-S-K-Y. Q. How long does a fitness-to-stand-trial evaluation generally take? A. Depends. Q. What's a general range in your estimate for a fitness-to-stand-trial evaluation? A. It depends on the extent of the record review or the records, depending on -- again, depending on the charge, it may be extensive. In some cases there may be DVDs available to the examiner. And it depends on the mental condition, the clinical issues related to any individual client, recipient or patient or defendant, so there are multiple factors which would determine sort of the length of the examination, if additional testing is required to unveil a diagnosis that may not be clinically apparent through psychological testing, so the length or duration of a clinical evaluation is Page 64 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 court proceedings, there are certain questions that are standardized, which includes, but is not limited to, questions such as the role of a judge, role of a public defender or defense attorney in the case, the role of a prosecutor, the difference between a jury and a bench trial, the number of people in a jury and the role of a jury, the meaning of the term plea bargain, the definition of the term evidence and examples of evidence, to see if the person understands who a witness is and what a witness can do in court. That's generally the sort of criteria utilized in determining if the person has a reasonable understanding of the court proceedings in order to be competent to stand trial. Q. How do you determine if someone has a capacity to assist counsel in defense? A. That's a very important component of any fitness examination, and the main underlying factor would be if there's a mental illness or defect which would preclude a person from being able to assist counsel in a rational manner. That's an important part of the evaluation. Q. Are there standards or rules that govern 16 (Pages 61 to 64) ACR REPORTING, LLP (312) 422-0515 Page 65 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 the way you conduct these evaluations, medical regulations or industry practices, anything like that? A. All forensic issues are legally determined and defined, whether it be fitness, insanity defense, and forensic examiners are required to comport with the legal definitions, whether it be fitness or any other issue, and that's part of the training. In terms of the clinical style or the clinical presentation, different examiners employ different methods or styles. There are specialized tests which can be utilized in certain situations to determine fitness, but it's basically a clinical interview where the essential fitness criteria would need to be determined one way or the other. It's up to an examiner to decide what exactly that approach is going to be, so yes, the forensic organizations, the premiere medical, psychiatric organizations have established both professional and ethical guidelines with respect to fitness, amongst other forensic issues. Q. Turning to the fitness to represent one's self, what does an evaluation for fitness to Page 67 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 Edwards, concluded that there's no separate criteria, and the American Psychiatric Association and the American Academy of Psychiatry and the Law has adopted that legal criteria, so it is essentially the same criteria. Q. In other words, there's no difference between the two criterion? A. Unless there's a mental illness, and then it would -- the examiner would need to determine if the mental illness would preclude that person from representing himself without the assistance of counsel or co-counsel. Q. So are there types of mental illness where you could be fit to stand, but not fit to represent yourself? A. Exactly. Q. What types of mental illnesses are those? A. It depends. Q. I'm going to hand you what will be marked as Markos Deposition Exhibit No. 5. (Markos Exhibit No. 5 marked for identification.) BY MS. SCHWARTZ: Q. It is Bates numbered Markos 0027. Do you Page 66 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 represent yourself entail? A. A fitness to represent one's self or pro se essentially entails the same criteria, and the Forensic Academy has established that the criteria is no different, especially with respect to the existence of a mental illness. And the purpose of a pro se evaluation would be to see, again, if a person is cognizant of the charge, understands the nature of the court proceedings and if there's any mental illness which would preclude that person from representing himself or herself in court. Q. So the type of things you are looking at overlap a fitness-to-stand-trial evaluation and a fitness-to-represent-one's-self evaluation? A. I'm sorry. I didn't understand your question. Q. The types of questions you ask overlap with respect to a fitness-to-stand-trial evaluation and a fitness-to-proceed-pro-se evaluation? A. Essentially the same, yes. Q. Are there any differences? A. The legal criteria established by a landmark U.S. Supreme Court case, Indiana versus Page 68 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 recognize Exhibit No. 5? A. I know what this document says, yes. Q. What is Exhibit 5? A. This document is an appointment letter sent to Ms. Annabel Melongo dated March 24, 2010, indicating to Ms. Melongo that the court had ordered an examination. This letter also indicates that the examination was scheduled for April 13, 2010, at 10:30 a.m. and some procedural guidelines in terms of reporting to the department and any information that would be helpful in terms of keeping this appointment. Q. Is this a document that is generated by someone within the Department of Forensic Clinical Services? A. This department (sic) would be generated by the clerical section or the intake section of the department, yes. Q. Is it a true and accurate copy of the appointment for court-ordered examination sent to Ms. Melongo? A. I have no reason to believe it isn't. Q. Does your staff automatically generate 17 (Pages 65 to 68) ACR REPORTING, LLP (312) 422-0515 Page 69 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 reports such as Exhibit No. 5 when there's a court-ordered examination? MR. HANLON: You mean letters, not report? MS. SCHWARTZ: Letters. THE WITNESS: Yes. An appointment letter is mailed out to a defendant, whether they are out on bond or, if they are in custody, then the appointment letter is sent to the Cook County Jail to the sheriff's department to arrange transportation for a very specific appointment date for the examination. BY MS. SCHWARTZ: Q. That role is performed by someone within the intake unit -A. Yes. Q. -- in your office? Someone in the intake unit prepares this letter in the course of their regular business? A. This document is prepared in the clerical/intake division of the department, yes. Q. That's one of the general job duties of the clerical staff within the intake unit, to take care of it? A. Yes. Q. On Exhibit No. 5 it says, if you are taking Page 71 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 or requested examination, the police reports to confirm the complaint or the charge and any additional documents I may have had at that time. Q. Do you recall what those additional documents were? A. After reviewing my forensics report psychiatric report, I had reviewed an article captioned Chicago Court, if my memory serves me, and so that was a document that was available to me at the time of the examination, and I had reviewed that as part of my examination or prior to the examination. Q. Do you know who wrote that article that you reviewed called Chicago Court? A. No. Q. Do you recall who gave you that article entitled Chicago Court? A. No. Q. Did you review any information about Ms. Melongo's medical history before her examination? A. Sorry. Could you please repeat. Q. Did you review any information about Ms. Melongo's medical history before you examined her on April 13, 2010? Page 70 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 any medications, contact forensic clinical services at (773) 869-6100 before your appointment date. Do you know if Ms. Melongo contacted forensic clinical services before her appointment date regarding any medications she was taking? A. No. Q. If she had contacted forensics clinical services about medications she was taking, would that be reflected in your final report? A. Intake would make a note of that. I'm not sure it would be necessarily reflected in my report. I would report a medication if the patient is prescribed certain psychotropic medications, but in terms of having called in to confirm, I would have no knowledge of that. Q. You have no knowledge if Ms. Melongo called in to report any medications before her examination? A. Correct. Q. Did you review any documents before Ms. Melongo's evaluation on April 13, 2010? A. Yes. Q. What did you review? A. I reviewed, first of all, the court order to