
    Commonwealth vs. David Pare.
    No. 96-P-824.
    Essex.
    May 12, 1997.
    October 2, 1997.
    Present: Brown, Smith, & Laurence, JJ.
    Further appellate review granted, 426 Mass. 1107 (1998).
    
      Child Abuse. Evidence, Privileged communication, Communication between patient and psychotherapist, Communication with social worker, Relevancy and materiality. Privileged Communication. Constitutional Law, Fair trial.
    At the trial of an indictment in three counts for indecent assault and battery on a child under fourteen years of age in which the defendant moved to be provided with certain records pertaining to the alleged victim, the record did not support the motion judge’s determination that all the records relating to an evaluation of the alleged victim by a “sexual information and trauma team” were privileged under G. L. c. 233, § 20J [570-572]; and, in the circumstances of the case and of the evaluation, the records were presumptively relevant and, upon an in camera examination, actually relevant: the judge erred in denying defense counsel access to the records, and the error created a substantial risk of a miscarriage of justice that required a new trial [574-582],
    Indictment found and returned in the Superior Court Department on February 16, 1994.
    A motion for access to privileged records was heard by Richard E. Welch, III, J., and the case was tried before Barbara J. Rouse, J.
    
      Carol A. Donovan, Committee for Public Counsel Services, for the defendant.
    
      Elin H. Graydon, Assistant District Attorney, for the Commonwealth.
   Laurence, J.

David Pare was convicted in December, 1995, of three counts of indecent assault and battery on a child under fourteen years of age, in violation of G. L. c. 265, § 13B. The child, John, who was the son of Fare’s girlfriend, was ten in June, 1992, when he first accused Pare of sexual abuse. That accusation came over three years after the last alleged incident and John’s last contact with Pare. No physical evidence supported the allegations. Pare denied them and argued that John either fabricated the allegations because John believed Pare responsible for introducing his mother to drugs (which had led to her incarceration for selling drugs), or made them as the result of improperly suggestive influences. John’s credibility was the critical issue before the jury.

By pretrial motion Pare sought access to a variety of records, arguably privileged, relating to John’s allegations of sexual abuse and his treatment and counseling, pursuant to the decision in Commonwealth v. Bishop, 416 Mass. 169, 181-183 (1993), which outlines a five-stage process governing a defendant’s access to, and the admissibility at trial of, privileged records. Among the materials requested were records relating to an evaluation of John in 1992 by a “sexual information and trauma team” (SITT) at the Center for Family Development (CFD) in Beverly. It was immediately following the SITT evaluation that the first official child abuse report against Pare was filed, which culminated in his indictment and trial. The motion judge was satisfied with Fare’s detailed submission explaining his reasons for seeking access to the records. See Bishop, 416 Mass, at 181-182, having determined that the records were privileged, id. at 181, he examined them in camera for their relevance to issues in the case. Id. at 182. Thereafter, the judge allowed a few “relevant” portions to be disclosed to counsel, but withheld the bulk of them, including all SITT-related materials, as “irrelevant.”

Fare’s principal contention on appeal is that the motion judge erred in applying Bishop so as to deny his counsel access to the CFD records relating to the SITT evaluation. Stressing the suspect circumstances of John’s disclosure of abuse that emerged from the SITT evaluation, Pare claims that those records must have been relevant to his defense. He also assigns as error the trial judge’s subsequent refusal to reconsider the motion judge’s ruling as to those materials while nonetheless allowing the prosecutor to elicit testimony regarding various aspects of the SITT process. That testimony included statements by John’s social worker, Joan Matteuzzi, to the effect that she had observed but not participated in the SITT interviews, that the interviews had been “comfortable and supportive” and “nonleading”, and that it was as a result of the SITT evaluation that she obtained sufficient information to file with the Department of Social Services (DSS) the report of Fare’s suspected sexual abuse of John which instigated the criminal charges against Pare. Having examined the SITT, CFD and related documents and found a good many of them relevant to issues in the case, Bishop, supra at 182, we agree with Pare that the motion judge’s refusal to allow his counsel access to those documents created an undue risk of an erroneous conviction and entitles him to a new trial.

1. Background. As of October, 1989, John, then seven years old, lived with his five and three year old sisters and their mother at the Lynn home of Pare, then the mother’s boyfriend. After an investigation by a DSS social worker, Janine Brummer, of the children and their living conditions at the Pare house, they were removed and placed in a series of foster homes over the next three years. John did not see Pare thereafter. In January, 1990, John was separated from his sisters. John’s mother was imprisoned from January, 1991, to February, 1992, for selling drugs to teenagers.

