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91st General Assembly
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Public Act 91-0536

SB849 Enrolled                                 LRB9106073SMdv

    AN ACT regarding mental health, amending named Acts.

    Be it enacted by the People of  the  State  of  Illinois,
represented in the General Assembly:

    Section   2.    The   Mental   Health  and  Developmental
Disabilities  Administrative  Act  is  amended  by   changing
Section 2 as follows:

    (20 ILCS 1705/2) (from Ch. 91 1/2, par. 100-2)
    Sec. 2. Definitions; administrative subdivisions.
    (a)  For  the  purposes  of  this Act, unless the context
otherwise requires:
    "Department" means  the  Department  of  Human  Services,
successor  to  the  former  Department  of  Mental Health and
Developmental Disabilities.
    "Secretary" means the Secretary of Human Services.
    (b)  Unless the context otherwise requires:
         (1)  References in  this  Act  to  the  programs  or
    facilities  of the Department shall be construed to refer
    only to those programs or facilities  of  the  Department
    that   pertain   to   mental   health   or  developmental
    disabilities.
         (2)  References in  this  Act  to  the  Department's
    service   providers   or   service  recipients  shall  be
    construed to refer only to  providers  or  recipients  of
    services  that  pertain to the Department's mental health
    and developmental disabilities functions.
         (3)  References in this  Act  to  employees  of  the
    Department  shall be construed to refer only to employees
    whose duties pertain to the  Department's  mental  health
    and developmental disabilities functions.
    (c)  The  Secretary  shall establish such subdivisions of
the Department as shall be desirable and shall assign to  the
various  subdivisions  the responsibilities and duties placed
upon the Department by the Laws of the State of Illinois.
    (d)  There is established a coordinator  of  services  to
mentally  disabled  deaf  and  hearing  impaired persons.  In
hiring this coordinator, every consideration shall  be  given
to qualified deaf or hearing impaired individuals.
    (e)   Whenever   the   administrative   director  of  the
subdivision   for   mental   health   services   is   not   a
board-certified psychiatrist, the Secretary shall  appoint  a
Chief  for  Clinical  Services who shall be a board-certified
psychiatrist   with   both   clinical   and    administrative
experience.    The  Chief  for  Clinical  Services  shall  be
responsible for all clinical and medical decisions for mental
health services.
(Source: P.A. 89-507, eff. 7-1-97.)

    Section  5.   The   Mental   Health   and   Developmental
Disabilities  Code  is amended by changing Sections 1-122 and
3-814 and by adding Section 1-101.2 as follows:

    (405 ILCS 5/1-101.2 new)
    Sec. 1-101.2.  "Adequate and humane  care  and  services"
means   services   reasonably   calculated  to  result  in  a
significant improvement of the condition of  a  recipient  of
services  confined  in an inpatient mental health facility so
that he  or  she  may  be  released  or  services  reasonably
calculated   to  prevent  further  decline  in  the  clinical
condition of a recipient of services so that he or  she  does
not present an imminent danger to self or others.

    (405 ILCS 5/1-122) (from Ch. 91 1/2, par. 1-122)
    Sec.  1-122.   Qualified  examiner.  "Qualified examiner"
means a person who is:
    (a) a Clinical social worker as defined in this Act, or
    (b)  a  registered  nurse  with  a  master's  degree   in
psychiatric  nursing who has 3 years of clinical training and
experience in the evaluation and treatment of mental  illness
which  has  been  acquired  subsequent  to  any  training and
experience which constituted a part of the degree program, or
    (c) a licensed clinical  professional  counselor  with  a
master's  or doctoral degree in counseling or psychology or a
similar master's  or  doctorate  program  from  a  regionally
accredited institution who has at least 3 years of supervised
postmaster's clinical professional counseling experience that
includes  the  provision  of  mental  health services for the
evaluation, treatment, and prevention of mental and emotional
disorders.
    A social worker who is a qualified examiner  shall  be  a
licensed  clinical  social  worker  under the Clinical Social
Work and Social Work Practice Act.
(Source: P.A. 87-124; 87-530.)

