ake oklahoma argued november decided february petitioner indigent charged murder shooting intent kill arraignment oklahoma trial behavior bizarre trial judge sua sponte ordered examined psychiatrist shortly thereafter examining psychiatrist found petitioner incompetent stand trial suggested committed six weeks later committed state mental hospital petitioner found competent condition continue sedated within antipsychotic drug state resumed proceedings pretrial conference petitioner attorney informed raise insanity defense requested psychiatric evaluation state expense determine petitioner mental state time offense claiming entitled evaluation federal constitution basis ex rel smith baldi trial denied petitioner motion evaluation guilt phase ensuing trial examining psychiatrists testified petitioner dangerous society testimony sanity time offense jury rejected insanity defense petitioner convicted counts sentencing proceeding state asked death penalty murder counts relying examining psychiatrists testimony establish likelihood petitioner future dangerous behavior petitioner expert witness rebut testimony give evidence mitigation punishment sentenced death oklahoma criminal appeals affirmed convictions sentences rejecting merits petitioner federal constitutional claim indigent defendant provided services psychiatrist ruled petitioner waived claim repeating request psychiatrist motion new trial held jurisdiction review case oklahoma criminal appeals holding federal constitutional claim psychiatrist waived depended ruling consequently present independent state ground decision pp defendant made preliminary showing sanity time offense likely significant factor trial constitution requires state provide access psychiatrist assistance issue defendant otherwise afford one pp determining whether conditions psychiatrist participation important enough preparation defense require state provide indigent defendant access psychiatrist three relevant factors private interest affected state actions ii state interest affected safeguard provided iii probable value additional substitute safeguards sought risk erroneous deprivation affected interest safeguards provided private interest accuracy criminal proceeding almost uniquely compelling state interest denying petitioner psychiatrist assistance substantial light compelling interest state petitioner accurate disposition without psychiatrist assistance conduct professional examination issues relevant insanity defense help determine whether defense viable present testimony assist preparing state psychiatric witnesses risk inaccurate resolution sanity issues extremely high particularly defendant able make ex parte threshold showing sanity likely significant factor defense pp state capital sentencing proceeding presents psychiatric evidence defendant future dangerousness defendant without psychiatrist assistance offer expert opposing view thereby loses significant opportunity raise jurors minds questions state proof aggravating factor circumstance consequence error great relevance responsive psychiatric testimony evident state burden slim due process requires access psychiatric examination relevant issues psychiatrist testimony assistance preparation sentencing phase pp ex rel smith baldi supra authority absolving trial obligation provide petitioner access psychiatrist pp record petitioner entitled access psychiatrist assistance trial clear mental state time offense substantial factor defense trial notice fact request psychiatrist made addition petitioner future dangerousness significant factor sentencing phase entitle psychiatrist assistance issue denial assistance deprived due process pp marshall delivered opinion brennan white blackmun powell stevens joined burger filed opinion concurring judgment post rehnquist filed dissenting opinion post arthur spitzer argued cause petitioner briefs elizabeth symonds charles sims burt neuborne william rogers michael turpen attorney general oklahoma argued cause respondent brief david lee assistant attorney general briefs amici curiae urging reversal filed new jersey department public advocate joseph rodriguez michael perlin american psychiatric association joel klein american psychological association et al margaret farrell ewing donald bersoff bruce ennis briefs amici curiae also supporting petitioner filed public defender oklahoma et al robert ravitz frank mccarthy thomas ray national legal aid defender association et al richard wilson james doyle justice marshall delivered opinion issue case whether constitution requires indigent defendant access psychiatric examination assistance necessary prepare effective defense based mental condition sanity time offense seriously question late glen burton ake arrested charged murdering couple wounding two children arraigned district canadian county february behavior arraignment prearraignment incidents jail bizarre trial judge sua sponte ordered examined psychiatrist purpose advising impressions whether defendant may need extended period mental observation app examining psychiatrist reported times ake appears frankly delusional claims sword vengeance lord sit left hand god heaven diagnosed ake probable paranoid schizophrenic recommended prolonged psychiatric evaluation determine whether ake competent stand trial march ake committed state hospital examined respect present sanity competency stand trial april less six months incidents ake indicated chief forensic psychiatrist state