Throughout the period of his foster placements, John “acted out” and exhibited escalating behavioral and emotional problems, including accusations of sexual molestation against a foster brother and a foster sister (which he later recanted) and “vulgar,” “sexualized” language and conduct. By the spring of 1992, John’s behavior so concerned his foster mother and one of his social workers that the social worker requested a sex abuse evaluation by a SITT at the Center for Family Development “to assess [John’s] behaviors, the escalation of the behaviors, and to determine if he needed services pertaining to those behaviors.” John was referred to a particular individual at the CFD, Ginny Catalfamo, who conducted the SITT evaluation over six separate sessions “from March of 1992 until sometime in the summer of 1992.” Upon the conclusion of the SITT process, the investigation of Fare’s alleged sexual abuse of John began, resulting in his indictment and conviction. Shortly thereafter, John, who began manifesting suicidal behavior, was sent to a restrictive facility for disturbed children, where he resided at the time of trial. While there, John elaborated on the charges of abuse by Pare to investigating police officers.

2. The Privilege Determination.

The motion judge determined generally that the materials sought by Pare were privileged pursuant to several enumerated statutes but did not specify which privilege applied to the SITT report and related CED records. Pare has questioned the correctness of the judge’s privilege determination. His criticism has merit.

The judge made no subsidiary findings, nor is there anything in the record, establishing that the individuals involved in the SITT process met the eligibility requirements of any of the statutes relied on by the judge. The only evidence regarding the CED representative who ran the SITT process (Catalfamo, who did not testify) describes her variously as a “sexual abuse clinician,” a “sexual abuse counsellor,” a “therapist,” and an “evaluator.” Such general labels are insufficient to meet the specific professional requirements of the relevant privilege statutes. No other SITT participants were identified, nor their professional qualifications described, in the record.

The Bishop protocols have not altered the traditional recognition that testimonial privileges, which have the effect of inhibiting full disclosure of the truth, are exceptional and to be strictly construed. See Three Juveniles v. Commonwealth, 390 Mass. 357, 359-361 (1983); Cronin v. Strayer, 392 Mass. 525, 532-533 (1984). In balancing the social benefits of the asserted privilege against the defendant’s constitutional right to a fair trial, we must “resolv[e] any doubt in favor of disclosure.” Bishop, 416 Mass, at 177.

Consequently, we conclude that the record before the motion judge did not support his determination that all the SITT-CFD materials sought by Pare were privileged. Nonetheless, that error itself does not advance the appeal in this case. Even assuming the materials were not privileged, Pare would have to demonstrate their relevance — it is axiomatic that all evidence must be relevant to be eligible for admissibility. See Proposed Mass. R. Evid. 402. Here, the motion judge properly addressed the issue ánd ruled that the SITT records and related documents were irrelevant. It is that ruling which affords Pare a substantial basis for reversal.

3. The “Relevancy Determination,” We recall that the resolution of relevancy issues lies within the discretion of the trial judge, whose exclusion of proffered evidence as irrelevant is to be reviewed under the deferential “abuse of discretion” standard. Commonwealth v. Gonzalez, 22 Mass. App. Ct. 274, 281 (1986). Because of the unique circumstances of this case, however, we would, even without actually examining the SITTrelated materials, be inclined to deem them of such inherent and probable relevance to the central issue in the case — John’s credibility — as to entitle Fare’s counsel to review them under Bishop in order to determine whether their use at trial was required to assure Pare a fair trial. See Bishop, 416 Mass, at 182. Cf. Commonwealth v. Jones, 404 Mass. 339, 341 (1989) (construing the statutes applicable to the social worker privilege and child abuse investigations to “allow a criminal defendant to obtain the investigation and evaluation reports which' ultimately led to his indictment and criminal prosecution”). Having examined them, we confidently conclude that they satisfy the standard of actual relevance. Accordingly, the motion judge’s denial of Fare’s request for their disclosure to defense counsel, under appropriate protective orders, constituted an abuse of discretion requiring a new trial. See Commonwealth v. O ’Brien, 27 Mass. App. Ct. 184, 187-188 (1989). Cf. Commonwealth v. Martin, 392 Mass. 161, 163 (1984) (“As a general proposition, a judge does not have discretion to exclude relevant evidence”).

Our analysis rests on two basic considerations. The first is the breadth of the idea of relevance in our law. Evidence is generally relevant so long as it has “a ‘rational tendency to prove an issue in the case,’ ” or makes a “desired inference more probable than it would be without” the evidence. Commonwealth v. Fayerweather, 406 Mass. 78, 83 (1989), quoting from, respectively, Commonwealth v. Chretien, 383 Mass. 123, 136 (1981), and Commonwealth v. Copeland, 375 Mass. 438, 443 (1978). The desired evidence “need not establish directly the proposition sought; it must only provide a link in the chain of proof.” Commonwealth v. Gordon, 407 Mass. 340, 351 (1990), quoting from Commonwealth v. Tobin, 392 Mass. 604, 613 (1984). Indeed, evidence is to be considered relevant if it only “throwfs] light,” Commonwealth v. Palladino, 346 Mass. 720, 726 (1964), or “shed[s] light on an issue,” Adoption of Carla, 416 Mass. 510, 513 (1993), or, “in connection with other evidence, it helps [the fact-finder] a little.” Commonwealth v. Tucker, 189 Mass. 457, 467 (1905). It is relevant if it “could have been helpful” for a jury in determining whether a complainant was telling the truth. Commonwealth v. Fayerweather, supra at 83 (a child sexual abuse case). So long as evidence possesses any of these probative tendencies, even if it “is of marginal significance, we cannot say that it [is] irrelevant.” Cohen v. Liberty Mutual Ins. Co., 41 Mass. App. Ct. 748, 752 (1996).

