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91_HB3236ham001 LRB9111408RCpkam01 1 AMENDMENT TO HOUSE BILL 3236 2 AMENDMENT NO. . Amend House Bill 3236 by replacing 3 everything after the enacting clause with the following: 4 "Section 5. The Unified Code of Corrections is amended 5 by changing Section 5-2-4 as follows: 6 (730 ILCS 5/5-2-4) (from Ch. 38, par. 1005-2-4) 7 Sec. 5-2-4. Proceedings after Acquittal by Reason of 8 Insanity. 9 (a) After a finding or verdict of not guilty by reason 10 of insanity under Sections 104-25, 115-3 or 115-4 of The Code 11 of Criminal Procedure of 1963, the defendant shall be ordered 12 to the Department of Human Services for an evaluation as to 13 whether he is subject to involuntary admission or in need of 14 mental health services. The order shall specify whether the 15 evaluation shall be conducted on an inpatient or outpatient 16 basis. If the evaluation is to be conducted on an inpatient 17 basis, the defendant shall be placed in a secure setting 18 unless the Court determines that there are compelling reasons 19 why such placement is not necessary. After the evaluation and 20 during the period of time required to determine the 21 appropriate placement, the defendant shall remain in jail. 22 Upon completion of the placement process the sheriff shall -2- LRB9111408RCpkam01 1 be notified and shall transport the defendant to the 2 designated facility. 3 The Department shall provide the Court with a report of 4 its evaluation within 30 days of the date of this order. The 5 Court shall hold a hearing as provided under the Mental 6 Health and Developmental Disabilities Code to determine if 7 the individual is: (a) subject to involuntary admission; (b) 8 in need of mental health services on an inpatient basis; (c) 9 in need of mental health services on an outpatient basis; (d) 10 a person not in need of mental health services. The Court 11 shall enter its findings. 12 If the defendant is found to be subject to involuntary 13 admission or in need of mental health services on an 14 inpatient care basis, the Court shall order the defendant to 15 the Department of Human Services. The defendant shall be 16 placed in a secure setting unless the Court determines that 17 there are compelling reasons why such placement is not 18 necessary. Such defendants placed in a secure setting shall 19 not be permitted outside the facility's housing unit unless 20 escorted or accompanied by personnel of the Department of 21 Human Services or with the prior approval of the Court for 22 unsupervised on-grounds privileges as provided herein. Any 23 defendant placed in a secure setting pursuant to this 24 Section, transported to court hearings or other necessary 25 appointments off facility grounds by personnel of the 26 Department of Human Services, may be placed in security 27 devices or otherwise secured during the period of 28 transportation to assure secure transport of the defendant 29 and the safety of Department of Human Services personnel and 30 others. These security measures shall not constitute 31 restraint as defined in the Mental Health and Developmental 32 Disabilities Code. If the defendant is found to be in need 33 of mental health services, but not on an inpatient care 34 basis, the Court shall conditionally release the defendant, -3- LRB9111408RCpkam01 1 under such conditions as set forth in this Section as will 2 reasonably assure the defendant's satisfactory progress in 3 treatment or rehabilitation and the safety of the defendant 4 or others. If the Court finds the person not in need of 5 mental health services, then the Court shall order the 6 defendant discharged from custody. 7 (1) Definitions: For the purposes of this Section: 8 (A) "Subject to involuntary admission" means: a 9 defendant has been found not guilty by reason of 10 insanity; and 11 (i) who is mentally ill and who because of his 12 mental illness is reasonably expected to inflict 13 serious physical harm upon himself or another in the 14 near future; or 15 (ii) who is mentally ill and who because of 16 his illness is unable to provide for his basic 17 physical needs so as to guard himself from serious 18 harm. 19 (B) "In need of mental health services on an 20 inpatient basis" means: a defendant who has been found 21 not guilty by reason of insanity who is not subject to 22 involuntary admission but who is reasonably expected to 23 inflict serious physical harm upon himself or another and 24 who would benefit from inpatient care or is in need of 25 inpatient care. 26 (C) "In need of mental health services on an 27 outpatient basis" means: a defendant who has been found 28 not guilty by reason of insanity who is not subject to 29 involuntary admission or in need of mental health 30 services on an inpatient basis, but is in need of 31 outpatient care, drug and/or alcohol rehabilitation 32 programs, community adjustment programs, individual, 33 group, or family therapy, or chemotherapy. 34 (D) "Conditional Release" means: the release from -4- LRB9111408RCpkam01 1 either the custody of the Department of Human Services or 2 the custody of the Court of a person who has been found 3 not guilty by reason of insanity under such conditions as 4 the Court may impose which reasonably assure the 5 defendant's satisfactory progress in treatment or 6 habilitation and the safety of the defendant and others. 