hospital informed ake competent stand trial held competency hearing psychiatrist testified ake psychotic psychiatric diagnosis paranoid schizophrenia chronic exacerbation current upset addition dangerous ecause severity mental illness intensities rage poor control delusions requires maximum security facility within believe state psychiatric hospital system six weeks later chief forensic psychiatrist informed ake become competent stand trial time ake receiving milligrams thorazine antipsychotic drug three times daily psychiatrist indicated ake continued receive dosage condition remain stable state resumed proceedings ake pretrial conference june ake attorney informed client raise insanity defense enable prepare present defense adequately attorney stated psychiatrist examine ake respect mental condition time offense ake stay state hospital inquiry made sanity time offense indigent ake afford pay psychiatrist counsel asked either arrange psychiatrist perform examination provide funds allow defense arrange one trial judge rejected counsel argument federal constitution requires indigent defendant receive assistance psychiatrist assistance necessary defense denied motion psychiatric evaluation state expense basis decision ex rel smith baldi ake tried two counts murder first degree crime punishable death oklahoma two counts shooting intent kill guilt phase trial sole defense insanity although defense counsel called stand questioned psychiatrists examined ake state hospital none testified mental state time offense none examined point prosecution turn asked psychiatrists whether performed seen results examination diagnosing ake mental state time offense doctor replied result expert testimony either side ake sanity time offense jurors instructed ake found guilty reason insanity ability distinguish right wrong time alleged offense told ake presumed sane time crime unless presented evidence sufficient raise reasonable doubt sanity time raised doubt minds jurors informed burden proof shifted state prove sanity beyond reasonable doubt jury rejected ake insanity defense returned verdict guilty counts sentencing proceeding state asked death penalty new evidence presented prosecutor relied significantly testimony state psychiatrists examined ake testified guilt phase ake dangerous society establish likelihood future dangerous behavior ake expert witness rebut testimony introduce behalf evidence mitigation punishment jury sentenced ake death two murder counts years imprisonment two counts shooting intent kill appeal oklahoma criminal appeals ake argued indigent defendant provided services psychiatrist rejected argument observing held numerous times unique nature capital cases notwithstanding state responsibility providing services indigents charged capital crimes finding error ake claims affirmed convictions sentences granted certiorari hold defendant made preliminary showing sanity time offense likely significant factor trial constitution requires state provide access psychiatrist assistance issue defendant otherwise afford one accordingly reverse ii initially must address jurisdiction review case ruling merits ake claim oklahoma observed motion new trial ake repeated request psychiatrist claim thereby waived cited hawkins state crim app proposition state argued brief holding issue therefore rested adequate independent state ground reviewed despite ruling conclude state judgment rest independent state ground jurisdiction therefore properly exercised oklahoma waiver rule apply fundamental trial error see hawkins state supra gaddis state crim app oklahoma law state conceded oral argument federal constitutional errors fundamental tr oral arg see buchanan state crim app violation constitutional right constitutes fundamental error see also williams state crim app thus state made application procedural bar depend antecedent ruling federal law determination whether federal constitutional error committed applying waiver doctrine constitutional question state must rule either explicitly implicitly merits constitutional question indicated past resolution state procedural law question depends federal constitutional ruling prong holding independent federal law jurisdiction precluded see herb pitcairn permitted render advisory opinion judgment rendered state corrected views federal laws review amount nothing advisory opinion enterprise irrigation district farmers mutual canal ground interwoven independent matter sufficient breadth sustain judgment without decision jurisdiction plain case holding integral state disposition matter ruling issue respect advisory case additional holding state constitutional challenge presented waived depends ruling consequently present independent state ground decision rendered therefore turn consideration merits ake claim iii long recognized state brings judicial power bear indigent defendant criminal proceeding must take steps assure defendant fair opportunity present defense elementary principle grounded significant part fourteenth amendment due process guarantee fundamental fairness derives belief justice equal simply result poverty defendant denied opportunity participate meaningfully judicial proceeding liberty stake recognition right held almost years ago state offers criminal defendants opportunity appeal cases must provide trial transcript indigent defendant transcript necessary decision merits appeal griffin illinois since held indigent defendant may required pay fee filing notice appeal