The second analytical factor supporting disclosure is the contextual nature of relevancy, whether actual or likely. Relevancy rulings are not abstract propositions but are case and fact specific. They derive from the relationship of the particular facts desired to be introduced in evidence, the particular facts sought to be proved or disproved, and the particular issues in the case to which those facts are claimed to relate. See Liacos, Massachusetts Evidence 112 (6th ed. 1994); Young, Pollets & Poreda, Massachusetts Evidentiary Standards, Evidentiary Standard 401, at 48 & n.l (1995 Supp. to Hughes, Evidence). The particular circumstances of this case not only point to the appropriateness of measuring relevancy relatively leniently, but also, even without reviewing the materials, make the conclusion that the SITT and related records would be both relevant and “useful to [Fare’s] defense,” Commonwealth v. Two Juveniles, 397 Mass. 261, 269 & n.7 (1986), virtually irresistible as a matter of logic.

Initially, we note that the facts of this case do not implicate the principal public policy rationale which prompted the Bishop procedures, i.e., minimizing the potential reluctance of rape and sexual abuse victims to seek needed therapy. See Bishop, 416 Mass, at 176; Fuller, 423 Mass, at 221-222. In cases in which children of tender years, like John, are subjected to diagnostic evaluations at the behest of an adult without the necessity of their assent, the concern that disclosure of the records of that evaluation will create a “chilling effect. . . preventing those in need from seeking . . . help,” Commonwealth v. Collett, 387 Mass. 424, 428 (1982), seems of much reduced significance.

More specifically, the unique factual constellation here pointed to the propriety of disclosure of the SITT and related records to defense counsel as a matter of common sense and “practical necessity.” Bishop, 416 Mass, at 181, quoting from Commonwealth v. Collett, 387 Mass, at 438. The charges against Pare depended entirely on the credibility of a ten year old child who had endured a severely dysfunctional family situation, including his mother’s drug addiction and imprisonment, and whose behavioral and emotional condition so deteriorated over the relevant period that he became potentially suicidal, requiring his removal from foster' homes and placement in a restrictive facility for three years. The child had made several charges of sexual misconduct against others which he later acknowledged were false. Compare Commonwealth v. Bohannon, 376 Mass. 90, 94-95 (1978). From those incidents, the child learned that adults in authority took allegations of sexual abuse seriously and that a person who touches another “in a bad way” gets into trouble. See Commonwealth v. Fuller, 423 Mass. 216, 226 (1996) (“a credible showing that a complainant previously had fabricated allegations of sexual assault” would constitute “material evidence” with respect to the issue of the defendant’s guilt).

The child delayed reporting Fare’s abuse for over three years after the last alleged incident and his last encounter with Pare. That unexplained and overly long delay made the testimony about the child’s reported accusations ineligible as “fresh complaint” (as the Commonwealth concedes). See Commonwealth v. Fleury, 417 Mass. 810, 813, 815 (1994); Commonwealth v. Traynor, 40 Mass. App. Ct. 527, 531-533 (1996). Moreover, a delay of such magnitude inevitably “provokes unease,” Commonwealth v. Hyatt, 31 Mass. App. Ct. 488, 491 (1991), about the possibility of “invention or distortion of an event by mistake, twist of memory, fantasizing, contrivance, etc.” Commonwealth v. Dion, 30 Mass. App. Ct. 406, 413 (1991). See Fuller, 423 Mass, at 226 (“credible information tending to suggest that the complainant has difficulty distinguishing fantasy from reality” would be “material evidence” on the issue of the defendant’s guilt).

Compounding those sources of potential inaccuracy was the child’s admitted anger over Fare’s relationship with his mother, which John believed had led to her drug abuse and incarceration. Such anger created the reasonable likelihood of both bias and motive to lie on the child’s part, with specific reference to Pare as their probable object. See ibid, (a showing of bias against the defendant woul4 be material exculpatory evidence).

Further supporting the probable relevance of the SITT records were the inconsistencies in the child’s pretrial stories and trial testimony with respect to the nature and extent of Fare’s alleged abuse. (See notes 2 and 9, supra.) Given the protracted character of the SITT evaluation, and the promptness of the filing of a sexual abuse charge against Pare hard on its heels, it was a not unreasonable inference that the SITT materials might well reveal similar inconsistencies which, “however minor, if explored in cross-examination, might have affected the victim’s credibility . . . [which] was crucial to the outcome of the case.” Commonwealth v. O’Brien, 27 Mass. App. Ct. at 188.

