093_SB1342sam002 LRB093 04985 RLC 13455 a 1 AMENDMENT TO SENATE BILL 1342 2 AMENDMENT NO. . Amend Senate Bill 1342, AS AMENDED, 3 by replacing everything after the enacting clause with the 4 following: 5 "Section 5. The Unified Code of Corrections is amended 6 by changing Section 5-2-4 as follows: 7 (730 ILCS 5/5-2-4) (from Ch. 38, par. 1005-2-4) 8 Sec. 5-2-4. Proceedings after Acquittal by Reason of 9 Insanity. 10 (a) After a finding or verdict of not guilty by reason 11 of insanity under Sections 104-25, 115-3 or 115-4 of The Code 12 of Criminal Procedure of 1963, the defendant shall be ordered 13 to the Department of Human Services for an evaluation as to 14 whether he is subject to involuntary admission or in need of 15 mental health services. The order shall specify whether the 16 evaluation shall be conducted on an inpatient or outpatient 17 basis. If the evaluation is to be conducted on an inpatient 18 basis, the defendant shall be placed in a secure setting 19 unless the Court determines that there are compelling reasons 20 why such placement is not necessary. If the defendant's 21 conduct that was charged involved a first degree murder, an 22 attempt to commit first degree murder, or a second degree -2- LRB093 04985 RLC 13455 a 1 murder, then the court shall order inpatient treatment. After 2 the evaluation and during the period of time required to 3 determine the appropriate placement, the defendant shall 4 remain in jail. Upon completion of the placement process the 5 sheriff shall be notified and shall transport the defendant 6 to the designated facility. 7 The Department shall provide the Court with a report of 8 its evaluation within 30 days of the date of this order. The 9 Court shall hold a hearing as provided under the Mental 10 Health and Developmental Disabilities Code to determine if 11 the individual is: (a) subject to involuntary admission; (b) 12 in need of mental health services on an inpatient basis; (c) 13 in need of mental health services on an outpatient basis; (d) 14 a person not in need of mental health services. The Court 15 shall enter its findings. 16 If the defendant is found to be subject to involuntary 17 admission or in need of mental health services on an 18 inpatient care basis, the Court shall order the defendant to 19 the Department of Human Services. The defendant shall be 20 placed in a secure setting unless the Court determines that 21 there are compelling reasons why such placement is not 22 necessary. Such defendants placed in a secure setting shall 23 not be permitted outside the facility's housing unit unless 24 escorted or accompanied by personnel of the Department of 25 Human Services or with the prior approval of the Court for 26 unsupervised on-grounds privileges as provided herein. Any 27 defendant placed in a secure setting pursuant to this 28 Section, transported to court hearings or other necessary 29 appointments off facility grounds by personnel of the 30 Department of Human Services, shallmaybe placed in security 31 devices or otherwise secured during the period of 32 transportation to assure secure transport of the defendant 33 and the safety of Department of Human Services personnel and 34 others. These security measures shall not constitute -3- LRB093 04985 RLC 13455 a 1 restraint as defined in the Mental Health and Developmental 2 Disabilities Code. If the defendant is found to be in need of 3 mental health services, but not on an inpatient care basis, 4 the Court shall conditionally release the defendant, under 5 such conditions as set forth in this Section as will 6 reasonably assure the defendant's satisfactory progress and 7 participation in treatment or rehabilitation and the safety 8 of the defendant andorothers. If the Court finds the 9 person not in need of mental health services, then the Court 10 shall order the defendant discharged from custody. 11 (1) Definitions: For the purposes of this Section: 12 (A) "Subject to involuntary admission" means: a 13 defendant has been found not guilty by reason of 14 insanity; and 15 (i) who is mentally ill and who because of his 16 mental illness is reasonably expected to inflict 17 serious physical harm upon himself or another in the 18nearfuture; or 19 (ii) who is mentally ill and who because of 20 his illness is unable to provide for his basic 21 physical needs so as to guard himself from serious 22 harm. 23 (B) "In need of mental health services on an 24 inpatient basis" means: a defendant who has been found 25 not guilty by reason of insanity who is not subject to 26 involuntary admission but who is reasonably expected to 27 inflict serious physical harm upon himself or another and 28 who would benefit from inpatient care or is in need of 29 inpatient care. It also includes a person whose conduct 30 for which a disposition under this Section was ordered 31 involved a first degree murder, an attempt to commit 32 first degree murder, or a second degree murder. 33 (C) "In need of mental health services on an 34 outpatient basis" means: a defendant who has been found -4- LRB093 04985 RLC 13455 a 1 not guilty by reason of insanity who is not subject to 2 involuntary admission or in need of mental health 3 services on an inpatient basis, but is in need of 4 outpatient care, drug and/or alcohol rehabilitation 5 programs, community adjustment programs, individual, 6 group, or family therapy, or chemotherapy. 