Does Executing ‘Chemically Competent’ Death Row Convicts Subvert the Eighth Amendment?

By Mick Collins, a 2009 graduate of Concord Law School and a member of the 2009 class of ACS Next Generation Leaders. The faculty of Concord Law awarded Collins the honor of outstanding graduate in his class. Collins passed the California bar exam and plans to practice Criminal Law.


Can states execute "chemically competent" defendants without running afoul of the Constitution? In other words, does the Eighth Amendment ban on cruel and unusual punishment prohibit government executions of death row convicts after those inmates have been brought from incompetency to competency through forced administration of antipsychotic drugs?

A recent Sixth Circuit opinion lamented the fact that neither the U.S. Supreme Court nor the Sixth Circuit have "squarely addressed" this question. This same opinion declined to answer this "difficult question" because the State of Tennessee never actually forced the defendant, Gregory Thompson, to take antipsychotic medications.

Convicted of first degree murder and sentenced to death, Thompson sought relief through a series of habeas petitions. Before the Tennessee Supreme Court, Thompson filed a final substantial change petition including an assertion of his incompetency. Thompson also raised the question whether executing an incompetent could constitute cruel and unusual punishment. Tennessee's highest court found Thompson's history of mental illness and his delusions "stale" and "not relevant to the issue of present competency." The Court reasoned that because Thompson recounted details of the crime and made statements that showed Thompson knew about his death sentence and the reason for it, Thompson remained competent. Three well qualified mental health professionals agreed that Thompson suffered from pronounced delusions and paranoia rendering Thompson unable to comprehend his pending execution. Although his drug regimen enabled his state of "chemical competency," the Tennessee Supreme Court failed to address the Eighth Amendment issue

Even though Thompson voiced fears that the state would force medication if he ever quit taking his prescriptions, Thompson had been voluntarily taking psychotherapeutic drugs. The Sixth Circuit side-stepped the Eighth Amendment because these facts did not include any instance of forced medication. However, the Circuit Court did find that the Tennessee Supreme Court unreasonably determined that Thompson's "severe delusions" were "irrelevant" to Thompson's competency analysis. Accordingly, the Sixth Circuit ordered the District Court to revisit Thompson's underlying petitions of ineffective counsel.

Perhaps more importantly for future cases involving the "chemically competent," dicta concerning the impact of the Eighth Amendment emerged in the Circuit opinion. Employing the trio of forced medication Supreme Court cases Harper, Riggins and Sell, the Sixth Circuit recognized that an Eighth Amendment claim infers a level of absolute necessity when giving forced medication. The appeals court stated:

Although the Supreme Court in Harper, Riggins and Sell addressed due process challenges and not Eighth Amendment claims, the logical inference from these holdings is that subjecting a prisoner to involuntary medication when it is not absolutely necessary or medically appropriate is contrary to the "evolving standards of decency" that underpin the Eighth Amendment. See Trop v. Dulles, 356 U.S. 86, 100-01, 78 S.Ct. 590, 2 L.Ed.2d 630 (1958) ("[T]he words of the [Eighth] Amendment are not precise, and ... their scope is not static. The Amendment must draw its meaning from the evolving standards of decency that mark the progress of a maturing society.").

Sell indicated that cases where the government could forcibly administer antipsychotic medication "may be rare." By suggesting that the Eighth Amendment imposes a burden characterized as absolute necessity, has the Sixth Circuit illustrated or even bolstered that notion of rarity expressed in Sell?