Mental health records can be among the most consequential pieces of evidence in a court-martial. A complaining witness’s psychiatric history might contain statements that contradict the allegation, document a motive to fabricate, or bear on the reliability of memory and perception. Yet these same records are shielded by a privilege designed to protect patients. When an accused service member believes that exculpatory information is locked inside protected mental health records and is denied access to it, military law provides a structured set of remedies. The remedies range from a court-ordered review of the records to, in extreme cases, exclusion of evidence or even dismissal. The path runs through the privilege rules, the discovery rules, and the military judge’s authority to fashion relief.
The Privilege That Stands in the Way
The obstacle is Military Rule of Evidence 513, the psychotherapist-patient privilege. It allows a patient to refuse to disclose, and to prevent others from disclosing, confidential communications made to a psychotherapist for the purpose of diagnosis or treatment of a mental or emotional condition in a case arising under the UCMJ. The Court of Appeals for the Armed Forces has clarified the privilege’s scope, holding that Rule 513 protects confidential communications between patient and psychotherapist rather than every mental health record, diagnosis, or treatment plan. That distinction matters, because material falling outside the protected communications may be reachable even when the core privilege stands.
It is also important to understand a limit on the privilege. An older version of Rule 513 contained an exception allowing disclosure when constitutionally required, but that exception was removed by executive order in 2015 for cases in which the accused was arraigned after the change. The practical consequence is that an accused generally cannot pierce the privilege simply by asserting a general constitutional need; relief must be sought through the recognized procedures and the rule’s remaining exceptions.
The In Camera Review
The principal remedy when an accused contends that exculpatory material is being withheld is to ask the military judge to review the records privately. The preferred practice is for the military judge to inspect the records in camera, meaning outside the presence of the parties, to determine whether they contain exculpatory or otherwise discoverable evidence before any party gains access. Rule 513 sets out the procedure for this review, including a closed hearing and a requirement that the patient be given a reasonable opportunity to …