7 (D) "Conditional Release" means: the release from 8 either the custody of the Department of Human Services or 9 the custody of the Court of a person who has been found 10 not guilty by reason of insanity under such conditions as 11 the Court may impose which reasonably assure the 12 defendant's satisfactory progress in treatment or 13 habilitation and the safety of the defendant and others. 14 The Court shall consider such terms and conditions which 15 may include, but need not be limited to, outpatient care, 16 alcoholic and drug rehabilitation programs, community 17 adjustment programs, individual, group, family, and 18 chemotherapy, random testing to insure the defendant's 19 timely and continuous taking of any medicines prescribed 20 to control or manage his or her conduct or mental state, 21 periodic checks with the legal authorities and/or the 22 Department of Human Services. The report of the 23 evaluation as to whether the defendant is subject to 24 involuntary admission or in need of mental health 25 services, including any conditions or recommendations, 26 shall be in writing and submitted to the court and the 27 State at least 30 days prior to any hearing to insure 28 proper input from the State's Attorney of record in the 29 case and consideration by the court. The person or 30 facility rendering the outpatient care shall be required 31 to submit written reports every 90 daysperiodically32reportto the Court on the progress of the defendant with 33 a copy provided to the State's Attorney of record in the 34 case. Such conditional release shall be for a period of -5- LRB093 04985 RLC 13455 a 1 10fiveyears, unless the defendant, the person or 2 facility rendering the treatment, therapy, program or 3 outpatient care, or the State's Attorney petitions the 4 Court for an extension of the conditional release period 5 for an additional 5threeyears. Upon receipt of such a 6 petition, the Court shall hold a hearing consistent with 7 the provisions of this paragraph (a) and paragraph (f) of 8 this Section, shall determine whether the defendant 9 should continue to be subject to the terms of conditional 10 release, and shall enter an order either extending the 11 defendant's period of conditional release for a single 12 additional 5threeyear period or discharging the 13 defendant. In no event shall the defendant's period of 14 conditional release exceed 15eightyears. These 15 provisions for extension of conditional release shall 16 only apply to defendants conditionally released on or 17 after July 1, 1979.However the extension provisions of18Public Act 83-1449 apply only to defendants charged with19a forcible felony.20 (E) "Facility director" means the chief officer of 21 a mental health or developmental disabilities facility or 22 his or her designee or the supervisor of a program of 23 treatment or habilitation or his or her designee. 24 "Designee" may include a physician, clinical 25 psychologist, social worker, or nurse. 26 (b) If the Court finds the defendant subject to 27 involuntary admission or in need of mental health services on 28 an inpatient basis, the admission, detention, care, treatment 29 or habilitation, treatment plans, review proceedings, 30 including review of treatment and treatment plans, and 31 discharge of the defendant after such order shall be under 32 the Mental Health and Developmental Disabilities Code, except 33 that the initial order for admission of a defendant acquitted 34 of a felony by reason of insanity shall be for an indefinite -6- LRB093 04985 RLC 13455 a 1 period of time. Such period of commitment shall not exceed 2 the maximum length of time that the defendant would have been 3 required to serve, less credit for good behavior except in 4 the case of an original charge of first degree murder, an 5 attempt to commit first degree murder, or a second degree 6 murder, before becoming eligible for release had he been 7 convicted of and received the maximum sentence for the most 8 serious crime for which he has been acquitted by reason of 9 insanity. The Court shall determine the maximum period of 10 commitment by an appropriate order. During this period of 11 time, the defendant shall not be permitted to be in the 12 community in any manner, including but not limited to 13 off-grounds privileges, with or without escort by personnel 14 of the Department of Human Services, unsupervised on-grounds 15 privileges, discharge or conditional or temporary release, 16 except by a plan as provided in this Section. In no event 17 shall a defendant's continued unauthorized absence be a basis 18 for discharge. Not more than 30 days after admission and 19 every 12060days thereafter so long as the initial order 20 remains in effect, the facility director shall file a 21 treatment plan report in writing with the court and forward a 22 copy of the treatment plan report to the clerk of the court, 23 the State's Attorney, and the defendant's attorney, if the 24 defendant is represented by counsel, in the case of an 25 original charge of first degree murder, an attempt to commit 26 first degree murder, or a second degree murder to the 27 defendant's victim or to a person authorized by the defendant 28 under the Mental Health and Developmental Disabilities 29 Confidentiality Act to be sent a copy of