Discoverability of Psychiatric Records in Illinois and Missouri
When you have a party whose psychiatric records could reveal valuable information which is pertinent to
your case, it is important to know whether you can discover this private information or not. Here is the law in Illinois
and Missouri:
Under longstanding Illinois law, the statutory privilege which protects mental health records from
disclosure is largely more broad than the traditional physician-patient privilege. See People v. Kaiser, 239 Ill.
App. 3d 295, 301 (Ill. App. 2 nd Dist. 1992). The Illinois Mental Health and Developmental Disabilities Confidentiality
Act can be found in 740 ILCS 110/1. Section 4 of the Act provides which persons are entitled to access mental health
records without a court order or consent of the patient. However, in order for an attorney to compel discovery of a
party’s mental health records, the party must have introduced their mental condition “as an element of his claim or
defense.” And even when a party has introduced his or her mental condition “as an element of his claim or defense,” the
court must conduct an in camera examination of the evidence and find that the records: 1) are relevant, 2) probative, 3)
not unduly prejudicial or inflammatory, 4) are otherwise admissible, 5) other evidence demonstrably unsatisfactory, and
6) that disclosure is more important to the interests of justice than harming the recipient or the therapist-recipient
relationship. 740 ILCS 110/10(a)(1). Additionally, Illinois courts have ruled that merely filing a suit based on
negligence is insufficient to place mental condition in issue. See D.C. v. S.A., 178 Ill. 2d at 570.
Similarly, under Missouri law, “where a party has not alleged psychological injury (beyond “garden
variety” emotional distress), the party’s psychological records are not relevant to the issue of damages and are not
discoverable.” State ex
rel. Phillips v. Hackett, 469 S.W.3d 506, 510 (Mo. App., 2015).