    (405 ILCS 5/3-814) (from Ch. 91 1/2, par. 3-814)
    Sec. 3-814.  Treatment plan.
    (a)  Not more than 30 days  after  admission  under  this
Article,  the  facility  director shall file with the court a
current treatment plan with the court  which  shall  include:
all  the  requirements  listed  in Section 3-209, includes an
evaluation of the recipient's  progress  and  the  extent  to
which  he  is  benefiting  from treatment, the criteria which
form the basis for the  determination  that  the  patient  is
subject to involuntary admission as defined in Section 1-119,
and  the  specific  behaviors  or conditions that demonstrate
that  the  recipient  meets  these  criteria  for   continued
confinement.  If the facility director is unable to determine
any of the required information,  the  treatment  plan  shall
include an explanation of why the facility director is unable
to  make  this  determination,  what the facility director is
doing  to  enable  himself  or  herself  to   determine   the
information,  and  the  date  by  which the facility director
expects to be able to make this determination.  The  facility
director  shall  forward  a  copy  of the plan to the State's
Attorney, the  recipient's  attorney,  if  the  recipient  is
represented  by  counsel,  the recipient, and any guardian of
the recipient.
    (b)  The purpose of the filing, forwarding, and review of
treatment plans and treatment is to ensure that the recipient
is receiving adequate and humane care and services as defined
in Section 1-101.2 and to ensure that the recipient continues
to meet the standards for involuntary confinement.
    (c)  On request of the recipient or an interested  person
on  his  behalf,  or on the court's own initiative, the court
shall review the current treatment plan to determine  whether
its contents comply with the requirements of this Section and
Section 3-209. A request to review the current treatment plan
may  be  made by the recipient, or by an interested person on
his behalf, 30 days after initial  commitment  under  Section
3-813,  90  days  after  the  initial commitment, and 90 days
after each additional period of commitment  under  subsection
(b) of Section 3-813. If the court determines that any of the
information  required  by this Section or Section 3-209 to be
included in the treatment plan is not in the  treatment  plan
or  that the treatment plan does not contain information from
which the court can determine whether the recipient continues
to meet the criteria for  continued  confinement,  the  court
shall  indicate  what  is  lacking  and  order  the  facility
director  to revise the current treatment plan to comply with
this Section and Section 3-209. If  the  recipient  has  been
ordered committed to the facility after he has been found not
guilty  by  reason  of  insanity,  the treatment plan and its
review shall be subject to the provisions of Section 5-2-4 of
the Unified Code of Corrections.
    (d)  The recipient or an interested person on his or  her
behalf  may  request a hearing or the court on its own motion
may order a hearing to review the treatment being received by
the recipient.  The court,  the  recipient,  or  the  State's
Attorney  may  call  witnesses  at the hearing. The court may
order any public agency, officer, or employee to render  such
information,  cooperation,  and  assistance  as is within its
legal authority and as may  be  appropriate  to  achieve  the
objectives   of   this   Section.  The  court  may  order  an
independent examination on its own initiative and shall order
such an evaluation if either the  recipient  or  the  State's
Attorney  so  requests and has demonstrated to the court that
the plan cannot be effectively reviewed by the court  without
such  an examination.  Under no circumstances shall the court
be required to order an independent examination  pursuant  to
this Section more than once each year.  The examination shall
be  conducted  by  persons  authorized to conduct independent
examinations under Section 3-804 recipient or  an  interested
person  on  his  behalf may request a hearing or the court on
its own motion may order a hearing to  review  the  treatment
plan.   If  the  court  is  satisfied  that  the recipient is
benefiting from treatment, it may continue the original order
for the remainder of the admission period.  If the  court  is
not  so satisfied, it may modify its original order or it may
order the recipient discharged.
    (e)  In lieu of a treatment plan, the  facility  director
may file a typed summary of the treatment plan which contains
the  information  required under Section 3-209 and subsection
(a) of this Section.
(Source: P.A. 88-380.)