the report. The 30 report shall include a statementan opinionas to whether the 31 defendant is currently subject to involuntary admission, in 32 need of mental health services on an inpatient basis, or in 33 need of mental health services on an outpatient basis. The 34 report shall also summarize the basis for those findings and -7- LRB093 04985 RLC 13455 a 1 provide a current summary of the following items from the 2 treatment plan: (1) an assessment of the defendant's 3 treatment needs, (2) a description of the services 4 recommended for treatment, (3) the goals of each type of 5 element of service, (4) an anticipated timetable for the 6 accomplishment of the goals, and (5) a designation of the 7 qualified professional responsible for the implementation of 8 the plan. The report may also include unsupervised on-grounds 9 privileges, off-grounds privileges (with or without escort by 10 personnel of the Department of Human Services), home visits 11 and participation in work programs, but only where such 12 privileges have been approved by specific court order, which 13 order may include such conditions on the defendant as the 14 Court may deem appropriate and necessary to reasonably assure 15 the defendant's satisfactory progress in treatment and the 16 safety of the defendant and others. 17 (c) Every defendant acquitted of a felony by reason of 18 insanity and subsequently found to be subject to involuntary 19 admission or in need of mental health services shall be 20 represented by counsel in all proceedings under this Section 21 and under the Mental Health and Developmental Disabilities 22 Code. 23 (1) The Court shall appoint as counsel the public 24 defender or an attorney licensed by this State. 25 (2) Upon filing with the Court of a verified 26 statement of legal services rendered by the private 27 attorney appointed pursuant to paragraph (1) of this 28 subsection, the Court shall determine a reasonable fee 29 for such services. If the defendant is unable to pay the 30 fee, the Court shall enter an order upon the State to pay 31 the entire fee or such amount as the defendant is unable 32 to pay from funds appropriated by the General Assembly 33 for that purpose. 34 (d) When the facility director determines that: -8- LRB093 04985 RLC 13455 a 1 (1) the defendant is no longer subject to 2 involuntary admission or in need of mental health 3 services on an inpatient basis; and 4 (2) the defendant may be conditionally released 5 because he or she is still in need of mental health 6 services or that the defendant may be discharged as not 7 in need of any mental health services; or 8 (3) the defendant no longer requires placement in a 9 secure setting; 10 the facility director shall give written notice to the Court, 11 State's Attorney and defense attorney. Such notice shall set 12 forth in detail the basis for the recommendation of the 13 facility director, and specify clearly the recommendations, 14 if any, of the facility director, concerning conditional 15 release. Within 30 days of the notification by the facility 16 director, the Court shall set a hearing and make a finding as 17 to whether the defendant is: 18 (i) subject to involuntary admission; or 19 (ii) in need of mental health services in the form 20 of inpatient care; or 21 (iii) in need of mental health services but not 22 subject to involuntary admission or inpatient care; or 23 (iv) no longer in need of mental health services; 24 or 25 (v) no longer requires placement in a secure 26 setting. 27 Upon finding by the Court, the Court shall enter its 28 findings and such appropriate order as provided in subsection 29 (a) of this Section. 30 (e) A defendant admitted pursuant to this Section, or 31 any person on his behalf, may file a petition for treatment 32 plan review, transfer to a non-secure setting within the 33 Department of Human Services or discharge or conditional 34 release under the standards of this Section in the Court -9- LRB093 04985 RLC 13455 a 1 which rendered the verdict. Upon receipt of a petition for 2 treatment plan review, transfer to a non-secure setting or 3 discharge or conditional release, the Court shall set a 4 hearing to be held within 365120days. Thereafter, no new 5 petition may be filed for 365120days without leave of the 6 Court. 7 (f) The Court shall direct that notice of the time and 8 place of the hearing be served upon the defendant, the 9 facility director, the State's Attorney, and the defendant's 10 attorney. If requested by either the State or the defense or 11 if the Court feels it is appropriate, an impartial 12 examination of the defendant by a psychiatrist or clinical 13 psychologist as defined in Section 1-103 of the Mental Health 14 and Developmental Disabilities Code who is not in the employ 15 of the Department of Human Services shall be ordered, and the 16 report considered at the time of the hearing. 