conviction burns ohio indigent defendant entitled assistance counsel trial gideon wainwright first direct appeal right douglas california assistance must effective see evitts lucey strickland washington mcmann richardson indeed little streater extended principle meaningful participation proceeding held paternity action state deny putative father blood grouping tests otherwise afford meaningful access justice consistent theme cases recognized long ago mere access courthouse doors assure proper functioning adversary process criminal trial fundamentally unfair state proceeds indigent defendant without making certain access raw materials integral building effective defense thus held state must purchase indigent defendant assistance wealthier counterpart might buy see ross moffitt often reaffirmed fundamental fairness entitles indigent defendants adequate opportunity present claims fairly within adversary system implement principle focused identifying basic tools adequate defense appeal britt north carolina required tools provided defendants afford pay say basic tools must provided course merely begin inquiry case must decide whether conditions participation psychiatrist important enough preparation defense require state provide indigent defendant access competent psychiatric assistance preparing defense three factors relevant determination first private interest affected action state second governmental interest affected safeguard provided third probable value additional substitute procedural safeguards sought risk erroneous deprivation affected interest safeguards provided see little streater supra mathews eldridge turn apply standard issue us private interest accuracy criminal proceeding places individual life liberty risk almost uniquely compelling indeed host safeguards fashioned years diminish risk erroneous conviction stands testament concern interest individual outcome state effort overcome presumption innocence obvious weighs heavily analysis consider next interest state oklahoma asserts provide ake psychiatric assistance record us result staggering burden state brief respondent unpersuaded assertion many well federal government currently make psychiatric assistance available indigent defendants found financial burden great preclude assistance especially obligation state limited provision one competent psychiatrist many limit right recognize today time difficult identify interest state economy weighs recognition right state interest prevailing trial unlike private litigant necessarily tempered interest fair accurate adjudication criminal cases thus also unlike private litigant state may legitimately assert interest maintenance strategic advantage defense result advantage cast pall accuracy verdict obtained therefore conclude governmental interest denying ake assistance psychiatrist substantial light compelling interest state individual accurate dispositions last inquire probable value psychiatric assistance sought risk error proceeding assistance offered begin considering pivotal role psychiatry come play criminal proceedings well federal government decided either legislation judicial decision indigent defendants entitled certain circumstances assistance psychiatrist expertise example subsection criminal justice act congress provided indigent defendants shall receive assistance experts necessary adequate defense numerous state statutes guarantee reimbursement expert services like standard many assured access psychiatrists legislative process state courts interpreted state federal constitution require psychiatric assistance provided indigent defendants necessary adequate defense insanity issue statutes decisions reflect reality recognize today namely state made defendant mental condition relevant criminal culpability punishment might suffer assistance psychiatrist may well crucial defendant ability marshal defense role psychiatrists gather facts professional examination interviews elsewhere share judge jury analyze information gathered draw plausible conclusions defendant mental condition effects disorder behavior offer opinions defendant mental condition might affected behavior time question know probative questions ask opposing party psychiatrists interpret answers unlike lay witnesses merely describe symptoms believe might relevant defendant mental state psychiatrists identify elusive often deceptive symptoms insanity solesbee balkcom tell jury observations relevant permitted evidentiary rules psychiatrists translate medical diagnosis language assist trier fact therefore offer evidence form meaning task hand process investigation interpretation testimony psychiatrists ideally assist lay jurors generally training psychiatric matters make sensible educated determination mental condition defendant time offense psychiatry however exact science psychiatrists disagree widely frequently constitutes mental illness appropriate diagnosis attached given behavior symptoms cure treatment likelihood future dangerousness perhaps often single accurate psychiatric conclusion legal insanity given case juries remain primary factfinders issue must resolve differences opinion within psychiatric profession basis evidence offered party jurors make determination issues inevitably complex foreign testimony psychiatrists crucial virtual necessity insanity plea chance success organizing defendant mental history examination results behavior information interpreting light expertise laying investigative analytic