    Section 10.  The Code of Criminal Procedure  of  1963  is
amended by changing Section 104-25 as follows:
    (725 ILCS 5/104-25) (from Ch. 38, par. 104-25)
    Sec. 104-25.  Discharge hearing.
    (a)  As  provided  for in paragraph (a) of Section 104-23
and subparagraph (1) of paragraph (b)  of  Section  104-23  a
hearing to determine the sufficiency of the evidence shall be
held.  Such hearing shall be conducted by the court without a
jury.   The  State  and  the defendant may introduce evidence
relevant to the question of defendant's guilt  of  the  crime
charged.
    The  court  may  admit  hearsay  or affidavit evidence on
secondary matters such as testimony to establish the chain of
possession  of   physical   evidence,   laboratory   reports,
authentication  of  transcripts  taken by official reporters,
court and business records, and public documents.
    (b)  If the evidence does not prove the defendant  guilty
beyond  a  reasonable doubt, the court shall enter a judgment
of acquittal; however nothing herein shall prevent the  State
from  requesting  the  court  to  commit the defendant to the
Department of Human Services  under  the  provisions  of  the
Mental Health and Developmental Disabilities Code.
    (c)  If  the  defendant  is found not guilty by reason of
insanity, the court shall enter a judgment of  acquittal  and
the  proceedings  after acquittal by reason of insanity under
Section 5-2-4 of the Unified Code of Corrections shall apply.
    (d)  If the discharge  hearing  does  not  result  in  an
acquittal  of  the  charge  the defendant may be remanded for
further treatment and the one year time limit  set  forth  in
Section 104-23 shall be extended as follows:
         (1)  If the most serious charge upon which the State
    sustained  its  burden  of proof was a Class 1 or Class X
    felony, the treatment period may  be  extended  up  to  a
    maximum  treatment period of 2 years; if a Class 2, 3, or
    4 felony, the treatment period may be extended  up  to  a
    maximum of 15 months;
         (2)  If the State sustained its burden of proof on a
    charge  of  first degree murder, the treatment period may
    be extended up to a maximum treatment period of 5 years.
    (e)  Transcripts  of  testimony  taken  at  a   discharge
hearing  may be admitted in evidence at a subsequent trial of
the case, subject to the rules of evidence,  if  the  witness
who gave such testimony is legally unavailable at the time of
the subsequent trial.
    (f)  If  the  court  fails to enter an order of acquittal
the defendant may appeal  from  such  judgment  in  the  same
manner provided for an appeal from a conviction in a criminal
case.
    (g)  At the expiration of an extended period of treatment
ordered pursuant to this Section:
         (1)  Upon a finding that the defendant is fit or can
    be rendered fit consistent with Section 104-22, the court
    may proceed with trial.
         (2)  If the defendant continues to be unfit to stand
    trial,  the  court  shall  determine whether he or she is
    subject to involuntary admission under the Mental  Health
    and  Developmental  Disabilities  Code  or  constitutes a
    serious threat to the public safety.  If  so  found,  the
    defendant  shall  be  remanded to the Department of Human
    Services for further treatment and shall  be  treated  in
    the  same  manner  as a civilly committed patient for all
    purposes,  except  that   the   original   court   having
    jurisdiction  over  the  defendant  shall  be required to
    approve any  conditional  release  or  discharge  of  the
    defendant,  for  the  period  of  commitment equal to the
    maximum sentence to which the defendant would  have  been
    subject  had  he  or  she  been  convicted  in a criminal
    proceeding.   During  this  period  of  commitment,   the
    original  court  having  jurisdiction  over the defendant
    shall hold hearings under clause (i)  of  this  paragraph
    (2).   However,  if  the  defendant  is  remanded  to the
    Department of Human  Services,  the  defendant  shall  be
    placed  in  a  secure setting unless the court determines
    that there are compelling reasons why such  placement  is
    not necessary.
         If  the  defendant does not have a current treatment
    plan,  then  within  3  days  of  admission  under   this
    subdivision  (g)(2),  a  treatment plan shall be prepared
    for each defendant and entered into his  or  her  record.
    The   plan   shall  include  (i)  an  assessment  of  the
    defendant's treatment needs, (ii) a  description  of  the
    services  recommended  for  treatment, (iii) the goals of
    each type of element  of  service,  (iv)  an  anticipated
    timetable  for the accomplishment of the goals, and (v) a
    designation of the qualified professional responsible for
    the implementation  of  the  plan.   The  plan  shall  be
    reviewed  and updated as the clinical condition warrants,
    but not less than every 30 days.
         Every 90 days after the initial admission under this
    subdivision (g)(2), the facility director  shall  file  a
    typed  treatment  plan  report  with  the  original court
    having jurisdiction over the defendant.  The report shall
    include an opinion as to whether the defendant is fit  to
    stand  trial  and  whether  the  defendant  is  currently
    subject  to  involuntary  admission,  in  need  of mental
    health services on an inpatient  basis,  or  in  need  of
    mental  health  services  on  an  outpatient  basis.  The
    report shall also summarize the basis for those  findings