17 (g) The findings of the Court shall be established by 18 clear and convincing evidence. The burden of proof and the 19 burden of going forth with the evidence rest with the 20 defendant or any person on the defendant's behalf when a 21 hearing is held to review a petition filed by or on behalf of 22 the defendant. The evidence shall be presented in open Court 23 with the right of confrontation and cross-examination. If the 24 defendant has been charged with a first degree murder, an 25 attempt to commit first degree murder, or a second degree 26 murder, such evidence shall include, but is not limited to: 27 (1) whether the defendant appreciates the 28 criminality of his or her prior conduct that resulted in 29 the finding of not guilty by reason of insanity; 30 (2) the current state of the defendant's illness; 31 (3) what, if any, medications the defendant is 32 taking to control his or her mental illness; 33 (4) what, if any, adverse physical side effects the 34 medication has on the defendant; -10- LRB093 04985 RLC 13455 a 1 (5) the length of time it would take for the 2 defendant's mental health to deteriorate if the defendant 3 stopped taking prescribed medication; 4 (6) the defendant's history or potential for 5 alcohol and drug abuse; 6 (7) the defendant's past criminal history; 7 (8) any specialized physical or medical needs of 8 the defendant; 9 (9) any family participation or involvement 10 expected upon release; 11 (10) the defendant's potential to be a danger to 12 himself, herself, or others; and 13 (11) any other factor or factors the court deems 14 appropriate. 15 (h) If the Court finds, consistent with the provisions 16 of this Section, that the defendant is no longer in need of 17 mental health services it shall order the facility director 18 to discharge the defendant. If the Court finds, consistent 19 with the provisions of this Section, that the defendant is in 20 need of mental health services, and no longer in need of 21 inpatient care, it shall order the facility director to 22 release the defendant under such conditions as the Court 23 deems appropriate and as provided by this Section. Such 24 conditional release shall be imposed for a period of 15five25 years and shall be subject to later modification by the 26 Court as provided by this Section. If the Court finds 27 consistent with the provisions in this Section that the 28 defendant is subject to involuntary admission or in need of 29 mental health services on an inpatient basis, it shall order 30 the facility director not to discharge or release the 31 defendant in accordance with paragraph (b) of this Section. 32 (i) If within the period of the defendant's conditional 33 release, the Court determines, after hearing evidence, that 34 the defendant has not fulfilled the conditions of release, -11- LRB093 04985 RLC 13455 a 1 the Court shall order a hearing to be held consistent with 2 the provisions of paragraph (f) and (g) of this Section. At 3 such hearing, if the Court finds that the defendant has 4 violated his or her conditional discharge, is otherwise 5 subject to involuntary admission or in need of mental health 6 services on an inpatient basis, it shall enter an order 7 remanding him or her to the Department of Human Services or 8 other facility. If the defendant is remanded to the 9 Department of Human Services, he or she shall be placed in a 10 secure setting unless the Court determines that there are 11 compelling reasons that such placement is not necessary. 12 Notwithstanding any other provision of this Section, a court 13 may, in its discretion, deny a defendant whose conditional 14 discharge is revoked due to violation of its conditions any 15 credit for any prior time served as involuntary admission or 16 on conditional discharge for purpose of satisfying the 17 maximum time for involuntary admission under this Act. If the 18 Court finds that the defendant continues to be in need of 19 mental health services but not on an inpatient basis, it may 20 modify the conditions of the original release in order to 21 reasonably assure the defendant's satisfactory progress in 22 treatment and his or her safety and the safety of others. In 23 no event shall such conditional release be longer than 15 24eightyears. Nothing in this Section shall limit a Court's 25 contempt powers or any other powers of a Court. 26 (j) An order of admission under this Section does not 27 affect the remedy of habeas corpus. 28 (k) In the event of a conflict between this Section and 29 the Mental Health and Developmental Disabilities Code or the 30 Mental Health and Developmental Disabilities Confidentiality 31 Act, the provisions of this Section shall govern. 32 (l) This amendatory Act shall apply to all persons who 33 have been found not guilty by reason of insanity and who are 34 presently committed to the Department of Mental Health and -12- LRB093 04985 RLC 13455 a 1 Developmental Disabilities (now the Department of Human 2 Services). 3 (m) The Clerk of the Court shall, after the entry of an 4 order of transfer to a non-secure setting of the Department 5 of Human Services or discharge or conditional release, 6 transmit a certified copy of the order to the Department of 7 Human Services, and the sheriff of the county from which the 8 defendant was admitted. In cases where the arrest of the 9 defendant or the commission of the offense took place in any 10 municipality with a population of more than 25,000 persons, 11 the Clerk of the Court shall also transmit a certified copy 12 of the order of discharge or conditional release to the 13 proper law enforcement agency for said municipality provided 14 the municipality has requested such notice in writing. 15 (Source: P.A. 90-105, eff. 7-11-97; 90-593, eff. 6-19-98; 16 91-536, eff. 1-1-00; 91-770, eff. 1-1-01.)".