7 The Court shall consider such terms and conditions which 8 may include, but need not be limited to, outpatient care, 9 alcoholic and drug rehabilitation programs, community 10 adjustment programs, individual, group, family, and 11 chemotherapy, periodic checks with the legal authorities 12 and/or the Department of Human Services. The Court may 13 order the Department of Human Services to provide care to 14 any person conditionally released under this Section. 15 The Department may contract with any public or private 16 agency in order to discharge any responsibilities imposed 17 under this Section. The Department shall monitor the 18 provision of services to persons conditionally released 19 under this Section and provide periodic reports to the 20 Court concerning the services and the condition of the 21 defendant. Whenever a person is conditionally released 22 pursuant to this Section, the State's Attorney for the 23 county in which the hearing is held shall designate in 24 writing the name, telephone number, and address of a 25 person employed by him or her who shall be notified in 26 the event that either the reporting agency or the 27 Department decide that the conditional release of the 28 defendant should be revoked or modified pursuant to 29 subsection (i) of this Section.The person or facility30rendering the outpatient care shall be required to31periodically report to the Court on the progress of the32defendant.Such conditional release shall be for a period 33 of five years. However,unlessthe defendant, the person 34 or facility rendering the treatment, therapy, program or -5- LRB9111408RCpkam01 1 outpatient care, the Department or the State's Attorney 2 may petitionpetitionsthe Court for an extension of the 3 conditional release period for an additional 5three4 years. Upon receipt of such a petition, the Court shall 5 hold a hearing consistent with the provisions of this 6 paragraph (a) and paragraph (f) of this Section, shall 7 determine whether the defendant should continue to be 8 subject to the terms of conditional release, and shall 9 enter an order either extending the defendant's period of 10 conditional release for ana singleadditional 5three11 year period or discharging the defendant. Additional 5 12 years periods of conditional release may be ordered 13 following a hearing as provided in this Section. 14 However, in no event shall the defendant's period of 15 conditional release continue beyond the maximum period of 16 commitment ordered by the court pursuant to paragraph (b) 17 of this Sectionexceed eight years. These provisions for 18 extension of conditional release shall only apply to 19 defendants conditionally released on or after the 20 effective date of this amendatory Act of the 91st General 21 AssemblyJuly 1, 1979. However the extension provisions 22 of Public Act 83-1449 apply only to defendants charged 23 with a forcible felony. 24 (E) "Facility director" means the chief officer of 25 a mental health or developmental disabilities facility or 26 his or her designee or the supervisor of a program of 27 treatment or habilitation or his or her designee. 28 "Designee" may include a physician, clinical 29 psychologist, social worker, or nurse. 30 (b) If the Court finds the defendant subject to 31 involuntary admission or in need of mental health services on 32 an inpatient basis, the admission, detention, care, treatment 33 or habilitation, treatment plans, review proceedings, 34 including review of treatment and treatment plans, and -6- LRB9111408RCpkam01 1 discharge of the defendant after such order shall be under 2 the Mental Health and Developmental Disabilities Code, except 3 that the initial order for admission of a defendant acquitted 4 of a felony by reason of insanity shall be for an indefinite 5 period of time. Such period of commitment shall not exceed 6 the maximum length of time that the defendant would have been 7 required to serve, less credit for good behavior, before 8 becoming eligible for release had he been convicted of and 9 received the maximum sentence for the most serious crime for 10 which he has been acquitted by reason of insanity. The Court 11 shall determine the maximum period of commitment by an 12 appropriate order. During this period of time, the defendant 13 shall not be permitted to be in the community in any manner, 14 including but not limited to off-grounds privileges, with or 15 without escort by personnel of the Department of Human 16 Services, unsupervised on-grounds privileges, discharge or 17 conditional or temporary release, except by a plan as 18 provided in this Section. In no event shall a defendant's 19 continued unauthorized absence be a basis for discharge. Not 20 more than 30 days after admission and every 60 days 21 thereafter so long as the initial order remains in effect, 22 the facility director shall file a treatment plan report with 23 the court and forward a copy of the treatment plan report to 24 the clerk of the court, the State's Attorney, and the 25 defendant's attorney, if the defendant is represented by 26 counsel, or to a person authorized by the defendant under the 27 Mental Health and Developmental Disabilities Confidentiality 28 Act to be sent a copy of the report. The report shall 29 include an opinion as to whether the defendant is currently 30 subject to involuntary admission, in need of mental health 31 services on an inpatient basis, or in need of mental health 32 services on an outpatient basis. The report shall also 33 summarize the basis for those findings and provide