    and  provide a current summary of the 5 items required in
    a  treatment  plan.   A  copy  of  the  report  shall  be
    forwarded  to  the  clerk  of  the  court,  the   State's
    Attorney,  and  the defendant's attorney if the defendant
    is represented by counsel.
         The court on its own motion may order a  hearing  to
    review the treatment plan.   The defendant or the State's
    Attorney  may  request  a  treatment plan review every 90
    days and the court shall  review  the  current  treatment
    plan  to  determine  whether  the  plan complies with the
    requirements of this Section.  The  court  may  order  an
    independent  examination  on its own initiative and shall
    order such an evaluation if either the recipient  or  the
    State's  Attorney so requests and has demonstrated to the
    court that the plan cannot be effectively reviewed by the
    court   without   such   an   examination.    Under    no
    circumstances  shall  the  court  be required to order an
    independent examination pursuant  to  this  Section  more
    than  once each year.  The examination shall be conducted
    by a psychiatrist or clinical psychologist as defined  in
    Section  1-103  of  the  Mental  Health and Developmental
    Disabilities Code  who  is  not  in  the  employ  of  the
    Department of Human Services.
         If,  during the period within which the defendant is
    confined in a secure setting, the court enters  an  order
    that  requires  the  defendant to appear, the court shall
    timely transmit a copy  of  the  order  or  writ  to  the
    director  of  the particular Department of Human Services
    facility where  the  defendant  resides  authorizing  the
    transportation  of  the  defendant  to  the court for the
    purpose of the hearing.
              (i)  180 days after a defendant is remanded  to
         the  Department  of  Human Services, under paragraph
         (2), and every 180 days thereafter for  so  long  as
         the  defendant  is  confined under the order entered
         thereunder,  the  facility  director  shall  file  a
         treatment  plan  with  the  original  court   having
         jurisdiction  over  the  defendant.   The plan shall
         include an evaluation of  the  defendant's  progress
         and  the  extent  to  which he or she is benefitting
         from treatment and an  opinion  as  to  whether  the
         defendant   is   currently  subject  to  involuntary
         admission or in need of mental health services on an
         inpatient basis or in need of mental health services
         on an outpatient basis.  A copy of the report  shall
         be  forwarded  by the facility director to the clerk
         of the court, State's Attorney and  the  defendant's
         attorney if the defendant is represented by counsel.
         Within  30  days of the receipt of the report by the
         court, the court  shall  set  a  hearing  and  shall
         direct  that  notice  of  the  time and place of the
         hearing be served upon the defendant,  the  facility
         director,  the State's Attorney, and the defendant's
         attorney.  If requested by either the State  or  the
         defense  or  if  the  court  determines  that  it is
         appropriate,  an  impartial   examination   of   the
         defendant by a psychiatrist or clinical psychologist
         as defined in Section 1-103 of the Mental Health and
         Developmental  Disabilities  Code  who is not in the
         employ of the Department of Human Services shall  be
         ordered,  and  the  report considered at the time of
         the hearing.  If  the  defendant  is  not  currently
         represented  by  counsel the court shall appoint the
         public defender to represent the  defendant  at  the
         hearing.   The  court  shall  make  a  finding as to
         whether the defendant is:
                   (A)  subject to involuntary admission; or
                   (B)  in need of mental health services  in
              the form of inpatient care; or
                   (C)  in need of mental health services but
              not   subject   to  involuntary  admission  nor
              inpatient care.
         The findings of the court shall  be  established  by
         clear  and  convincing  evidence  and  the burden of
         proof and the  burden  of  going  forward  with  the
         evidence shall rest with the State's Attorney.  Upon
         finding  by  the  court,  the  court shall enter its
         findings and an appropriate order.
              (ii)  The   terms   "subject   to   involuntary
         admission", "in need of mental  health  services  in
         the  form  of inpatient care" and "in need of mental
         health  services  but  not  subject  to  involuntary
         admission  nor  inpatient  care"  shall   have   the
         meanings  ascribed  to  them  in  clause  (d)(3)  of
         Section 5-2-4 of the Unified Code of Corrections.
         (3)  If  the  defendant is not committed pursuant to
    this Section, he or she shall be released.
         (4)  In  no  event  may  the  treatment  period   be
    extended  to  exceed  the  maximum  sentence  to  which a
    defendant would have been subject  had  he  or  she  been
    convicted in a criminal proceeding.  For purposes of this
    Section,  the  maximum  sentence  shall  be determined by
    Section 5-8-1  of  the  "Unified  Code  of  Corrections",
    excluding any sentence of natural life.
(Source: P.A. 89-439, eff. 6-1-96; 89-507, eff. 7-1-97.)