Finally, the circumstances of the SITT evaluation process itself, even to the limited extent revealed by the record, made the relevance of its documentation to Fare’s defense rationally overwhelming. Prior to that evaluation, Pare does not appear to have been a focus of suspicion for abusing John. Nothing attributable or ostensibly traceable to Pare prompted the referral for the evaluation. The evaluation was conducted by a “team,” possibly consisting of several persons, headed by Catalfamo, the “sexual abuse clinician” or “counselor.” It took place over the course of at least three months and six separate meetings with John. At the conclusion of the process and as a direct “result of information . . . obtained during this evaluation,” Matteuzzi, who had observed all of the sessions, filed a report of Fare’s suspected abuse of John. On these few facts it was overwhelmingly inferable that during the SITT process John made his first allegations of abuse against Pare and that they were not spontaneous but rather in response to prolonged questioning. Contrast Commonwealth v. Allen, 40 Mass. App. Ct. 458, 462 (1996).

In light of the well-established “reality of children’s susceptibility to suggestive interview practices,” United States v. Rouse, 100 F.3d. 560, 572-574 (8th Cir. 1996), and our explicit acknowledgment that “leading or coercive [or suggestive] questioning [and interview techniques] can distort a child’s memory,” Commonwealth v. Allen, 40 Mass. App. Ct. at 462, the factual background suggestive of false, inaccurate, or subtly induced allegations by John made the specifically identified SITT and related CFD records prima facie relevant. Who was present, how questions were posed, what responses were given and how they comported with later allegations were all matters that defense counsel should have been given the opportunity to ascertain under Bishop, if only to assess why John’s attitude had dramatically changed toward Pare, whom he had previously said he loved and wanted to live with, and why it took numerous sessions and several months to extract the initial accusations against Pare. It is difficult, on this record, for us to conclude otherwise than that the SITT and related records would be presumptively material to Fare’s defense.

Our in camera review of the entire body of the withheld documents confirms that presumption. Without excessively and inappropriately disclosing the precise contents of the impounded records, we glean from the SITT-related materials themselves that prior to the SITT evaluation John had made no inculpatory allegations against Pare; that for over two months and through five sessions John leveled no sexual abuse charge against Pare; that John’s eventual accusation was not voluntary or spontaneous; and that it did not emerge until what Matteuzzi herself described as “the very end of the evaluation.” Moreover, the notes and reports relating to SITT interviews would appear to present to competent defense counsel numerous fruitful opportunities to contest the fairness and reliability of the process. Among other points of potential challenge that the documents arguably reveal are: the use of a unique, copyrighted protocol directed at uncovering sexual abuse, devised by Catalfamo, that may or may not have accorded with accepted professional standards; the use of leading questions and the prodding of John for particular responses; relatively persistent and repeated inquiries consciously aimed at overcoming John’s prolonged reluctance to make accusations and his perceived lack of cooperation; cajoling John by repeated assurances that neither he nor his mother would get into trouble on account of his revelations of sexual abuse; terminating John’s visitations with his mother in the midst of the evaluation out of concern that she might be hindering John’s “cooperation” (a situation that could well have exacerbated John’s ire against Pare); the arguably suggestive and criticizable use of anatomically correct dolls in questioning John and having him demonstrate alleged abuse (see Commonwealth v. Allen, 40 Mass. App. Ct. at 464); explicitly mentioning charges of sexual abuse against Pare made by John’s siblings; and the arranging of a confrontation of John by his siblings, who, in the face of John’s denials of abuse, urged him to support their charges.

In short, defense counsel would be able to find in the materials a relevant basis for calling an expert to opine regarding the suggestive or coercive propensities of the techniques used in the SITT.interviews. Compare Commonwealth v. Allen, 40 Mass. App. Ct. at 462-464 & nn.8 & 11. Such a presentation might well have negatively affected the jury’s assessment of the credibility of John’s accusations, see Commonwealth v. O’Brien, 27 Mass. App. Ct. at 188, and consequently “might have had a significant impact ... on the outcome of the trial.” Commonwealth v. Fayerweather, 406 Mass, at 84, quoting from Commonwealth v. Grieco, 386 Mass. 484, 491 (1982).

Moreover, other impounded documents, peripheral or not directly related to the SITT evaluation itself, display highly pertinent facts about John’s ability to perceive, remember and recount, because of his mental and emotional state during the relevant time period. Revealed in a number of expert reports and diagnoses are problems associated with memory and perception capacity; moderate intellectual impairment; erratic and spotty powers of recollection; frequent lying; and instances of fantasizing, “seeing things that aren’t there,” confused and distorted thinking, flashbacks, dissociative statements, “homicidal ruminations,” distorted thoughts about authority figures, and a “pattern” of blaming and accusing those who frustrated or angered him. Some of this material also indicates that John’s mother may have sexually molested him but that he blamed Pare for her acts because of his idealized conception of her. It is an extreme understatement to observe that, “if explored in cross-examination, [such facts] might have affected [John’s] credibility . . . [which] was crucial to the outcome of the case.” Commonwealth v. O’Brien, 27 Mass. App. Ct. at 188.