a current 34 summary of the following items from the treatment plan: (1) -7- LRB9111408RCpkam01 1 an assessment of the defendant's treatment needs, (2) a 2 description of the services recommended for treatment, (3) 3 the goals of each type of element of service, (4) an 4 anticipated timetable for the accomplishment of the goals, 5 and (5) a designation of the qualified professional 6 responsible for the implementation of the plan. The report 7 may also include unsupervised on-grounds privileges, 8 off-grounds privileges (with or without escort by personnel 9 of the Department of Human Services), home visits and 10 participation in work programs, but only where such 11 privileges have been approved by specific court order, which 12 order may include such conditions on the defendant as the 13 Court may deem appropriate and necessary to reasonably assure 14 the defendant's satisfactory progress in treatment and the 15 safety of the defendant and others. 16 (c) Every defendant acquitted of a felony by reason of 17 insanity and subsequently found to be subject to involuntary 18 admission or in need of mental health services shall be 19 represented by counsel in all proceedings under this Section 20 and under the Mental Health and Developmental Disabilities 21 Code. 22 (1) The Court shall appoint as counsel the public 23 defender or an attorney licensed by this State. 24 (2) Upon filing with the Court of a verified 25 statement of legal services rendered by the private 26 attorney appointed pursuant to paragraph (1) of this 27 subsection, the Court shall determine a reasonable fee 28 for such services. If the defendant is unable to pay the 29 fee, the Court shall enter an order upon the State to pay 30 the entire fee or such amount as the defendant is unable 31 to pay from funds appropriated by the General Assembly 32 for that purpose. 33 (d) When the facility director determines that: 34 (1) the defendant is no longer subject to -8- LRB9111408RCpkam01 1 involuntary admission or in need of mental health 2 services on an inpatient basis; and 3 (2) the defendant may be conditionally released 4 because he or she is still in need of mental health 5 services or that the defendant may be discharged as not 6 in need of any mental health services; or 7 (3) the defendant no longer requires placement in a 8 secure setting; 9 the facility director shall give written notice to the Court, 10 State's Attorney and defense attorney. Such notice shall set 11 forth in detail the basis for the recommendation of the 12 facility director, and specify clearly the recommendations, 13 if any, of the facility director, concerning conditional 14 release. Any recommendation for conditional release shall 15 include an evaluation of the defendant's need for 16 psychotropic medication, what provisions should be made, if 17 any, to insure that the defendant will continue to receive 18 psychotropic medication following discharge and what 19 provisions should be made to assure the safety of the 20 defendant and others in the event the defendant is no longer 21 receiving psychotropic medication. Within 30 days of the 22 notification by the facility director, the Court shall set a 23 hearing and make a finding as to whether the defendant is: 24 (i) subject to involuntary admission; or 25 (ii) in need of mental health services in the form 26 of inpatient care; or 27 (iii) in need of mental health services but not 28 subject to involuntary admission or inpatient care; or 29 (iv) no longer in need of mental health services; 30 or 31 (v) no longer requires placement in a secure 32 setting. 33 Upon finding by the Court, the Court shall enter its 34 findings and such appropriate order as provided in subsection -9- LRB9111408RCpkam01 1 (a) of this Section. 2 (e) A defendant admitted pursuant to this Section, or 3 any person on his behalf, may file a petition for treatment 4 plan review, transfer to a non-secure setting within the 5 Department of Human Services or discharge or conditional 6 release under the standards of this Section in the Court 7 which rendered the verdict. Upon receipt of a petition for 8 treatment plan review, transfer to a non-secure setting or 9 discharge or conditional release, the Court shall set a 10 hearing to be held within 120 days. Thereafter, no new 11 petition may be filed for 120 days without leave of the 12 Court. 13 (f) The Court shall direct that notice of the time and 14 place of the hearing be served upon the defendant, the 15 facility director, the State's Attorney, and the defendant's 16 attorney. If requested by either the State or the defense or 17 if the Court feels it is appropriate, an impartial 18 examination of the defendant by a psychiatrist or clinical 19 psychologist as defined in Section 1-103 of the Mental Health 20 and Developmental Disabilities Code who is not in the employ 21 of the Department of Human Services shall be ordered, and the 22 report considered at the time of the hearing. 23 (g) The findings of the Court shall be established by 24 clear and convincing evidence. The burden of proof and the 25 burden of going forth with the evidence rest with the State 26 when a hearing is held to review the determination of the 27 facility director that the defendant should be transferred to 28 a non-secure setting, discharged or conditionally released. 29 The burden of proof and the burden of going forth with the 30 evidence rest on the defendant when a hearing is held to 31 review a petition filed by or on behalf of such defendant. 