see what the desired examination was in this case, Page 72 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 A. No. Q. Did you review any other documents in advance of Ms. Melongo's examination? A. I do not remember. Q. I'm going to hand you what will be marked as Markos Deposition Exhibit No. 6. (Markos Exhibit No. 6 marked for identification.) BY MS. SCHWARTZ: Q. Do you recognize Exhibit 6? A. I know what this document is. Q. What is Exhibit 6? A. This is a document prepared by forensic clinical services which is essentially a chronology of events from the issuance of a court order with some biographic information regarding Annabel Melongo, the charges at that time and the state's attorney in the case and documents received by the department, especially police reports, the dates of my examination, the caseworker on the case from the intake unit, judge on the case, so it's essentially a summary of the referral process itself, the name of the defendant, the charge, the judge, the state's attorney on the case and the name of the examiner, in 18 (Pages 69 to 72) ACR REPORTING, LLP (312) 422-0515 Page 73 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 this case, myself, the date of the examination with the diagnosis and the chronology of events from the issuance of the date, so that's what it is. Q. Who prepared this report, Exhibit 6? A. I do not know who prepared this, but this is prepared in the intake division of the Cook County Jail as part of the case management before it gets to the examiner, and then they follow through with the events. It's a tracking system. Q. It's part of the intake unit's responsibilities to maintain documents like Exhibit 6? A. And the individual responsibility of the case manager or case manager assigned to the case. Q. Who is the individual case manager assigned for this particular document, Exhibit No. 6? A. Based on the information contained in this document, it was Ms. Hensch, H-E-N-S-C-H, Dolores Hensch, who worked in the department at that time. Q. Does she no longer work in the department? A. She no longer works in the department. Q. What are the case manager's responsibilities? A. Essentially a case manager is responsible Page 75 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 examiner, is actually physically procured by the caseworker internally within the department and is ready for submittal to the court and a copy is also maintained in the case file, as in this case. Q. Is it the duty of the case manager, in this case Ms. Hensch, to accurately reflect the chronology on a document like Exhibit No. 6? A. Yes. Q. Robert Podalsek's name is listed at the bottom of the first page, which is Bates number Markos 0028. What does that mean? A. It means that Ms. Hensch at that time obtained this information, the name of the state's attorney, from the court order and incorporated that in our information file. Q. Did Ms. Hensch or anyone else in clinical forensic services speak to Mr. Podlasek about Ms. Melongo's evaluation? MR. HANLON: Objection, foundation. You can answer if you know. THE WITNESS: I don't know. BY MS. SCHWARTZ: Q. If you turn to the next page, Markos 0029, at the top it says police reports received. Who Page 74 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 for preparing the case file and processing the case, entering information and getting it ready for the scheduler. After having made sure that there is a court order and required documents, the case manager would be responsible for bringing or sending the case to scheduling for scheduling purposes, and the case manager's task doesn't end there. After the case is scheduled and examined by a forensic expert and a typed report is completed, then the case manager, who tracks the case, is responsible for the case all along in the assembly line, essentially is responsible for garnishing the reports and ensuring that information is entered into the tracking system and documents all relevant data and completes the file and then gets ready to submit the written report to the respective court. These are some of the essential functions of a caseworker. It is not comprehensive because I don't know all the details. Q. When you say "garnishing the report," what did you mean by that? A. By garnishing I meant ensuring that the report, which is being either dictated or typed by an Page 76 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 sends the police reports to your unit for your review before an evaluation? MR. HANLON: Objection, foundation. You can answer if you know. THE WITNESS: Usually the referring party. BY MS. SCHWARTZ: Q. When you say "the referring party," what do you mean? A. The attorney who has requested the court or has brought the court order, which may not always be the requesting attorney, and may decide to drop off the court order, because we work in the same building and brings the police reports, along with the court order or sometimes separately. In this case I notice that it was the same day that the police reports were received by the department as the court order. Q. What does that mean, that it was the same date? A. Yes. Q. Could you tell who dropped off the police reports in this case? A. No. Q. As a general matter, would someone in your 19 (Pages 73 to 76) ACR REPORTING, LLP (312) 422-0515 Page 77 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 office generally speak to the assistant state's attorney assigned to a criminal case prior to an evaluation? MR. HANLON: Objection, foundation. You can answer if you know. THE WITNESS: It is the practice of our clinicians in forensic clinical services to not communicate with the referring attorneys, whether they be prosecutors or defense attorneys, public defenders or private defense attorneys prior to an examination or prior to submittal of an opinion letter to the court. A judge who issued the order is the first one to find out our opinions, and prior to that we do not discuss with the referring attorney or any attorney in the case. Q. What's the reason for that practice? A. The reason for that practice has to do with our unique role as independent examiners for the court. We are not retained by the defense or the state. We do not work for the state or the defense. We work for the judiciary of the circuit court. We respond to a court order and our Page 79 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 dangerous behavior to self or others is based on a clinical examination, a direct examination. As part of the examination, I would rely on police reports or any other collateral information. However, the firm decision of propensity for dangerous behavior to self or others needs to be determined directly through a clinical examination. Q. So the police reports are collateral documents, provide some information, but those would not be the sole means of determining whether someone is dangerous for purposes of evaluation? A. In certain situations police reports may provide a suggestion or may be suggestive of violent or potentially dangerous behavior. It is possible it's something that's taken into account or is a consideration, but it's not always the case. Q. Do you recall if anything in the police reports you received related to Ms. Melongo's case or the charging documents you received showed any propensity towards violence? A. No. Q. You don't recall or they did not show any propensity towards violence? Page 78 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 examinations are independent, objective, and a judicial officer who issued the court order is the first one to get the report, which is either hand delivered or via currier or faxed to the judge's chambers. Q. Did you or anyone in your office speak to Ms. Melongo prior to her evaluation on April 13, 2010? A. I did not speak with her prior to the examination. Q. Did anyone within your office speak to her prior to the examination? MR. HANLON: Objection, foundation. BY MS. SCHWARTZ: Q. You can answer if you know. A. I do not remember. Q. Before Ms. Melongo's evaluation, did you have any reason to think she was dangerous? A. Before any examination there's no way of predicting if someone is dangerous or otherwise. Q. Can you glean some information from the police reports you review, for instance, to determine if someone is dangerous? A. The clinical determination of potential for Page 80 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 A. Based on the recent review of my report, there's nothing to suggest that I had information which would indicate that she was dangerous to herself or others. Q. Turning again to the page of Exhibit 6 marked Markos 0029, what does referral received mean at the top of the page? A. It means that the court order was received on that date. The referral refers to court documents, the court order and that it was received on this date. Q. What do the entries dated April 13, 2010, refer to? A. There are two entries dated April 