Thus, unlike the situation in Commonwealth v. Reed, 417 Mass, 558, 562 (1994), lack of access to the impounded documents prevented Fare’s counsel from conducting as effective a cross-examination of the key witness as he could have otherwise. Inspection of the withheld documents shows that counsel was similarly disadvantaged, by being denied access, in his cross-examination of the two witnesses who most significantly bolstered John’s trial testimony. Matteuzzi, who portrayed herself at trial as a passive observer of the SITT process who asked no questions but was present only for John’s moral support, in fact appears to have intervened to press John with leading questions at several critical moments. Her testimonial description of the conversations at the SITT interviews as “pretty much . . . instigated by [John]” is substantially belied by the SITT evaluation report, which demonstrates a reluctant and uncooperative child from whom the sexual abuse charge against Pare was ultimately coaxed, utilizing leading questions and confrontational techniques, only after five fruitless sessions. Matteuzzi’s CFD report on John’s status, prepared in the middle of the SITT sessions, explicitly stated that, as part of John’s “treatment plan,” she would “[e]ncourage him to discuss the sexual abuse that he has spoken of with David Pare.”

Being foreclosed from bringing out such information in the cross-examination of Matteuzzi was particularly harmful to Fare’s case because the prosecutor was allowed, over strenuous objection, to present testimony by Matteuzzi concerning various aspects of the SITT interviews. Her description effectively conveyed to the jury that the SITT sessions with Matteuzzi present provided a previously unavailable “safe and comfortable and supportive setting for [John] to make a disclosure”; that the interviews were conducted in “essentially a nonleading kind of situation”; that as a result John was able to unburden himself by making his allegations of Fare’s sexual abuse; and that the experienced professionals hearing his charges were so impressed by their credibility that they immediately reported them to authorities.

Without access to the withheld documents — which depict a far less neutral and volitional process than did Matteuzzi’s testimony — Fare’s counsel was unable to challenge, much less undermine, such inferences favorable to the prosecution. He could not point to evidence of bias and improper interviewing techniques by the evaluators; evidence of resistance, equivocation or qualification by John in making his accusations; evidence that John may have been coaxed or badgered into making the charges; evidence that it took six interviews and intervention by others because John was reluctant to make allegations; or any other evidence that arguably could have indicated that the inferences which the Commonwealth wished the jury to draw from Matteuzzi’s testimony were inaccurate.

Without the unavailable documents, defense counsel similarly could mount no effective cross-examination of the Commonwealth’s lead witness, DSS social worker Brummer. She testified about having initiated John’s removal from Fare’s house and placement in a foster home, being assigned as his ongoing DSS social worker, and being responsible for referring John to CED and Catalfamo for a sexual abuse evaluation in March, 1992. She further stated that from the time John was moved to the facility for behaviorally disturbed children in 1992 sometime after his SITT evaluation, he greatly improved and was “able to tell [her] disclosures, albeit hard disclosures but truthful disclosures.” Despite defense counsel’s objection and motion to strike, the judge neither struck the remark nor instructed the jury to disregard it. In the context of the trial, it was unmistakably clear that the “disclosures” Brummer believed to be truthful were John’s disclosures of Fare’s sexual abuse. Her earnest description of John’s truthfulness was likely to have been given considerable weight by the jury. See Commonwealth v. Powers, 36 Mass. App. Ct. 65, 66, 68, 70 (1994) (jury likely to perceive a DSS social worker with years of investigating sexual abuse “as especially qualified to judge the credibility of children”).

The damaging effect of Brummer’s testimony could, however, have been significantly diluted if defense counsel had been able to question her about information contained in the nondisclosed documents revealing that she had unsuccessfully sought a SITT evaluation in November, 1989 (less than a month after John had come to DSS attention) based solely upon her unconfirmed suspicions of Fare’s sexual abuse of John, then repeated her request in July, 1991 — an effort that led to John’s actually undergoing a sexual abuse evaluation “which [the records state] was inconclusive” and during which John said nothing against Pare. Such persistence in apparently seeking to provoke John to reveal abuse by Pare, against a background of no specific evidence or accusations of such abuse from October, 1989, through May, 1992, could well be construed to be the product of a biased campaign against Pare by Brummer, who seems to have become particularly close to John’s mother (viewed by John and possibly Brummer to have been victimized by Pare) as a result of accompanying John to his monthly visitations with his mother. In the midst of John’s 1992 SITT evaluation, however, Brummer recommended that such visitations should cease (which they did) because the mother was regarded as the source (so the records can fairly be interpreted) of John’s ongoing uncooperative attitude toward the SITT process and its participants, including Matteuzzi. In her reports during that period, Brummer expressed the view that it was necessary to end visitation so that John (and his siblings) “can disclose what is necessary.” Without access to these reports, defense counsel’s effort to mitigate the harmful effect of Brummer’s expert and apparently objective testimony through cross-examination was foredoomed.