process jury psychiatrists party enable jury make accurate determination truth issue reason rely psychiatrists examiners consultants witnesses private individuals well afford saying neither approve disapprove widespread reliance psychiatrists instead recognize unfairness contrary holding light evolving practice foregoing leads inexorably conclusion without assistance psychiatrist conduct professional examination issues relevant defense help determine whether insanity defense viable present testimony assist preparing state psychiatric witnesses risk inaccurate resolution sanity issues extremely high assistance defendant fairly able present least enough information jury meaningful manner permit make sensible determination defendant mental condition necessarily issue every criminal proceeding however unlikely psychiatric assistance kind described probable value cases risk error denial assistance well probable value predictably height defendant mental condition seriously question defendant able make ex parte threshold showing trial sanity likely significant factor defense need assistance psychiatrist readily apparent cases defense may devastated absence psychiatric examination testimony assistance defendant might reasonable chance success circumstance potential accuracy jury determination dramatically enhanced interests individual state accurate proceeding substantial state interest fisc must yield therefore hold defendant demonstrates trial judge sanity time offense significant factor trial state must minimum assure defendant access competent psychiatrist conduct appropriate examination assist evaluation preparation presentation defense say course indigent defendant constitutional right choose psychiatrist personal liking receive funds hire concern indigent defendant access competent psychiatrist purpose discussed case provision counsel leave decision implement right ake also denied means presenting evidence rebut state evidence future dangerousness foregoing discussion compels similar conclusion context capital sentencing proceeding state presents psychiatric evidence defendant future dangerousness repeatedly recognized defendant compelling interest fair adjudication sentencing phase capital case state profound interest assuring ultimate sanction erroneously imposed see monetary considerations persuasive context trial variable must focus therefore probable value assistance psychiatrist area risk attendant absence upheld practice many placing jury psychiatric testimony question future dangerousness see barefoot estelle least defendant access expert holding relied part assumption factfinder views prosecutor psychiatrists opposing views defendant doctors therefore competent uncover recognize take due account shortcomings predictions point without psychiatrist assistance defendant offer expert opposing view thereby loses significant opportunity raise jurors minds questions state proof aggravating factor circumstance consequence error great relevance responsive psychiatric testimony evident burden state slim due process requires access psychiatric examination relevant issues testimony psychiatrist assistance preparation sentencing phase trial case believed decision ex rel smith baldi absolved completely obligation provide access psychiatrist two reasons disagree first neither smith mcgarty majority cited smith even suggested constitution require psychiatric examination assistance whatsoever quite contrary record smith demonstrated neutral psychiatrists fact examined defendant sanity testified subject trial basis found additional assistance necessary smith supra see also ex rel smith baldi similarly mcgarty defendant examined two psychiatrists beholden prosecution therefore reject state contention smith supports broad proposition presently constitutional right psychiatric examination defendant sanity time offense brief opposition supports proposition constitutional right psychiatric assistance defendant smith received event disagreement state reliance smith fundamental case decided time indigent defendants state courts constitutional right even presence counsel recognition since elemental constitutional rights enhanced ability indigent defendant attain fair hearing signaled increased commitment assuring meaningful access judicial process also neither trial practice legislative treatment role insanity criminal process sits paralyzed simply addressed surely remiss ignore extraordinarily enhanced role psychiatry criminal law today shifts areas since time smith convince us opinion case addressed altogether different variables limited considering whether fundamental fairness today requires different result iv turn apply standards facts case record us clear ake mental state time offense substantial factor defense trial notice fact request psychiatrist made one ake sole defense insanity second ake behavior arraignment four months offense bizarre prompt trial judge sua sponte examined competency third state psychiatrist shortly thereafter found ake incompetent stand trial suggested committed fourth found competent six weeks later condition sedated large doses thorazine three times day trial fifth psychiatrists examined ake competency described trial severity ake mental illness less six months offense question suggested mental illness might begun many years earlier app finally oklahoma recognizes defense insanity initial burden producing evidence falls defendant taken together factors make clear question