13. The first one indicates that Ms. Hensch had confirmed Ms. Melongo's appointment for April 13 at 10:30 a.m., and the second notation which indicates that an appointment had been scheduled with myself on that date. I stand corrected, that an examination took place on the 13th by myself, that I examined the patient on April 13. Q. Below that entry it says, no mental disorder, personality disorder NOS, mentally fit to 20 (Pages 77 to 80) ACR REPORTING, LLP (312) 422-0515 Page 81 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 stand trial. What does that mean? A. That is my opinion based on my examination of Ms. Melongo. I did not diagnose her with any mental disorder. It was my clinical formulation within a reasonable degree of medical and psychiatry certainty that Ms. Melongo did not suffer from any mental disorder. I also provisionally considered personality disorder NOS, which is not otherwise specified, a provisional diagnosis and answered the bottom line issue of fitness, which was that she was mentally fit to stand trial. Q. When you say provisional diagnosis, what does that mean? A. A provisional diagnosis is a clinical suspicion during an examination which would need to be corroborated with additional observation in clinical practice if needed, and it's a clinical impression or the initial impression of an examiner based on data, clinical data garnished during the evaluation. Q. To make a final diagnosis instead of a Page 83 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 A. Yes. A dictation involves dictating the entire summary verbally on a recording device, which may or may not be digital, and the device captures the dictation, which is then played back by the typist or transcriptionist, who would then type the report, so I don't type my own reports. I just dictate the summary, and it's transcribed for me. Q. The transcriber in this case, Ms. Arroyo, transcribes word for word what you would have -- what you said in your dictation? A. Exactly. Q. Do you keep those recordings or your dictations? A. No. Q. Why not? A. Once a dictation has been transcribed, the transcriptionist would erase the dictation to make room for more dictations while the summary is preserved, so there's really no need to save the original dictation itself because it's already been transcribed and completed for my review, and once I sign off on that, that summary is maintained on file as the actual summary that was dictated. Page 82 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 provisional diagnosis, would you need to take additional steps, do additional testing? A. If needed, if needed in a treatment setting. The purpose of my examination was to conduct a forensic evaluation regarding fitness, and based on that examination, I considered it a provisional diagnosis. It was not a firm diagnosis. It was a consideration on clinical suspicion. Q. You didn't think that any follow up was needed on that issue? A. Not for the purposes of this examination. Q. Lower down in the page it says, psychiatric sum. dictated 4-13-2010, Dr. Markos, L.A. What does this line mean? A. This line means that I, the examiner, dictated my forensic summary or report on the same date of the examination, and my dictation was transcribed by Lilly Arroyo, A-R-R-O-Y-O, medical transcriptionist, typist who worked in the department at that time, but is no longer in the department. Q. When you say you dictated your report, do you make a recording generally? Did you make a recording in this instance? Page 84 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 Q. In Ms. Melongo's case, the dictation no longer exists for her? A. Or any other case that has been dictated in the past. Q. I just want to confirm, the dictation for Ms. Melongo's case in particular, the April 13, 2010 evaluation, that dictation does not exist any longer? MR. HANLON: Objection, asked and answered. You can give the exact same answer. THE WITNESS: Correct. BY MS. SCHWARTZ: Q. Do you also keep notes of your evaluations? A. It depends. Q. Did you keep notes of Ms. Melongo's evaluation? A. I don't remember. Q. If you did keep notes of Ms. Melongo's evaluation, would it have been in the case file that you reviewed? A. No. Q. Where would those notes be located? A. Handwritten notes are maintained by individual examiners for a certain period of time, and it's generally my practice not to maintain them 21 (Pages 81 to 84) ACR REPORTING, LLP (312) 422-0515 Page 85 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 once it's been dictated and the information from my handwritten notes has been incorporated in my summary, so that's my practice. I cannot speak for all clinicians. Q. Did you review your files to see if you have any handwritten notes related to Ms. Melongo's evaluation? A. Prior to this deposition I did review my file and I have not maintained my handwritten notes from approximately 10 years ago. Q. Continuing on Markos Exhibit No. 6, page Markos 0029, the entry psychiatric summary or sum. transcribed, 4-19-2010, what does that mean? A. That means that the dictation that was captured on my Dictaphone was transcribed by Ms. Arroyo on the 19th of April of 2010. Q. What does court report typed below that mean? A. It means that she prepared the final summary and opinion report on Ms. Melongo's case authored by myself. Q. That happened six days after the evaluation? A. Yes. Page 87 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 BY MS. SCHWARTZ: Q. What does clerical note dated 4-20-2010 mean? A. This entry means that Ms. Hensch, who is the caseworker on the case from start to finish, was made aware of my report, and Ms. Arroyo conveyed the completion of the case, the information to Ms. Hensch, who is the caseworker and, as I mentioned earlier, would be responsible for managing the case from start to finish made an entry on the 20th indicating that the case had been completed by the examiner assigned to this case, namely myself. That's the clerical entry made by Ms. Hensch who is still the case manager on the case. Q. I'm going to hand you what is marked as Exhibit 7. (Markos Exhibit No. 7 marked for identification.) BY MS. SCHWARTZ: Q. Do you recognize Exhibit 7? A. Again, based on my review of this case file, this document from Schiller Park Police was part of our records, yes. Q. Did you review it prior to evaluation of Page 86 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 Q. Were you consulted during Ms. Arroyo's write up of your dictation? A. It's the practice of the transcriptionist to prepare a summary and make it available to the examiner who dictated it for review and corrections as needed in every case, not just my case, but for all examiners. Q. Did you review Ms. Arroyo's transcription in Ms. Melongo's case? A. I signed off on it, which means I did review it, yes. Q. Did you have any corrections? A. I don't remember. Q. Does Ms. Arroyo maintain a separate file related to Ms. Melongo's evaluation? MR. HANLON: Objection, form, foundation. THE WITNESS: I'm not clear about your question, separate file. BY MS. SCHWARTZ: Q. Do you know if Ms. Arroyo maintains separate records related to evaluations? MR. HANLON: Same objections. THE WITNESS: I don't know. Page 88 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 Ms. Melongo? A. Yes. Q. What were the allegations against Ms. Melongo reflected in this police report? A. Computer tampering. Q. Did you also review the charging documents in this case prior to your evaluation? A. I don't remember. Q. I'm handing you what will be marked as Markos Deposition Exhibit 8. MR. HANLON: Is that his report? MS. SCHWARTZ: Yes. MR. HANLON: Wondering, is this a good time for lunch? MS. SCHWARTZ: That's fine with me. MR. HANLON: Do you have a guesstimate on total time? MS. SCHWARTZ: I'm thinking maybe an hour after. (Whereupon, the deposition in the above-entitled cause was recessed to 1:39 p.m. this date.) 22 (Pages 85 to 88) ACR REPORTING, LLP (312) 422-0515 Page 89 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 AFTERNOON SESSION EXAMINATION (Resumed) (Markos Exhibit No. 8 marked for identification.) BY MS. SCHWARTZ: Q. We are back on the record. Dr. Markos, I'd like to turn your attention back to what's been marked as Markos Deposition Exhibit 8, Bates number Markos 0030 to Markos 0033. Do you recognize Exhibit 8? A. Yes. Q. What is Exhibit 8? A. This is my forensic psychiatric report authored by myself dated April 13, 2010. Q. Is that your signature on the last page of Exhibit 8? A. Yes, it is. Q. This is a true and accurate copy of the report you completed on Ms. Melongo's evaluation? A. Yes. Q. And you reviewed the contents of this report before signing it? A. Yes. Q. Does Exhibit No. 8 accurately reflect your Page 91 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 BY MS. SCHWARTZ: Q. Dr. Markos, do you recognize Exhibit No. 9? A. Yes. Q. What is Exhibit No. 9? A. This is a document captioned