In summary, we agree with Pare that the documents reflecting John’s allegations of sexual abuse and his related counseling and treatment were presumptively relevant; further, we find they were actually relevant to his defense. We also agree that it was reversible error to deny his counsel access thereto in accordance with the Bishop protocol; that the Superior Court’s denial of access created a reasonable, if not substantial, risk of an erroneous conviction, see Bishop, 416 Mass, at 177; and that the defendant is entitled to a new trial. Accordingly, we reverse Fare’s judgments of conviction and set aside the verdicts.

So ordered. 
      
      A pseudonym.
     
      
      John’s first allegations of sexual abuse against Pare were the direct result of a counseling or interviewing process, the denial of access to the records of which Pare is challenging in this appeal. At trial, John, then thirteen, elaborated on his accusations. He testified that on several occasions while John, his mother, and his two younger sisters lived in Fare’s house in Lynn between 1985 and 1989, Pare showed the children movies of naked men and women engaged in sexual activity; told them to take their clothes off and come into the bed where Pare and the children’s mother lay naked; touched and squeezed John’s penis and buttocks; and made John touch and squeeze Fare’s penis. The trial testimony and record also reveals that John had given several inconsistent versions of these incidents, had admitted falsely accusing a foster brother and foster sister of sexual misconduct, and had ultimately denied an accusation attributed to him by a testifying police captain regarding the defendant’s supposed penetration of John’s rectum. There was also evidence that John had experienced an extremely chaotic family situation throughout the relevant period.
     
      
      
        Commonwealth v. Fuller, 423 Mass. 216, 226 (1996), altered the Bishop standard for obtaining judicial in camera review of counseling records privileged under G. L. c. 233, § 20J, by setting a higher standard for triggering in camera review. It had not been decided at the time of the defendant’s trial and the parties are in agreement that Bishop, and not Fuller, governs the instant case. Consequently, the standard to be applied here remains that of Bishop, i.e., whether privileged records sought are “likely to be relevant” to an issue in the case, Bishop, supra at 178, 179-180, and not the apparently more stringent “relevant and material” test of Fuller, supra at 226. On the particular facts of this case — including John’s lengthy delay in making the accusations, his varying stories, his prior false abuse allegations, his possible bias against Pare because of his mother’s drug plight, and the circumstances surrounding the clinical evaluation that directly led to the first official child abuse report against Pare — we would conclude, in any event, that Fare’s motion for production of at least the evaluation records would satisfy the test established by Commonwealth v. Fuller, 423 Mass, at 226.
     
      
      The record does not disclose whether such an evaluation is a procedure required by statute or regulation or is one generally recognized by professionals in the field as being an appropriate diagnostic tool in possible child sex abuse situations. Judicial skepticism regarding allegations of sexual abuse of a child that arose out of a SITT evaluation can be seen in Adoption of Stuart, 39 Mass. App. Ct. 380, 386-391 & nn.9 & 15 (1995). The record is also silent as to the nature, function and operations of the Center for Family Development.
     
      
      Acting pursuant to the mandate of Bishop, 416 Mass, at 182-183, the motion judge impounded and sealed the records deemed “irrelevant” for transmission to the appellate court. We have been provided with those materials and, at the parties’ joint request, have reviewed them. See Commonwealth v. Reed, 417 Mass. 558, 562 n.4 (1994); Commonwealth v. Syrafos, 38 Mass. App. Ct. 211, 216 (1995).
     
      
      During trial the judge denied Fare’s request to “revisit” the motion judge’s ruling of irrelevance, on the ground that Pare had failed to raise “any facts or circumstances . . . not considered]” by the motion judge. We reject Fare’s contention that the trial judge’s denial was itself error. The Bishop procedures do not contemplate more than one judicial in camera inspection at the trial level, at least in the absence of changed circumstances, Bishop, supra at 183, which Pare was unable (albeit understandably) to demonstrate.
     
      
      The reasons for the investigation, which was described as a “51A”, do not appear in the record, but presumably arose because of a report of possible child abuse or neglect pursuant to G. L. c. 119, § 51 A. The testimony described the home as cluttered and unkept and the children as “very dirty.” Brummer attempted to elicit information from John indicating possible sexual abuse, but John made no disclosures of any sexual touching by anyone.
     
      
      John testified that Pare was responsible for causing his mother’s drug problems, which angered him.
     
      
      Among- those charges was one that Pare had indecently touched him about twelve times. At trial John denied this particular charge.
     