    Section  15.   The Unified Code of Corrections is amended
by changing Section 5-2-4 as follows:

    (730 ILCS 5/5-2-4) (from Ch. 38, par. 1005-2-4)
    Sec. 5-2-4.  Proceedings after  Acquittal  by  Reason  of
Insanity.
    (a)  After  a  finding or verdict of not guilty by reason
of insanity under Sections 104-25, 115-3 or 115-4 of The Code
of Criminal Procedure of 1963, the defendant shall be ordered
to the Department of Human Services for an evaluation  as  to
whether  he is subject to involuntary admission or in need of
mental health services.  The order shall specify whether  the
evaluation  shall  be conducted on an inpatient or outpatient
basis. If the evaluation is to be conducted on  an  inpatient
basis,  the  defendant  shall  be  placed in a secure setting
unless the Court determines that there are compelling reasons
why such placement is not necessary. After the evaluation and
during  the  period  of  time  required  to   determine   the
appropriate  placement,  the  defendant shall remain in jail.
Upon completion of the placement  process the  sheriff  shall
be   notified  and  shall  transport  the  defendant  to  the
designated facility.
    The Department shall provide the Court with a  report  of
its evaluation within 30 days of the date of this order.  The
Court  shall  hold  a  hearing  as  provided under the Mental
Health and Developmental Disabilities Code  to  determine  if
the  individual is: (a) subject to involuntary admission; (b)
in need of mental health services on an inpatient basis;  (c)
in need of mental health services on an outpatient basis; (d)
a  person  not  in need of mental health services.  The Court
shall enter its findings.
    If the defendant is found to be  subject  to  involuntary
admission  or  in  need  of  mental  health  services  on  an
inpatient  care basis, the Court shall order the defendant to
the Department of Human  Services.  The  defendant  shall  be
placed  in  a secure setting unless the Court determines that
there are  compelling  reasons  why  such  placement  is  not
necessary.  Such  defendants placed in a secure setting shall
not be permitted outside the facility's housing  unit  unless
escorted  or  accompanied  by  personnel of the Department of
Human Services or with the prior approval of  the  Court  for
unsupervised  on-grounds  privileges  as provided herein. Any
defendant  placed  in  a  secure  setting  pursuant  to  this
Section, transported to court  hearings  or  other  necessary
appointments   off  facility  grounds  by  personnel  of  the
Department of Human  Services,  may  be  placed  in  security
devices   or   otherwise   secured   during   the  period  of
transportation to assure secure transport  of  the  defendant
and  the safety of Department of Human Services personnel and
others.   These  security  measures  shall   not   constitute
restraint  as  defined in the Mental Health and Developmental
Disabilities Code.  If the defendant is found to be  in  need
of  mental  health  services,  but  not  on an inpatient care
basis, the Court shall conditionally release  the  defendant,
under  such  conditions  as set forth in this Section as will
reasonably assure the defendant's  satisfactory  progress  in
treatment  or  rehabilitation and the safety of the defendant
or others.  If the Court finds the  person  not  in  need  of
mental  health  services,  then  the  Court  shall  order the
defendant discharged from custody.
    (1)  Definitions:  For the purposes of this Section:
         (A)  "Subject to involuntary  admission"  means:   a
    defendant   has  been  found  not  guilty  by  reason  of
    insanity; and
              (i)  who is mentally ill and who because of his
         mental illness is  reasonably  expected  to  inflict
         serious physical harm upon himself or another in the
         near future; or
              (ii)  who  is  mentally  ill and who because of
         his illness is  unable  to  provide  for  his  basic
         physical  needs  so as to guard himself from serious
         harm.
         (B)  "In  need  of  mental  health  services  on  an
    inpatient basis" means: a defendant who  has  been  found
    not  guilty  by  reason of insanity who is not subject to
    involuntary admission but who is reasonably  expected  to
    inflict serious physical harm upon himself or another and
    who  would  benefit  from inpatient care or is in need of
    inpatient care.
         (C)  "In  need  of  mental  health  services  on  an
    outpatient basis" means: a defendant who has  been  found
    not  guilty  by  reason of insanity who is not subject to
    involuntary  admission  or  in  need  of  mental   health
    services  on  an  inpatient  basis,  but  is  in  need of
    outpatient  care,  drug  and/or  alcohol   rehabilitation
    programs,   community  adjustment  programs,  individual,
    group, or family therapy, or chemotherapy.
         (D)  "Conditional Release" means: the  release  from
    either the custody of the Department of Human Services or
    the  custody  of the Court of a person who has been found
    not guilty by reason of insanity under such conditions as
    the  Court  may  impose  which  reasonably   assure   the
    defendant's   satisfactory   progress   in  treatment  or
    habilitation and the safety of the defendant and  others.
    The  Court shall consider such terms and conditions which
    may include, but need not be limited to, outpatient care,
    alcoholic and  drug  rehabilitation  programs,  community
    adjustment   programs,  individual,  group,  family,  and
    chemotherapy, periodic checks with the legal  authorities
    and/or  the  Department of Human Services.  The person or
    facility rendering the outpatient care shall be  required
    to  periodically  report  to the Court on the progress of
    the defendant. Such conditional release shall  be  for  a
    period of five years, unless the defendant, the person or
    facility  rendering  the  treatment,  therapy, program or
    outpatient care, or the State's  Attorney  petitions  the
    Court  for an extension of the conditional release period
    for an additional three years. Upon  receipt  of  such  a