Chicago Courthouse, which reportedly was posted on a website www.illinoiscorruption.net/chicagohtml. Q. Is this the document that you reviewed prior to your examination of Ms. Melongo? A. Yes. Q. On the first page of Exhibit 9, on the bottom left is a stamp that says director's office, dated 3-8-2010. Is that the date your office received this particular document? A. Yes. Q. If you flip through Exhibit No. 9, there's underlined notations throughout handwritten into the document. Whose annotations are those, the handwritten annotations? A. I do not remember. Q. If you turn to page 7, which is also Bates number Markos 0051, there's a handwritten word "victim" in the middle of the page at the top. Page 90 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 diagnosis and analysis of Ms. Melongo on April 13, 2010? A. Yes. Q. I would like to go through the report with you. On the first page, Bates number 0030, there's a section titled records reviewed? A. Yes. Q. Does this accurately list the records reviewed before the examination of Ms. Melongo? A. Yes. Q. Did you review anything else other than what's listed in records reviewed for the evaluation of Ms. Melongo? A. No. Q. You mentioned that you reviewed a website titled www.illinoiscorruption.net? A. That was a document which came to the case, yes. Q. I'm going to hand you what will be marked as Markos Deposition Exhibit No. 9. (Markos Exhibit No. 9 marked for identification.) Page 92 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 Do you know whose handwriting that is? A. That is my handwriting. Q. Does that help you remember whose annotations are contained here in this document, Exhibit No. 9? A. This is a note that I made for my own personal reference as it relates to Ms. Annabel's actions in this case. Q. Are the other annotations throughout this document, the underlines and written notes in margins, are those also your annotations? A. I do not recall that. Q. Did you review any other part of Ms. Melongo's website other than this document prior to her examination? A. No. Q. Did you discuss this document, Exhibit No. 9, with anyone prior to Ms. Melongo's examination? A. No. Q. Who delivered this document to you prior to Ms. Melongo's examination? A. I do not recall. Q. If you turn to page 17 of Exhibit 9, which 23 (Pages 89 to 92) ACR REPORTING, LLP (312) 422-0515 Page 93 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 is Markos 0061, at the bottom is underlined a sentence related to eavesdropping, the Illinois eavesdropping statute. Did you know that the state was investigating potential eavesdropping charges of Ms. Melongo at the time you did the -A. No. Q. I would like to turn back to Exhibit 8, which is your psychiatric summary. On the first page under the heading clinical interview, it says, the purpose of the examination and the nonconfidential nature of the report was explained to her, and she understood this advisory. What does that sentence mean? A. What that means is that prior to getting into the examination, I advised Ms. Melongo that the purpose was to determine or give a clinical opinion on a fitness to stand trial, that the examination was pursuant to a court order and that the information that I obtained during my examination would be contained in the report which would be submitted to the court and in that respect was not confidential information. Q. When you were evaluating Ms. Melongo, did Page 95 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 question. BY MS. SCHWARTZ: Q. I can clarify. Did you have a duty to treat Ms. Melongo in the event that you thought she needed medical treatment? MR. HANLON: Objection, same objection. You can answer. THE WITNESS: As I mentioned earlier, there was no therapeutic relationship or physician-patient therapeutic relationship in this case. The purpose of my examination, which was ordered by the court, was to conduct a forensic examination, and there was no treatment responsibilities on my part. BY MS. SCHWARTZ: Q. Did you have any responsibilities to act in Ms. Melongo's best interests in conducting your evaluation? MR. HANLON: Same objection. You can answer. THE WITNESS: I was an impartial examiner for the court. Page 94 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 you consider her to be your patient? A. I explained to her that there was no patient-therapist relationship, which is why it was not confidential. Q. When you were evaluating Ms. Melongo, you weren't -- the purpose of the evaluation was not to propose any treatment, if necessary, was it? A. Well, it depends. If the finding was one of unfitness, then I would be required to make a treatment recommendation to the court in terms of inpatient versus outpatient treatment which would be the least restrictive and most therapeutic, but that was not the case. Q. It wasn't the case because you found her to be fit? A. It was my clinical opinion with a reasonable degree of medical and psychiatric certainty that she was mentally fit to stand trial. Q. Did you have any obligation to Ms. Melongo when you evaluated her? MR. HANLON: Objection to the extent it calls for a legal conclusion. You can answer. THE WITNESS: I'm not clear about your Page 96 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 BY MS. SCHWARTZ: Q. But you did not view Ms. Melongo as your patient? MR. HANLON: Asked and answered. THE WITNESS: She was not my patient. BY MS. SCHWARTZ: Q. Unlike a doctor who sees a patient generally, you had no obligation to keep the contents of your conversation with Ms. Melongo confidential; is that right? MR. HANLON: Objection, mischaracterizes prior testimony and asked and answered. THE WITNESS: At the very outset I explained to Ms. Melongo that this examination was ordered by the court and that it was not confidential. BY MS. SCHWARTZ: Q. Are evaluations like Exhibit 8 generally filed with the court under seal? A. The reports are hand delivered in a sealed envelope. I don't know if that constitutes being legally sealed. Q. Do they become part of the public court file of the individual defendant? 24 (Pages 93 to 96) ACR REPORTING, LLP (312) 422-0515 Page 97 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 A. Yes. Q. Turning back to Exhibit No. 8, the first page, in the middle of the page, it says under the heading clinical interview, it says, the defendant informed this examiner at the very outset that she is no longer representing herself (pro se) and has retained a private attorney, i.e., Mr. Nick Albukerk. What did she say about her decision to hire a private -- retain a private attorney during the evaluation? A. She spontaneously informed me that she was no longer pro se and that she had retained a private attorney, a statement that she made and that was that. Q. How did that affect your evaluation of Ms. Melongo? A. Part of the examination had to do with the pro se fitness per court order, and if she was no longer pro se, it was my responsibility to inform the court, as I did in my opinion letter, that she was fit to stand trial and that she had reported to me that she was no longer pro se and that she had retained a private attorney, so I duly informed the court of her statement or information that she Page 99 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 division at that time, so that's information that she provided to me just contained in my report. Q. I want to turn your attention to the last sentence of that paragraph from Exhibit 8. This document reflects strong paranoid, grandiose and narcissistic personality traits in the defendant. What did you base this statement on? A. This statement was based on my clinical impression or suspicion that Ms. Melongo had these characterological traits or tendencies with some ideas of paranoia, entitlement, and I took that into consideration when making my provisional diagnosis later of personality disorder not otherwise specified, which is NOS, as I mentioned earlier. Q. Was this conclusion based on your review of the document entitled Chicago Courthouse or your evaluation with Ms. Melongo personally or a combination of the two? A. A combination of the two. Q. Let's walk through each of those. What about Ms. Melongo or the website you reviewed reflected strong paranoid traits? A. The information contained in that report in conjunction with my clinical observations supported Page 98 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 provided me, and that was the extent of that issue. Q. Did she say anything else about her retention of a private attorney? A. No. Q. Lower down on the page in the next paragraph, you write, a document entitled Chicago Courthouse posted on www.illinoiscorruption.net website indicates a long and convoluted legal process, et cetera, et cetera. What does this refer to, this sentence? A. This sentence and this paragraph refers to an account the defendant provided me and based on collateral information that her case had a long history