      
      
        Bishop mandates that in Stage 1 (“privilege determination”) the judge “shall reduce his or her decision, and the reasons therefor, to writing, with specific reference to the privilege or privileges claimed and found . . . .”416 Mass, at 181. The motion judge’s “Findings as to Privilege Determination Stage One” stated as to the entirety of the counseling and therapy records sought by Pare, “I find that a privilege has been asserted pursuant to psychotherapist-patient privilege (G. L. c. 233, § 20B); the rape counselor-victim privilege (G. L. c. 233, § 20J[A]); [and] the social worker-client privilege (G. L. c. 112, § 135).” Contrary to Bishop’s requirement, supra at 181, the judge failed to specify which statutory privilege applied to which document or category of documents. The only claim of privilege appearing in the record was that made by John’s guardian ad litem, who simply “assert[ed] his statutory and common law privileges,” whatever they might be, without identifying what he thought they were.
     
      
      The motion judge referred to a “hearing” preceding his privilege determination, but there is no suggestion that it was an evidentiary hearing, and any transcript that may have been made did not find its way into the record.
     
      
      The psychotherapist-patient privilege, G. L. c. 233, § 20B, as appearing in St. 1989, c. 373, operates only as to communications to a “psychotherapist,” defined as a licensed psychiatrist, licensed psychologist, or licensed nurse practitioner practicing “in an expanded role as a psychiatric nurse mental health clinical specialist.” The privilege under G. L. c. 233, § 201, as appearing in St. 1987, c. 477, applies only to an alleged victim’s communications with a “person who is employed by or is a volunteer in a rape crisis center, has undergone thirty-five hours of training, who reports to and is under the direct control and supervision of a licensed social worker, nurse, psychiatrist, psychologist or psychotherapist and whose primary purpose is the rendering of advice, counseling or assistance to victims of sexual assault.” To be privileged under G. L. c. 112, § 135A, inserted by St. 1989, c. 535, § 1, a communication must be to a “social worker licensed pursuant to . . . [G. L. c. 112, § 132] or a social worker employed in a [S]tate, county or municipal government agency.”
     
      
      John’s social worker, Matteuzzi, who was also associated with the Center for Family Development, described herself at trial as a “licensed independent clinical social worker” who did “outreach therapy” for children and families. That status arguably brought her within the social worker-client privilege of G. L. c. 112, § 135A. However, she testified that she was not a member of the SITT and did not participate in the SITT evaluation or the questioning of John, but was there “to give [him] support” and “was silent mostly.” Accordingly, none of the SITT records would have reflected “communications” between her and John or be privileged on her account.
     
      
      See Bishop, 416 Mass, at 181.
     
      
      To the extent that relevancy remains the appropriate standard to be applied by a judge in making the in camera review (Commonwealth v. Fuller having revised only the standard to be used by the judge in determining whether to perform a Stage 2 in camera inspection of rape counselor records at the defendant’s request, 423 Mass, at 218, 224, 226-227), as it does in the present case, we note that it has been authoritatively defined (in a case involving the assertion of the physician “peer review” privilege against a civil discovery demand) “broadly to encompass any matter that bears on, or that reasonably could lead to other matter that could bear on, any issue that is or may be in the case.” Cronin v. Strayer, 392 Mass, at 534, quoting the United States Supreme Court in Oppenheimer Fund, Inc. v. Sanders, 437 U.S. 340, 351 (1978). “ ‘Absent compelling reasons to the contrary’ . . . that definition controls” in Massachusetts civil discovery. Cronin v. Strayer, supra at 534. We view the repeated emphasis in Bishop on the need for the judge to resolve any doubt regarding disclosure in the defendant’s favor, 416 Mass, at 183, 177, as indicating the appropriateness of a liberal relevancy standard in the instant circumstances.
     
      
      We are aware of Commonwealth v. Jones, 404 Mass. 339 (1989), which involved allegations of sexual abuse of children John’s age and younger and a defendant’s attempt to obtain DSS social workers’ records relating to the children. There, at 342, the court stated that the privilege for communications to social workers (then contained in G. L. c. 112, § ' 135, which was superseded by St. 1989, c. 535, § 1, enacting G. L. c. 112, § 135A) reflected a policy concern “that the child [who is a suspected victim of child abuse] have a [S]tate-designated person to whom he . . . may turn, and to do so with the assurance of confidentiality.” Commonwealth v. Jones, 404 Mass, at 342, quoting from Pennsylvania v. Ritchie, 480 U.S. 39, 60 (1987). That general observation is of little, if any, support for the nondisclosure ruling in this case, however, because: (a) as discussed above, the record does not indicate that the SITT records contained materials falling within the social worker’s privilege; (b) the defendant’s discovery request in Jones, unlike Fare’s, did not state any particularized need or call the court’s attention to any specific report or document that might contain pertinent information {Jones, supra at 340); (c) the court held that the defendant had satisfied the showing necessary for in camera inspection, notwithstanding the policy behind the privilege, by merely asserting that the files sought might contain unspecified exculpatory evidence {id. at 340, 343-344); and (d) the Jones court acknowledged that the defendant was entitled under the statute, notwithstanding its policy, “to obtain the investigation and evaluation reports [executed pursuant to G. L. c. 119, § 51B,] which ultimately led to his indictment and criminal prosecution” {id. at 341).
     