    petition,  the Court shall hold a hearing consistent with
    the provisions of this paragraph (a) and paragraph (f) of
    this  Section,  shall  determine  whether  the  defendant
    should continue to be subject to the terms of conditional
    release, and shall enter an order  either  extending  the
    defendant's  period  of  conditional release for a single
    additional  three  year   period   or   discharging   the
    defendant.  In  no  event shall the defendant's period of
    conditional release exceed eight years. These  provisions
    for  extension of conditional release shall only apply to
    defendants conditionally released on  or  after  July  1,
    1979.  However  the  extension  provisions  of Public Act
    83-1449 apply only to defendants charged with a  forcible
    felony.
         (E)  "Facility  director" means the chief officer of
    a mental health or developmental disabilities facility or
    his or her designee or the supervisor  of  a  program  of
    treatment   or  habilitation  or  his  or  her  designee.
    "Designee"   may   include    a    physician,    clinical
    psychologist, social worker, or nurse.
    (b)  If   the   Court  finds  the  defendant  subject  to
involuntary admission or in need of mental health services on
an inpatient basis, the admission, detention, care, treatment
or  habilitation,  treatment   plans,   review   proceedings,
including  review  of  treatment  and  treatment  plans,  and
discharge  of  the  defendant after such order shall be under
the Mental Health and Developmental Disabilities Code, except
that the initial order for admission of a defendant acquitted
of a felony by reason of insanity shall be for an  indefinite
period  of  time.  Such period of commitment shall not exceed
the maximum length of time that the defendant would have been
required to serve, less  credit  for  good  behavior,  before
becoming  eligible  for  release had he been convicted of and
received the maximum sentence for the most serious crime  for
which  he has been acquitted by reason of insanity. The Court
shall determine  the  maximum  period  of  commitment  by  an
appropriate order. During  this period of time, the defendant
shall  not be permitted to be in the community in any manner,
including but not limited to off-grounds privileges, with  or
without  escort  by  personnel  of  the  Department  of Human
Services, unsupervised on-grounds  privileges,  discharge  or
conditional  or  temporary  release,  except  by  a  plan  as
provided  in  this  Section.  In no event shall a defendant's
continued unauthorized absence be a basis for discharge.  Not
more  than  30  days  after  admission  and  every  60   days
thereafter  so  long  as the initial order remains in effect,
the facility director shall file a treatment plan report with
the court and forward a copy of the treatment plan report  to
the  clerk  of  the  court,  the  State's  Attorney,  and the
defendant's attorney, if  the  defendant  is  represented  by
counsel, or to a person authorized by the defendant under the
Mental  Health and Developmental Disabilities Confidentiality
Act to be sent a copy of the report.  The  report  Such  plan
shall  include  an  opinion  as  to  whether the defendant is
currently subject to involuntary admission, in need of mental
health services on an inpatient basis, or in need  of  mental
health  services  on  an  outpatient basis.  The report shall
also summarize the basis for those  findings  and  provide  a
current  summary  of  the  following items from the treatment
plan: (1) an assessment of the defendant's  treatment  needs,
(2)  a description of the services recommended for treatment,
(3) the goals of each type of  element  of  service,  (4)  an
anticipated  timetable  for  the accomplishment of the goals,
and  (5)  a  designation  of   the   qualified   professional
responsible  for the implementation of the plan an evaluation
of the defendant's progress and the extent  to  which  he  is
benefiting  from  treatment.  The  report  Such plan may also
include  unsupervised  on-grounds   privileges,   off-grounds
privileges  (with  or  without  escort  by  personnel  of the
Department of Human Services), home visits and  participation
in  work  programs,  but only where such privileges have been
approved by specific court order,  which  order  may  include
such  conditions  on  the  defendant  as  the  Court may deem
appropriate  and   necessary   to   reasonably   assure   the
defendant's satisfactory progress in treatment and the safety
of the defendant and others.
    (c)  Every  defendant  acquitted of a felony by reason of
insanity and subsequently found to be subject to  involuntary
admission  or  in  need  of  mental  health services shall be
represented by counsel in all proceedings under this  Section
and  under  the  Mental Health and Developmental Disabilities
Code.
         (1)  The Court shall appoint as counsel  the  public
    defender or an attorney licensed by this State.
         (2)  Upon  filing  with  the  Court  of  a  verified
    statement  of  legal  services  rendered  by  the private
    attorney appointed pursuant  to  paragraph  (1)  of  this
    subsection,  the  Court  shall determine a reasonable fee
    for such services.  If the defendant is unable to pay the
    fee, the Court shall enter an order upon the State to pay
    the entire fee or such amount as the defendant is  unable
    to  pay  from  funds appropriated by the General Assembly
    for that purpose.
    (d)  When the facility director determines that:
         (1)  the  defendant  is   no   longer   subject   to
    involuntary   admission  or  in  need  of  mental  health
    services on an inpatient basis; and
         (2)  the defendant  may  be  conditionally  released
    because  he  or  she  is  still  in need of mental health
    services or that the defendant may be discharged  as  not
    in need of any mental health services; or
         (3)  the defendant no longer requires placement in a
    secure setting;
the facility director shall give written notice to the Court,
State's  Attorney and defense attorney. Such notice shall set
forth in detail the  basis  for  the  recommendation  of  the