in terms of moving from one judge to another, and so I synopsized that in this paragraph, information that I garnished from her. Q. What was the account that the defendant provided to you during the evaluation? A. Essentially what's contained in the paragraph, that she had representation earlier by two private attorneys named in this report, James Flood and Darryl Goldberg, and that she had gone before many judges, several judges with respect to her case, including the presiding judge of the criminal Page 100 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 my clinical suspicion that Ms. Melongo was experiencing or experienced paranoid ideas and a sense of entitlement, and that was a clinical impression based on the whole picture and not just one segment. Q. What in particular about your clinical observations led you to conclude that she was exhibiting paranoid traits? A. In the section I reported her account of how she had moved from court to court and her explanation as to why she had to seek other judges and meet with the chief judge or the presiding judge of the criminal division in support of her case. Q. What about that suggests that she exhibited paranoid traits? A. Again, it was a clinical impression that she had concerns about the -- an unusual concern as compared to other cases with respect to receiving justice. Q. What was unusual about it? A. It's unusual to see a case go through several judges in my experience. Q. What is the definition of having a paranoid personality trait? 25 (Pages 97 to 100) ACR REPORTING, LLP (312) 422-0515 Page 101 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 A. Paranoia in general is defined as a subjective feeling which may be observed by a trained examiner where an individual feels conspired against or not being treated fairly or overreading into the situations where they may feel victimized. They have been a victim of injustice or maltreatment, and so it's a broad, general kind of psychological phenomenon. Q. Is it paranoid for a defendant to be upset about criminal charges that he or she did not actually commit? MR. HANLON: Objection, form, foundation. THE WITNESS: I don't know. I do not have the details or the information to come to a conclusion with a reasonable degree of certainty on that issue. Her general demeanor and her account and her subjective feelings conveyed to me paranoid themes, which was my provisional diagnosis, and that was my impression at that time. BY MS. SCHWARTZ: Q. If Ms. Melongo were correct that she was being charged with crimes that she did not commit, would that be paranoia? Page 103 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 Q. What about her demeanor gave you the impression that she was experiencing feelings of grandiosity? A. The demeanor with which she expressed these very ideas, which was summarized in my report, which is going from one judge to the next and then SOJ-ing the case, taking it to another, and she conveyed feelings of being a very special person and, again, it's a clinical impression. Q. SOJ stands for substitution of judge? A. Yes. Q. Let's turn to the next one, narcissistic. What's the definition of narcissistic personality trait? A. Narcissism is a pathological trait where it's very similar to grandiosity where an individual feels or likes to feel that he or she is the center of attention, is very important. It's a feeling of self importance and wanting to be heard again and again. And narcissistic people tend to be self-centered, so these three characteristic traits are lumped together in psychiatric diagnosis in the personality disorder section as cluster B, and that Page 102 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 MR. HANLON: Objection, form, foundation, incomplete hypothetical, misstates facts. You can answer. THE WITNESS: I have no opinion on that. BY MS. SCHWARTZ: Q. Turning to the next one, grandiose. What does it mean to have grandiose traits? A. Grandiose essentially means being someone very special and having an exaggerated notion about themselves, especially in terms of how they are treated by other people. Q. What about your clinical observations in review of Ms. Melongo's website made you determine that she had grandiose personality traits? MR. HANLON: Objection, mischaracterizes prior testimony. THE WITNESS: That was my clinical impression, and that was based on, again, her demeanor and details of information that she provided to me in terms of seeking a different judge each time and asking to meet with the chief judge to hear her case. I formed a clinical impression that she was experiencing feelings of grandiosity. Page 104 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 is because there's an overlap and they are very similar, grandiosity and narcissistic people, so narcissistic people are likely to be grandiose and grandiose people are likely to be narcissistic or paranoid for that matter, so cluster B, which, again, is a personality disorder. It is not a mental illness, such as depression or bipolar or schizophrenia. It's a characterological issue where the individual with these traits are likely to perceive the world very differently from someone who does not have this issue. Q. When you say "characterological," what does that mean? A. The word characterological and personality is essentially synonymous from a clinical standpoint, so personality is the characterological makeup of an individual. Q. In terms of narcissistic traits, were there any additional aspects of Ms. Melongo's demeanor or aspects of documents you reviewed that gave you the impression that she may have narcissistic personality traits apart from what you testified? MR. HANLON: Objection, excludes other 26 (Pages 101 to 104) ACR REPORTING, LLP (312) 422-0515 Page 105 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 aspects he's testified to. But you can answer. THE WITNESS: Again, it's in conjunction with both, and it was not just the contents of what she told me, but also the form, manner, demeanor in which she presented her concerns with respect to how her case was handled both by defense attorneys and judges, multiple judges in this case. BY MS. SCHWARTZ: Q. What about her form and demeanor suggested or gave the impression of narcissistic personality traits? A. As I explained earlier, that this desire on her part or expectation that she be assigned to different judges because she was not satisfied. Q. Was there any other information apart from what you testified to on which you based your impression that she may have paranoid, grandiose and narcissistic personality traits? A. No. Q. Turning to the next page marked Markos 0031, how did you decide what to include in the section called pertinent background information? A. Pertinent background information is the Page 107 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 examination, you concluded that, "There was no evidence of any anxiety, agitation, depression, mania, looseness of association, incoherence, tangentiality, delusions, hallucinations or cognitive deficits." How did you reach that conclusion? A. During a mental state examination or psychiatric examination per se, an examiner would ask specific questions in order to rule out the presence or absence of any specific psychiatric symptoms before arriving at a formulation and diagnosis. Questions that are meant to identify the person's degree of alertness, orientation to time, place or person, in other words, does the person know what the date is, the time, the day of the week and so forth. Questions that are meant to identify underlying depression or disordered thought process, like delusions, which are irrational beliefs, any racing thoughts, any abnormal perceptual disorders, like hallucinations or illusions and the general cognitive or intellectual functioning of that person based on their vocabulary, fount of knowledge and general information, so, again, these are standard elements of a psychiatric evaluation. Page 106 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 section of a clinical report which pertains to an individual's pertinent background information, where they were born, the education that they received, employment history, past criminal history, past psychiatric history, substance abuse history, medication history, history of any reported psychiatric treatment, inpatient versus outpatient services, so it is the background of the person that is based on self-reporting in most instances and is an important part of the examination in terms of understanding the person's life before moving on to the psychiatric evaluation, the mental status examination and the core fitness issue. So it is trying to understand a person's background and anything that may be relevant and is a very standard part of a clinical psychiatric report or psychological report for that matter. Q. What is the relevance of the statement that she was born in Cameroon, Africa and