      
      In any event, Pare has not argued that his convictions were the tainted product of improperly admitted and prejudicial hearsay.
     
      
      Matteuzzi testified that in July, 1991, John told her that “he had been touched previously” by an unnamed person, whom Matteuzzi took to be Pare. She neither followed up that supposed accusation nor reported it at the time, possibly because it was made contemporaneously with John’s recantation of his allegation of sexual misconduct against a foster brother.
     
      
      Matteuzzi, John’s long time social worker who was present at and observed all of the SITT process, was a mandatory reporter under G. L. c. 119, § 51 A, as appearing in St. 1985, c. 209. Had any of the earlier SITT meetings produced evidence giving her “reasonable cause to believe” John was the victim of Fare’s sexual abuse, she was under a statutory obligation to “immediately report” the situation. Her failing to have done so is indicative of the absence of any such evidence prior to the conclusion of the SITT sessions.
     
      
      The SITT interviews were apparently not videotaped or otherwise recorded, as we have indicated would be the preferred practice, Commonwealth v. Allen, 40 Mass. App. Ct. at 463 & n.9, so that no transcript exists. Such a situation obviously hampers Pare or any other similarly situated defendant in uncovering evidence of leading, suggestive or coercive questioning. Ibid. While we appreciate the concern for client confidentiality that might motivate the decision not to document such interviews, the price of such failure may well be to vivify defense suspicions of unfair techniques and heighten the credibility of their Stage 2 Bishop request for access.
     
      
       As previously noted, John had not accused Pare of sexual abuse prior to the commencement of the SITT process, had not done so as of the date of the quoted report, and did so, unspontaneously, only two to three weeks after that report.
     
      
      As adverted to at pages 568-569, supra, Pare argues that, whatever the validity of denying his counsel access to the SITT records, it was error for the trial judge to allow the prosecutor to introduce, through Matteuzzi, evidence of the “circumstances” of John’s statements at the SITT sessions which greatly enhanced John’s credibility. Such a one-sided presentation of the SITT process, Pare claims, greatly prejudiced his constitutional right to confront and cross-examine the witnesses against him, was contrary to “fundamental fairness,” and violated the evidentiary doctrine of “verbal completeness.” In light of our analysis and conclusion, we need not separately address this independent claim of error. We agree in principle that the trial judge’s ruling permitting Matteuzzi to testify regarding the SITT evaluation was unfair and had a prejudicial impact on Fare’s confrontation and due process rights under art. 12 of the Massachusetts Declaration of Rights and the Sixth and Fourteenth Amendments to the United States Constitution. See Davis v. Alaska, 415 U.S. 308, 316-318 (1974); Commonwealth v. Johnson, 417 Mass. 498, 501-503 (1994). Cf. Commonwealth v. Amirault, 424 Mass. 618, 628-631 (1997).
     
      
      Just a few minutes before Brummer’s testimony, the prosecutor had told the jury in her opening that “it wasn’t until 1992 that [John] was able to make a disclosure, to tell about the acts of indecent assault and battery that had been perpetrated upon him by” Pare, as a direct consequence of Brummer’s referral of John for the sexual abuse evaluation.
     
      
      Brummer’s testimony about John’s “truthful” disclosures, in addition to being inadmissible hearsay not within any exception (the prosecution having conceded that it was too remote to be “fresh complaint”), was a violation of the fundamental principle in this Commonwealth that no witness, expert or otherwise, may offer an opinion, or comment even indirectly, on another witness’s credibility, even that of a child who alleges sexual abuse. Commonwealth v. Powers, 36 Mass. App. Ct. at 70. See Commonwealth v. Montanino, 409 Mass. 500, 504-505 (1991); Commonwealth v. Lorette, 37 Mass. App. Ct. 736, 740-741 (1994), S.C., 422 Mass. 1014 (1996). We mention this only because of the possibility that Brummer may testify in any new trial. Given the separate ground for reversal of the conviction as set forth previously, it is unnecessary to rule on Fare’s third appellate contention, that the judge’s failure to strike Brummer’s comment on John’s credibility constituted reversible error because it signalled to the jury that this evidence could be properly considered in reaching their verdict. We agree with Pare, however, that “it is impossible to conclude that the challenged testimony was without prejudicial and consequential effect on the jury.” Commonwealth v. Powers, supra at 71.
     
      
      The instant analysis, focusing exclusively on the “relevancy” criterion of Stage 2 of the Bishop procedures, in no way attenuates the heightened standard of disclosure required under Stages 3 and 4 of Bishop. Before disclosing any privileged records to the trier of fact, defense counsel must successfully discharge the burden of persuading the judge that the records are not only relevant but “required to provide the defendant a fair trial,” 416 Mass, at 182, or at least “needed for the purpose of preparing and mounting a defense.” Id. at 183. We observe also that defense counsel, in examining any privileged records emerging from a Stage 2 relevancy determination, may not disclose them to anyone, including the defendant, without notice to all concerned persons and an order of the court. Id. at 189.
     