facility  director,  and specify clearly the recommendations,
if any, of  the  facility  director,  concerning  conditional
release.   Within 30 days of the notification by the facility
director, the Court shall set a hearing and make a finding as
to whether the defendant is:
         (i)  subject to involuntary admission; or
         (ii)  in need of mental health services in the  form
    of inpatient care; or
         (iii)  in  need  of  mental  health services but not
    subject to involuntary admission or inpatient care; or
         (iv)  no longer in need of mental  health  services;
    or
         (v)  no   longer  requires  placement  in  a  secure
    setting.
    Upon finding by the Court,  the  Court  shall  enter  its
findings and such appropriate order as provided in subsection
(a) of this Section.
    (e)  A  defendant  admitted  pursuant to this Section, or
any person on his behalf, may  file a petition for  treatment
plan  review,  transfer  to  a  non-secure setting within the
Department of Human  Services  or  discharge  or  conditional
release  under  the  standards  of  this Section in the Court
which rendered the verdict.  Upon receipt of a  petition  for
treatment  plan  review,  transfer to a non-secure setting or
discharge or conditional  release,  the  Court  shall  set  a
hearing  to  be  held  within  120  days.  Thereafter, no new
petition may be filed for  120  days  without  leave  of  the
Court.
    (f)  The  Court  shall direct that notice of the time and
place of the  hearing  be  served  upon  the  defendant,  the
facility  director, the State's Attorney, and the defendant's
attorney. If requested by either the State or the defense  or
if   the   Court   feels  it  is  appropriate,  an  impartial
examination of the defendant by a  psychiatrist  or  clinical
psychologist as defined in Section 1-103 of the Mental Health
and  Developmental Disabilities Code who is not in the employ
of the Department of Human Services shall be ordered, and the
report considered at the time of the hearing.
    (g)  The findings of the Court shall  be  established  by
clear  and  convincing evidence.  The burden of proof and the
burden of going forth with the evidence rest with  the  State
when  a  hearing  is  held to review the determination of the
facility director that the defendant should be transferred to
a non-secure setting, discharged or  conditionally  released.
The  burden  of  proof and the burden of going forth with the
evidence rest on the defendant when  a  hearing  is  held  to
review  a  petition  filed by or on behalf of such defendant.
The evidence shall be presented in open Court with the  right
of confrontation and cross-examination.
    (h)  If  the  Court finds that the defendant is no longer
in need of mental health services it shall order the facility
director to discharge the defendant.  If the Court finds that
the defendant is in need of mental health  services,  and  no
longer in need of inpatient care, it shall order the facility
director  to  release  the defendant under such conditions as
the Court deems appropriate and as provided by this  Section.
Such  conditional  release  shall  be imposed for a period of
five years and shall be subject  to later modification by the
Court as provided by this Section. If the  Court  finds  that
the  defendant is subject to involuntary admission or in need
of mental health services on an  inpatient  basis,  it  shall
order  the  facility director not to discharge or release the
defendant in accordance with paragraph (b) of this Section.
    (i)  If within the period of the defendant's  conditional
release,  the  Court determines, after hearing evidence, that
the defendant has not fulfilled the  conditions  of  release,
the  Court  shall  order a hearing to be held consistent with
the provisions of paragraph (f) and (g) of this  Section.  At
such  hearing,  if  the  Court  finds  that  the defendant is
subject to involuntary admission or in need of mental  health
services  on  an  inpatient  basis,  it  shall enter an order
remanding him or her to the Department of Human  Services  or
other   facility.   If  the  defendant  is  remanded  to  the
Department of Human Services, he or she shall be placed in  a
secure  setting  unless  the  Court determines that there are
compelling reasons that such placement is not  necessary.  If
the  Court  finds that the defendant  continues to be in need
of mental health services but not on an inpatient  basis,  it
may modify the conditions of the original release in order to
reasonably  assure  the  defendant's satisfactory progress in
treatment and his or her safety and the safety of others.  In
no  event shall such conditional release be longer than eight
years. Nothing in this Section shall limit a Court's contempt
powers or any other powers of a Court.
    (j)  An order of admission under this  Section  does  not
affect the remedy of habeas corpus.
    (k)  In  the event of a conflict between this Section and
the Mental Health and Developmental Disabilities Code or  the
Mental  Health and Developmental Disabilities Confidentiality
Act, the provisions of this Section shall govern.
    (l)  This amendatory Act shall apply to all  persons  who
have  been found not guilty by reason of insanity and who are
presently committed to the Department of  Mental  Health  and
Developmental  Disabilities  (now  the  Department  of  Human
Services).
    (m)  The  Clerk of the Court shall, after the entry of an
order of transfer to a non-secure setting of  the  Department
of  Human  Services  or  discharge  or  conditional  release,
transmit  a  certified copy of the order to the Department of
Human Services, and the sheriff of the county from which  the
defendant  was  admitted.   In  cases where the arrest of the
defendant or the commission of the offense took place in  any
municipality  with  a population of more than 25,000 persons,
the Clerk of the Court shall also transmit a  certified  copy
of  the  order  of  discharge  or  conditional release to the
proper law enforcement agency for said municipality  provided
the municipality has requested such notice in writing.
(Source:  P.A.  89-404,  eff.  8-20-95;  89-507, eff. 7-1-97;
90-105, eff. 7-11-97; 90-593, eff. 6-19-98.)