immigrated to the United States? A. Again, that's pertinent background information. That is addressed in each and every case. It's not unique to this case. Q. In the next section entitled mental state Page 108 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 Q. And in this instance, in Ms. Melongo's case you did not find any evidence of any of those mental illnesses? A. Based on my examination of Ms. Melongo in April 13, 2010, to a reasonable degree of medical and psychiatric certainty, that she did not present, manifest or complain of any specific psychiatric symptoms or signs. Q. At the beginning of that paragraph on Markos 0031, Exhibit 8, you wrote, "Ms. Melongo presented as calm and cooperative," et cetera, et cetera. Is that an accurate description of how Ms. Melongo presented? A. Yes. Q. In the next section of Exhibit 8 titled fitness evaluation, Markos 0031, spanning over to Markos 0032, what was your conclusion regarding Ms. Melongo's fitness to stand trial? A. Ms. Melongo's responses during this part of the evaluation indicated that she was cognizant of the charge pending against her. She made a proper distinction between a misdemeanor and a felony. She demonstrated satisfactory understanding of court 27 (Pages 105 to 108) ACR REPORTING, LLP (312) 422-0515 Page 109 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 proceedings, including the roles of various courtroom officials, judge, state's attorney, defense attorney and so forth, understood the meaning of the word guilty or not guilty, evidence, defined a witness, and also very importantly showed the capacity to assist counsel in a rational manner, so those were my conclusions after this section or segment of the evaluation. Q. Are those the standard questions you ask when you are trying to determine whether a defendant is fit to stand trial? A. Generally, yes. Q. By asking those questions, you reached the conclusion that Ms. Melongo was fit to stand trial? A. I reached my conclusion based on my clinical and psychiatric evaluation and her knowledge of the fitness, statutory criteria for fitness. Q. Did you reach a determination of whether she was fit to represent herself pro se? A. Ms. Melongo indicated to me that she was no longer pro se, that she was represented by a private attorney, Mr. Nick Albukerk, and that she was no longer pro se. Q. For that reason did you not list a Page 111 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 emphysema and so forth. But the DSM-V, which is the current edition in use, has done away from the multi-axial system, but back in 2010 when the DSM-IV-TR was in prevalent use, Axis I and Axis II referred to two separate diagnostic categories, so that's essentially what it is. Q. And you testified regarding the personality disorder NOS prior to lunch. To confirm, NOS, that stands for not otherwise specified? A. That's correct. Q. Is this the provisional diagnosis that you referred to in your testimony before lunch? A. Yes. Q. And does this relate to your conclusion that we just discussed, that you had impressions that Ms. Melongo had strong paranoid, grandiose and narcissistic personality traits? A. Yes. I formed the opinion that she had personality traits which led me to make a diagnosis of not otherwise specified because I did not have sufficient clinical data to support a full-blown personality disorder, so it was a consideration. I Page 110 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 conclusion regarding whether she was fit to proceed pro se? A. Given that information, I reported to Judge Brosnahan that she was no longer pro se. I did address the issue of fitness and indicated that she was fit to stand trial and she was not mentally ill. Q. Turning now to the section entitled diagnosis on Markos 0032, what's the difference between Axis I and Axis II? A. The Diagnostic and Statistical Manual of Mental Disorders, also known as DSM, the current edition is the fifth edition -- at the time I examined the patient, it was IV-TR was the edition, and in psychiatric diagnosis, this is a multi-axial system, and Axis I is reserved for specific mental disorders, like depression, bipolar disorder, schizophrenia, dementia, so forth. Axis II is reserved for -- used to be reserved for pathological or personality disorders, which is also defined in DSM manuals using standardized criteria for making these diagnosis. And Axis III would be for medical conditions, like hypertension, heart disease, Page 112 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 had not ruled it in. I had not ruled it out, and that's a provisional diagnosis in medical practice. Q. Did you think the general impression that Ms. Melongo may have a personality disorder would affect your ability to -- her fitness to stand trial? A. Sometimes a personality disorder can interfere with an individual's level of cooperation with counsel, and pro se was the consideration in this case, and in my experience, personality disorders, if it exists, could impact someone's capacity to cooperate, and in that respect it could have a bearing, but that was not the conclusion in this case. I opined to the court that she was mentally fit. Q. At the bottom of Markos 0032, you again mention Ms. Melongo informed you that she had retained a private attorney. Is it your testimony that she told you that spontaneously, or did you specifically ask her whether she had a private attorney? A. As I mentioned earlier and as represented on page 1, at the very outset after I advised her of the non-confidentiality, she spontaneously informed 28 (Pages 109 to 112) ACR REPORTING, LLP (312) 422-0515 Page 113 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 me or advised me that she was no longer representing herself and that she had retained an attorney, so in that respect, it was in the very beginning that she spontaneously reported to me. I did not ask her. Q. I would like to turn your attention back to what I have in front of you as Markos Deposition Exhibit 9. If you would turn to the second to the last page, marked Markos 0072. The final two sentences at the bottom of page that are underlined, did you review those last two sentences prior to your evaluation of Ms. Melongo? A. I do not recall. Q. During your evaluation of Ms. Melongo, did she explain to you what she meant by the statement on this page, "this surprise will be known on April 14, 2010"? A. Based on review of my report, that is not an issue that was discussed or referenced during my examination. Q. If you had discussed that issue during your examination, would it have been reflected in your report? A. It could have. Q. But not necessarily? Page 115 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 A. Not that I can recall. Q. The statement at the bottom of Exhibit 9, at the bottom of Markos 0072, "Annabel has a big surprise in store for the court in its attempt to push her out of the case by pretending she is psychologically unbalanced," did you think that statement was potentially a threat to anyone? A. I don't recall studying these comments. Q. You don't recall anything about this statement on Ms. Melongo's website reflected in Exhibit 9? A. That's correct. Q. I'd like to turn briefly back to Exhibit 8, your report. At the very end, Markos 0033, the first full sentence says, "Please refer to my full psychiatric summary for the bases of my opinion." Is there a separate psychiatric summary other than this document, Exhibit 8? A. No. The report that is sent to the court is the last segment of the summary, the forensic formulation, because that's what required by the Court. A detailed summary remains in our court file, and the summary is released only pursuant to a Page 114 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 A. If from the clinical perspective I found it to be relevant to my examination, I would have certainly incorporated that. Q. So your clinical report you include information that you think could be clinically relevant? A. And legally. Q. Or legally relevant. If you determined that particular information is not clinically or legally relevant, you may or may not include it in that particular report? MR. HANLON: Objection, incomplete hypothetical, form. You can answer if you can. THE WITNESS: It depends. BY MS. SCHWARTZ: Q. Did anyone tell you that Ms. Melongo had a history of making threats before you examined her on April 13, 2010? A. Not that I can recall. Q. Did anyone tell you that Ms. Melongo had any history of violence before you examined her on April 13, 2010? Page 116 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 court order or a subpoena and informed consent, so the letter would indicate that -- a letter to the court would indicate that there was a detailed summary if they need it. Q. I would like to turn to what we are going to mark as Exhibit 10. (Markos Exhibit No. 10 marked for identification.) BY MS. SCHWARTZ: Q. Do you recognize Exhibit 10? A. Yes. Q. Is