32 The evidence shall be presented in open Court with the right 33 of confrontation and cross-examination. 34 (h) Before the court orders that the defendant be -10- LRB9111408RCpkam01 1 discharged or conditionally released, it shall order the 2 facility director to establish a discharge plan that includes 3 a plan for the defendant's shelter, support, and medication. 4 If appropriate, the court shall order that the facility 5 director establish a program to train the defendant in 6 self-medication under standards established by the Department 7 of Human Services. If the Court finds that the defendant is 8 no longer in need of mental health services it shall order 9 the facility director to discharge the defendant. If the 10 Court finds that the defendant is in need of mental health 11 services, and no longer in need of inpatient care, it shall 12 order the facility director to release the defendant under 13 such conditions as the Court deems appropriate and as 14 provided by this Section. Such conditional release shall be 15 imposed for a period of five years and shall be subject to 16 later modification by the Court as provided by this Section. 17 If the Court finds that the defendant is subject to 18 involuntary admission or in need of mental health services on 19 an inpatient basis, it shall order the facility director not 20 to discharge or release the defendant in accordance with 21 paragraph (b) of this Section. 22 (i) If within the period of the defendant's conditional 23 release, the State's Attorney determines that the defendant 24 has not fulfilled the conditions of his or her release, the 25 State's Attorney may petition the Court to revoke or modify 26 the conditional release of the defendant. Upon the filing of 27 such petition the defendant may be remanded to the custody of 28 the Department, or to any other mental health facility 29 designated by the Department, pending the resolution of the 30 petition. Nothing in this Section shall prevent the 31 emergency admission of a defendant pursuant to Article VI of 32 Chapter III of the Mental Health and Developmental 33 Disabilities Code or the voluntary admission of the defendant 34 pursuant to Article IV of Chapter III of the Mental Health -11- LRB9111408RCpkam01 1 and Developmental Disabilities Code. If the the Court 2 determines, after hearing evidence, that the defendant has 3 not fulfilled the conditions of release, the Court shall 4 order a hearing to be held consistent with the provisions of 5 paragraph (f) and (g) of this Section. At such hearing, if 6 the Court finds that the defendant is subject to involuntary 7 admission or in need of mental health services on an 8 inpatient basis, it shall enter an order remanding him or her 9 to the Department of Human Services or other facility. If the 10 defendant is remanded to the Department of Human Services, he 11 or she shall be placed in a secure setting unless the Court 12 determines that there are compelling reasons that such 13 placement is not necessary. If the Court finds that the 14 defendant continues to be in need of mental health services 15 but not on an inpatient basis, it may modify the conditions 16 of the original release in order to reasonably assure the 17 defendant's satisfactory progress in treatment and his or her 18 safety and the safety of others in accordance with the 19 standards established in paragraph (1) (D) of subsection (a). 20In no event shall such conditional release be longer than21eight years.Nothing in this Section shall limit a Court's 22 contempt powers or any other powers of a Court. 23 (j) An order of admission under this Section does not 24 affect the remedy of habeas corpus. 25 (k) In the event of a conflict between this Section and 26 the Mental Health and Developmental Disabilities Code or the 27 Mental Health and Developmental Disabilities Confidentiality 28 Act, the provisions of this Section shall govern. 29 (l) This amendatory Act shall apply to all persons who 30 have been found not guilty by reason of insanity and who are 31 presently committed to the Department of Mental Health and 32 Developmental Disabilities (now the Department of Human 33 Services). 34 (m) The Clerk of the Court shall, after the entry of an -12- LRB9111408RCpkam01 1 order of transfer to a non-secure setting of the Department 2 of Human Services or discharge or conditional release, 3 transmit a certified copy of the order to the Department of 4 Human Services, and the sheriff of the county from which the 5 defendant was admitted.In cases where the arrest of the6defendant or the commission of the offense took place in any7municipality with a population of more than 25,000 persons,8 The Clerk of the Court shall also transmit a certified copy 9 of the order of discharge or conditional release to the 10 Illinois Department of State Police, to the proper law 11 enforcement agency for thesaidmunicipality where the 12 offense took place and to the sheriff of the county into 13 which the defendant is conditionally discharged. The 14 Illinois Department of State Police shall maintain a 15 centralized record of discharged or conditionally released 16 defendants while they are under court supervision for access 17 and use of appropriate law enforcement agenciesprovided the18municipality has requested such notice in writing. 19 (Source: P.A. 90-105, eff. 7-11-97; 90-593, eff. 6-19-98; 20 91-536, eff. 1-1-00.)".