    Section  20.   The  Mental   Health   and   Developmental
Disabilities  Confidentiality  Act  is  amended  by  changing
Section 9.2 as follows:

    (740 ILCS 110/9.2)
    Sec.    9.2.    Interagency   disclosure   of   recipient
information.  For the purposes of  continuity  of  care,  the
Department  of Human Services (as successor to the Department
of  Mental  Health  and  Developmental   Disabilities),   and
community agencies funded by the Department of Human Services
in  that  capacity,  and jails operated by any county of this
State may disclose a recipient's  record  or  communications,
without  consent,  to each other, but only for the purpose of
admission, treatment, planning, or discharge.  Entities shall
not  redisclose  any  personally  identifiable   information,
unless  necessary  for  admission,  treatment,  planning,  or
discharge  of the identified recipient to another setting. No
records or communications may be disclosed to a  county  jail
pursuant  to  this  Section unless the Department has entered
into a written agreement with the county jail requiring  that
the   county  jail  adopt  written  policies  and  procedures
designed to ensure that the records  and  communications  are
disclosed only to those persons employed by or under contract
to  the  county  jail  who  are  involved in the provision of
mental health services to inmates and that  the  records  and
communications are protected from further disclosure.
(Source: P.A. 88-484; 89-507, eff. 7-1-97.)


    Section  99.   Effective  date.   This  Act  takes effect
January 1, 2000.

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