ake sanity likely significant factor defense addition ake future dangerousness significant factor sentencing phase state psychiatrist treated ake state mental hospital testified guilt phase mental illness ake posed threat continuing criminal violence testimony raised issue ake future dangerousness aggravating factor oklahoma capital sentencing scheme okla tit prosecutor relied sentencing therefore conclude ake also entitled assistance psychiatrist issue denial assistance deprived due process accordingly reverse remand new trial ordered capital case asked decide whether state may refuse indigent defendant opportunity whatsoever obtain psychiatric evidence preparation presentation claim insanity way defense defendant legal sanity time offense seriously issue facts case question presented confine actual holding capital cases finality sentence imposed warrants protections may may required cases nothing opinion reaches noncapital cases footnotes oklahoma criminal appeals also dismissed ake claim thorazine given trial rendered unable understand proceedings assist counsel defense acknowledged ake stared vacantly ahead throughout trial rejected ake challenge reliance state psychiatrist word ake competent stand trial influence drug ake petitioned writ certiorari issue well light disposition issues presented need address claim recently discussed role due process played cases separate related inquiries due process equal protection must trigger see evitts lucey bearden georgia see code supp alaska stat ann rev stat ann capital cases extended noncapital cases state peeler app ark stat ann supp cal penal code ann west supp capital cases right recognized cases people worthy cal app cal rptr rev stat supp state clemons del code tit rule crim proc haw rev stat supp state olin idaho people watson owen state ind trial judge may authorize appoint experts necessary iowa rule crim proc stat ann supp rev stat state madison la state anaya mass laws ch west supp comp laws ann supp stat miss code ann supp mo rev stat supp mont code ann state suggett neb discretion appoint psychiatrist rests trial rev stat rev stat ann supp stat ann county law mckinney supp stat ohio rev code ann supp rev stat commonwealth gelormo super laws supp code supp codified laws supp code ann supp tex code crim proc art vernon supp utah code ann rev code see also state cunningham app code supp wyo stat see supra ibid gardner myth impartial psychiatric expert comments concerning criminal responsibility decline age therapy law psychology rev addition estimony emanating depth scope specialized knowledge impressive jury testimony another source less effect bailey rothblatt investigation preparation criminal cases see also aba standards criminal justice commentary ed quality representation trial may excellent yet valueless defendant defense requires assistance psychiatrist services available see also reilly barry cardozo pon trial certain issues insanity forgery experts often necessary prosecution defense defendant may unfair disadvantage unable poverty parry witnesses thrusts goldstein lane goldstein trial techniques ed modern civilization complexities business science professions made expert opinion evidence necessity true subject matters involved beyond general knowledge average juror henning psychiatrist legal process reason insanity essays psychiatry law freedman discussing growing role psychiatric witnesses result changing definitions legal insanity increased judicial legislative acceptance practice event state concedes right exists argues implicated brief respondent tr oral arg therefore recognizes financial burden always great outweigh individual interest see henning supra gardner supra huckabee lawyers psychiatrists criminal law cooperation chaos discussing reasons shift toward reliance psychiatrists huckabee resolving problem dominance psychiatrists criminal responsibility decisions proposal see supra express opinion whether factors alone combination necessary make finding conclude due process clause guaranteed ake assistance requested denied occasion consider applicability equal protection clause sixth amendment context justice rehnquist dissenting holds defendant made preliminary showing sanity time offense likely significant factor trial constitution requires state provide access psychiatrist assistance issue defendant otherwise afford one ante think facts case warrant establishment principle think even factual predicate statement established constitutional rule announced far broad limit rule capital cases make clear entitlement independent psychiatric evaluation defense consultant petitioner ake codefendant hatch quit jobs oil field rig october borrowed car went looking location burglarize drove rural home reverend richard douglass gained entrance home ruse holding reverend douglass children brooks leslie gunpoint ransacked home bound gagged mother father son forced lie living room floor ake hatch took turns attempting rape leslie douglass nearby bedroom failed efforts forced lie living room floor members family ake shot reverend douglass leslie twice douglass brooks magnum pistol fled douglass died almost immediately result gunshot wound reverend douglass death caused combination gunshots received strangulation manner bound leslie brooks managed untie drive home nearby doctor ake accomplice apprehended colorado following crime spree took arkansas louisiana texas western half ake extradited colorado oklahoma november placed city jail