this the letter to the court that you were referring to? A. Yes. Q. So this is the portion of your conclusion that gets filed with the court and becomes part of the record? A. Yes. Q. Is this Exhibit No. 10 a true and correct copy of the letter you sent to Judge Brosnahan regarding your evaluation of Ms. Melongo? A. Yes. Q. Did you sign the letter at the bottom? A. Yes, I did. 29 (Pages 113 to 116) ACR REPORTING, LLP (312) 422-0515 Page 117 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 Q. You sent this letter to Judge Brosnahan, but not the full report that we were discussing, which is Exhibit No. 8? A. That's the procedure established by the judiciary, yes. Q. There's no reason to think that in this instance the full report that was Exhibit No. 8 went to Judge Brosnahan? A. I'm sorry. Can you please repeat your question? Q. Do you know if the document marked as Exhibit 8, your forensic clinical services psychiatric summary, do you know if that document was sent to Judge Brosnahan? A. I don't know. I don't know. Q. Do you know if it was sent to Ms. Melongo? A. Reports are submitted to the court and both parties get a copy. Q. The full report is submitted to the court and both parties get a copy? A. No, just the letter. Q. Just the letter, Exhibit 10? A. Just the letter. Either party or side can request the detailed summary with a court order or a Page 119 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 interviewed Ms. Melongo? A. No examination is conducted without security, and in that regard, there would be sheriff's deputies assigned to the department seated outside the examination room, so in that respect, there would be sheriff's officers assigned to the forensic clinical services department for that purpose. Q. Do you recall who those particular officers were in Ms. Melongo's case? A. No. Q. I'm handing you what will be marked as Markos Deposition 11, which is Melongo_022914 through 22916. (Markos Exhibit No. 11 marked for identification.) BY MS. SCHWARTZ: Q. Do you recognize Exhibit 11? A. No, I don't. Q. Have you seen or read Exhibit 11 before today? A. I don't recall reading this document. Q. If you don't mind, would you please take a moment to read the first four paragraphs of Page 118 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 subpoena. Q. Do you recall if either party requested a detailed summary in this case? A. I do not know. Q. What happened after you sent this letter marked as Exhibit No. 10 to Judge Brosnahan? A. Nothing. Q. Was the case closed in your office? A. Yes. Q. Was there any additional follow up you were asked to do? A. No. Q. Did you ever testify in one of Ms. Melongo's criminal cases? A. Not to the best of my knowledge. Q. At some point during your evaluation of Ms. Melongo on April 13, 2010, was your evaluation interrupted by anyone? A. I do not remember. Q. Do you recall if Ms. Melongo was taken into custody during or after your evaluation of her? A. No. Q. Do you recall if there were sheriff's officers outside of the evaluation room when you Page 120 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 Exhibit No. 11 on the first page. A. Yes. Q. Are those first four paragraphs an accurate description of what happened on April 13, 2010? A. I have no idea. I don't recall this. Q. Is anything that you read in those four paragraphs inaccurate? MR. HANLON: You want him to go sentence by sentence? BY MS. SCHWARTZ: Q. If anything jumps out that you can identify as being incorrect. MR. HANLON: Beyond what he's already testified to? You can answer. THE WITNESS: Beyond what I have already testified, I don't recall the details provided in this document in terms of its accuracy or lack of it. BY MS. SCHWARTZ: Q. Is it possible that police officers knocked on the door during your evaluation of Ms. Melongo and spoke to you for five to ten minutes? A. I do not recall that. Q. Have police or sheriff's officers ever 30 (Pages 117 to 120) ACR REPORTING, LLP (312) 422-0515 Page 121 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 interrupted an evaluation of a defendant while it was ongoing? A. I have been in practice more than 30 years for the court and conducted many examinations, and there have been occasions when my examination or evaluation has been interrupted, sometimes by my staff to give me a report, message, different judge is on the line, wants to talk to me, if there's a fire evacuation drill in process or if a patient who is not being examined, but is being examined by someone else has a medical emergency, like a seizure disorder. There are some scenarios where I could be interrupted during an examination by sheriff's deputies, my staff, another doctor perhaps, and so that is entirely possible, but I do not recall this interruption as recorded in this document. Q. Have sheriff's officers or police officers ever interrupted an evaluation to discuss the particular defendant whom you were evaluating? A. Not at the time of the examination. If a defendant who is scheduled to be examined is agitated, disruptive or dangerous, and the sheriff's officers who would normally transport them from Cook County Jail would give me a head's up Page 123 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 typically as seriously mentally ill or psychotic, schizophrenic patient, who is unlikely to be cooperative, who might become belligerent or agitated during the evaluation, and that information is provided to me before, not during or after. BY MS. SCHWARTZ: Q. Is the reason to protect your safety during the evaluation? A. If it's a security risk, then that would be the reason, to give me an advanced warning, yes. Q. Is there any other reason that information would be conveyed to you before an evaluation? A. That would be the only instance where a sheriff's deputy whose primary task is to provide security for myself and my staff doing examinations would consult before an examination, not during. Q. Does information a sheriff's officer gives you before an evaluation ever influence the types of questions you ask of a defendant? MR. HANLON: Objection, form, incomplete hypothetical. THE WITNESS: The scope of the examination does not change. BY MS. SCHWARTZ: Page 122 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 in terms of that being -- a defendant being difficult or likely to be a problem, but that takes place before I engage in a discussion with the patient. Q. In that instance, if the sheriffs knew some information about a potential security issue or safety issue, you do want to get that information so you can develop your questions accordingly? MR. HANLON: Objection, form. BY MS. SCHWARTZ: Q. Strike that. If a sheriff's officer or deputy gives you information about potential safety or dangerousness of a defendant, does that influence the way you conduct the evaluation? MR. HANLON: Same objection, also incomplete hypothetical. You can answer. THE WITNESS: My previous remark regarding getting a head's up from a sheriff's deputy relates to an individual who may be too disturbed to be examined by myself and who could potentially pose a risk to myself during the examination. In those instances, I would get a full warning, if you will, about that disturbed patient Page 124 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 Q. Do your questions ever change? MR. HANLON: Same objections. THE WITNESS: In clinical practice, there are several steps with respect to how an exam -- an individual is examined in terms of forming a rapport and getting the cooperation, so the manner or the order in which questions are asked or the clinical interview process unfolds is very variable, so it doesn't change the purpose of my examination, which is to provide an impartial, objective, neutral opinion to the court with respect to a diagnosis or a fitness for that matter, so it doesn't change, as I mentioned, the scope or purpose of my examination. The approach may vary from a male to female recipient depending on the mental condition and the presentation, but the overall purpose is to conduct an impartial court-appointed examination not working for the state or the defense. BY MS. SCHWARTZ: Q. You testified that you don't recall Ms. Melongo being arrested during or after her evaluation on April 13, 2010? MR. HANLON: Asked and answered. You can answer it again. 