el reno oklahoma three days arrest asked speak sheriff ake gave sheriff detailed statement concerning crimes first taped reduced written pages corrected signed ake ake arraigned november appeared codefendant hatch december hatch attorney requested obtained order transferring hatch state mental hospital observation period determine competency stand trial although ake present attorney proceeding request made behalf ake january ake hatch bound trial conclusion preliminary hearing suggestion insanity time commission offense made time february ake appeared formal arraignment time became disruptive ordered ake examined william allen psychiatrist private practice order determine competency stand trial april competency hearing held conclusion trial found ake mentally ill person need care treatment transferred state institution six weeks later chief psychiatrist institution advised ake competent stand trial murder trial began june time ake attorney withdrew pending motion jury trial present sanity outside presence jury state produced testimony cellmate ake testified ake told going try play crazy state trial produced evidence guilt evidence offered ake testimony doctors observed treated confinement pursuant previous order doctors testified ake mental condition time confinement institution none express view mental condition time offense significantly although three testified ake suffered form mental illness six months committed murders two psychiatrists specifically stated opinion concerning ake capacity tell right wrong time offense third speculate psychosis might apparent time makes point fact expert testimony either side ake sanity time offense ante emphasis deleted addition ake called lay witnesses although apparently existed testified concerning ake actions might bearing sanity time offense although two friends ake times proximate murders testified trial behest prosecution defense counsel question concerning ake actions might bearing sanity opinion indigent defendant entitled psychiatrist defendant must make preliminary showing sanity time offense likely significant factor trial ante nowhere opinion elucidate requirement satisfied particular case oklahoma law burden initially defendant raise reasonable doubt sanity time offense burden satisfied burden shifts state prove sanity beyond reasonable doubt ake state since state introduced evidence concerning ake sanity time offense seems clear matter state law ake failed carry initial burden indeed holding oklahoma criminal appeals ibid surprising conclusion facts evidence brutal murders perpetrated victims crime spree following murders seem raise question sanity unless one adopt dubious doctrine one right mind commit murder defendant confession given month crimes suggest insanity failure ake attorney move competency hearing time codefendant moved one first instance record disruptive behavior time formal arraignment trial judge alertly immediately responded committing ake examination trial commenced two months later time ake attorney withdrew pending motion jury trial present sanity state offered testimony cellmate ake said latter told going try play crazy apparently infer fact ake diagnosed mentally ill six months offense reasonable doubt ability know right wrong committed even experts unwilling draw inference holding state obligated furnish services psychiatric witness indigent defendant reasonably contests sanity time offense require considerably greater showing even think due process violated merely indigent lacks sufficient funds pursue defense thoroughly like may well capital trials state assumes burden proving sanity guilt phase future dangerousness sentencing phase makes significant use psychiatric testimony carrying burden fundamental fairness require indigent defendant access psychiatrist evaluate independently evaluation warrants contradict testimony case highly doubtful due process requires state make available insanity defense criminal defendant event defense afforded burden proving insanity placed defendant see patterson new york essentially happened ake failed carry burden state law believe due process clause superimposes federal standard determining sanity legitimately placed issue find violation due process circumstances respect necessity expert psychiatric testimony issue future dangerousness opposed sanity time offense even less support holding initially note given holding ake entitled new trial respect guilt need reach issues raised sentencing proceedings discussion issue may treated dicta event psychiatric testimony concerning future dangerousness obtained psychiatrists called defense witnesses prosecution witnesses since state initiate line testimony see reason required produce still psychiatric witnesses benefit defendant finally even agree right psychiatrist recognized grant broad right access competent psychiatrist conduct appropriate examination assist evaluation preparation presentation defense ante emphasis added psychiatrist attorney whose job advocate opinion sought question state oklahoma treats question fact since unfairness cases arise fact competent witnesses question hired state defendant entitled one competent opinion whatever witness conclusion psychiatrist acts independently prosecutor office although independent psychiatrist available answer defense counsel questions prior trial testify called see reason defendant entitled opposing view defense advocate foregoing reasons affirm judgment criminal appeals oklahoma