31 (Pages 121 to 124) ACR REPORTING, LLP (312) 422-0515 Page 125 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 THE WITNESS: No. BY MS. SCHWARTZ: Q. Were you involved in the arrest of Ms. Melongo on April 13, 2010? MR. HANLON: I'm sorry? BY MS. SCHWARTZ: Q. Were you involved in the arrest of Ms. Melongo on April 13, 2010? MR. HANLON: Objection, foundation. THE WITNESS: I'm not a police officer or an investigator. I'm a medical doctor, therefore, I do not arrest or get involved in arresting any individual. BY MS. SCHWARTZ: Q. Turning back to Exhibit No. 11, if you turn to the final page marked Melongo_022916, can you read the first two paragraphs of that page. A. Yes. Q. Did you ask Ms. Melongo about who owned the website www.illinoiscorruption.net during your evaluation? A. I do not remember asking this question. Q. Did you ask her about the statement on the March 3, 2010 posting on her website that "Annabel Page 127 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 transpired after the examination on that date. Q. You have no recollection of the arrest of Ms. Melongo on April 13, 2010? MR. HANLON: Objection, asked and answered, at least twice. Same objections as to the first two times asked. You can answer it again. THE WITNESS: Again, as I mentioned before, I have no memory for that event. BY MS. SCHWARTZ: Q. Okay. I'm going to hand you what will be marked as Markos Deposition Exhibit No. 12. It's Bates number Melongo_003414. (Markos Exhibit No. 12 marked for identification.) BY MS. SCHWARTZ: Q. Do you recognize Exhibit 12? A. No, I don't. Q. You don't recall receiving this report or seeing this report before today? A. I do not remember. Q. I'm going to hand you what will be marked as Exhibit 13, which is Melongo_003415 through 3417. Page 126 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 has a big surprise in store for the court in its attempt to push her out of the case by pretending she is psychologically unbalanced"? MR. HANLON: Objection. Asked and answered. You can answer. THE WITNESS: As I mentioned earlier, I have no recollection of having asked her that question. BY MS. SCHWARTZ: Q. After you finished the evaluation of Ms. Melongo on April 13, 2010, what did you do? MR. HANLON: Other than what he testified to already in terms of sending the letter to the court? BY MS. SCHWARTZ: Q. Apart from sending the letter on -- let me rephrase. On April 13, 2010, after you completed the examination, what happened next? Did you go outside the office with Ms. Melongo? Did you see her off? Do you recall what happened immediately following the examination? A. I don't have memory for what exactly Page 128 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 (Markos Exhibit No. 13 marked for identification.) BY MS. SCHWARTZ: Q. Do you recognize this report? A. No. Q. You don't recall ever receiving or reading this report, Exhibit 13? A. No, I don't. Q. Did you ever learn that Ms. Melongo was arrested for threatening a public official on April 13, 2010? A. No, I'm not aware. Q. Did you ever learn that Ms. Melongo was arrested for eavesdropping at any point? A. No. Q. Exhibit No. 13 lists a number of personnel with the sheriff's office. We discussed earlier Investigator Rubino, Investigator Lesiak and Sergeant James Dillon is also mentioned. Do you recall any interactions with -- I'll go one by one -- Investigator Rubino? MR. HANLON: Asked and answered, objection. THE WITNESS: No. 32 (Pages 125 to 128) ACR REPORTING, LLP (312) 422-0515 Page 129 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 BY MS. SCHWARTZ: Q. Investigator Lesiak? MR. HANLON: Same objection. THE WITNESS: No. BY MS. SCHWARTZ: Q. Sergeant Dillon? MR. HANLON: Same objection. THE WITNESS: No. BY MS. SCHWARTZ: Q. Other than this lawsuit in which we are deposing you today, when did your involvement with Ms. Melongo or her case end? A. When I completed my written report and findings to the court was my last involvement with the case. I had no further involvement directly or indirectly. Q. No involvement with any of the prosecutors or officers involved in Ms. Melongo's criminal cases? A. None. Q. Have you seen any news or media reports about Ms. Melongo's criminal cases? A. No. Q. Did you ever hear what happened to Ms. Melongo's computer tampering charges after the Page 131 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 to this case, that's my only memory of Ms. Melongo and Save a Life Foundation Corporation. Q. Are you currently a defendant in any other case, civil cases I should say? A. No. Q. Apart from what you testified today, do you have any other recollection of your interaction with Ms. Melongo on April 13, 2010? A. No. Q. Apart from what you testified to here today, do have any other recollections of your interactions with police officers, sheriff's officers or prosecutors related to Ms. Melongo's on April 13, 2010? MR. HANLON: Objection, mischaracterizes prior testimony, assumes facts not in evidence. You can answer. THE WITNESS: No. BY MS. SCHWARTZ: Q. You have no further recollection other than what you have testified to here today? MR. HANLON: Same objections. THE WITNESS: Correct. MR. HANLON: Just to be clear, he hasn't Page 130 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 April 13, 2010 evaluation? A. No. Q. Did you ever hear what happened with any of the other charges against Ms. Melongo after the April 13, 2010 evaluation? A. No. Q. Have you heard of a former nonprofit organization called Save a Life Foundation? A. I have heard of it. Q. What do you know about the Save a Life Foundation? A. Not much. Q. Do you have any knowledge of the Save a Life Foundation as it relates to Ms. Melongo's criminal cases? A. No. Q. As it relates to this civil case? A. After reviewing my report, I realized that during the course of that examination, Ms. Melongo had indicated to me, again, based on review of the report -- I do not recall her telling me that -- but as mentioned in my report, she reportedly worked for this organization in some capacity at some point. I don't have the details, but as it relates Page 132 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 testified to any recollections, so your question assumes -MS. SCHWARTZ: I'll rephrase. MR. HANLON: Okay. BY MS. SCHWARTZ: Q. Apart from what you testified today, Dr. Markos, do you have any recollections of any interactions with police officers, sheriff's officers or prosecutors related to Ms. Melongo on April 13, 2010? MR. HANLON: Apart from what you already testified to is the part that's problematic because he's testified to none, so you are saying other than what you have already told me, which is nothing. BY MS. SCHWARTZ: Q. Apart from your testimony today, which is that you do not recall speaking to any officers or prosecutors about Ms. Melongo and her criminal case, do you have any other recollections of interacting with prosecutors or officers about Ms. Melongo? A. I have no other recollections. MS. SCHWARTZ: If you don't mind, can we take a five-minute break? MR. HANLON: Sure. 33 (Pages 129 to 132) ACR REPORTING, LLP (312) 422-0515 Page 133 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 (A recess was had.) MS. SCHWARTZ: I have no further questions. MR. HANLON: Anybody else have questions? MS. NINFO: No. MR. WUNDER: No. MS. CALLOWAY: No. MR. HANLON: Very good. We'll reserve signature. FURTHER DEPONENT SAITH NOT (Which were all the proceedings had or offered at said hearing of the above-entitled cause at 2:55 p.m.) Page 135 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 STATE OF ILLINOIS ) ) SS: COUNTY OF COOK ) I, Renee E. Brass, Certified Shorthand Reporter of the State of Illinois, CSR No. 084-004119, do hereby certify that said witness was duly sworn by me to testify the truth; that the said deposition was taken at the time and place aforesaid; that the testimony given by said witness was reduced to writing by means of shorthand and thereafter transcribed into typewritten form; and that the foregoing is a true, correct, and complete transcript of my shorthand notes so taken as aforesaid. I further certify that there were present at the taking of the said deposition the persons and parties as indicated on the appearance page made a part of this deposition transcript. I further certify the signature of the witness to the foregoing deposition was not waived by agreement of counsel; and that I am not counsel for nor in any way related to any of the parties to this suit, nor am I in any way interested in the outcome thereof. IN WITNESS WHEREOF, I have hereunto set my hand this 6th day of February, 2018. Page 134 1 2 IN THE UNITED STATES DISTRICT COURT NORTHERN DISTRICT OF ILLINOIS EASTERN DIVISION 3 4 5 6 7 8 9 10 11 12 13 14 ANNABEL K. MELONGO, ) Plaintiff, ) ) vs. ) Case No. ) 13-cv-04924 ASA ROBERT PODLASEK, et al., ) ) Defendants. ) ) ) This is to certify that I have read the transcript of my deposition taken by Renee E. Brass, C.S.R., on February 20, 2018, and that the foregoing transcript accurately states the questions asked and the answers given by me, with the changes made on the errata sheets, if any, attached hereto. Number of errata sheets submitted:________ _______________________ MATHEW MARKOS, M.D. 15 16 17 18 19 20 21 22 23 24 SUBSCRIBED AND SWORN TO before me this ______ day of ___________, 2018. Notary Public Page 136 1 2 3 4 5 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 Notary Public, Cook County, Illinois CSR No. 084-004119 - Expiration Date: May 31, 2019 34 (Pages 133 to 136) ACR REPORTING, LLP (312) 422-0515