State of Illinois
91st General Assembly
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91_SB0849ham001

 










                                           LRB9106073SMdvam02

 1                    AMENDMENT TO SENATE BILL 849

 2        AMENDMENT NO.     .  Amend Senate Bill 849  by  replacing
 3    everything after the enacting clause with the following:

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

 7        (405 ILCS 5/1-101.2 new)
 8        Sec. 1-101.2.  "Adequate and humane  care  and  services"
 9    means   services   reasonably   calculated  to  result  in  a
10    significant improvement of the condition of  a  recipient  of
11    services  confined  in an inpatient mental health facility so
12    that he  or  she  may  be  released  or  services  reasonably
13    calculated   to  prevent  further  decline  in  the  clinical
14    condition of a recipient of services so that he or  she  does
15    not present an imminent danger to self or others.

16        (405 ILCS 5/3-814) (from Ch. 91 1/2, par. 3-814)
17        Sec. 3-814.  Treatment plan.
18        (a)  Not  more  than  30  days after admission under this
19    Article, the facility director shall file with  the  court  a
20    current  treatment  plan  with the court which shall include:
21    all the requirements listed in  Section  3-209,  includes  an
 
                            -2-            LRB9106073SMdvam02
 1    evaluation  of  the  recipient's  progress  and the extent to
 2    which he is benefiting from  treatment,  the  criteria  which
 3    form  the  basis  for  the  determination that the patient is
 4    subject to involuntary admission as defined in Section 1-119,
 5    and the specific behaviors  or  conditions  that  demonstrate
 6    that   the  recipient  meets  these  criteria  for  continued
 7    confinement. If the facility director is unable to  determine
 8    any  of  the  required  information, the treatment plan shall
 9    include an explanation of why the facility director is unable
10    to make this determination, what  the  facility  director  is
11    doing   to   enable  himself  or  herself  to  determine  the
12    information, and the date  by  which  the  facility  director
13    expects  to be able to make this determination.  The facility
14    director shall forward a copy of  the  plan  to  the  State's
15    Attorney,  the  recipient's  attorney,  if  the  recipient is
16    represented by counsel, the recipient, and  any  guardian  of
17    the recipient.
18        (b)  The purpose of the filing, forwarding, and review of
19    treatment plans and treatment is to ensure that the recipient
20    is receiving adequate and humane care and services as defined
21    in Section 1-101.2 and to ensure that the recipient continues
22    to meet the standards for involuntary confinement.
23        (c)  On  request of the recipient or an interested person
24    on his behalf, or on the court's own  initiative,  the  court
25    shall  review the current treatment plan to determine whether
26    its contents comply with the requirements of this Section and
27    Section 3-209. A request to review the current treatment plan
28    may be made by the recipient, or by an interested  person  on
29    his  behalf,  30  days after initial commitment under Section
30    3-813, 90 days after the  initial  commitment,  and  90  days
31    after  each  additional period of commitment under subsection
32    (b) of Section 3-813. If the court determines that any of the
33    information required by this Section or Section 3-209  to  be
34    included  in  the treatment plan is not in the treatment plan
 
                            -3-            LRB9106073SMdvam02
 1    or that the treatment plan does not contain information  from
 2    which the court can determine whether the recipient continues
 3    to  meet  the  criteria  for continued confinement, the court
 4    shall  indicate  what  is  lacking  and  order  the  facility
 5    director to revise the current treatment plan to comply  with
 6    this  Section  and  Section  3-209. If the recipient has been
 7    ordered committed to the facility after he has been found not
 8    guilty by reason of insanity,  the  treatment  plan  and  its
 9    review shall be subject to the provisions of Section 5-2-4 of
10    the Unified Code of Corrections.
11        (d)  The  recipient or an interested person on his or her
12    behalf may request a hearing or the court on its  own  motion
13    may order a hearing to review the treatment being received by
14    the  recipient.   The  court,  the  recipient, or the State's
15    Attorney may call witnesses at the  hearing.  The  court  may
16    order  any public agency, officer, or employee to render such
17    information, cooperation, and assistance  as  is  within  its
18    legal  authority  and  as  may  be appropriate to achieve the
19    objectives  of  this  Section.  The  court   may   order   an
20    independent examination on its own initiative and shall order
21    such  an  evaluation  if  either the recipient or the State's
22    Attorney so requests and has demonstrated to the  court  that
23    the  plan cannot be effectively reviewed by the court without
24    such an examination.  Under no circumstances shall the  court
25    be  required  to order an independent examination pursuant to
26    this Section more than once each year.  The examination shall
27    be conducted by persons  authorized  to  conduct  independent
28    examinations  under  Section 3-804 recipient or an interested
29    person on his behalf may request a hearing or  the  court  on
30    its  own  motion  may order a hearing to review the treatment
31    plan.  If the  court  is  satisfied  that  the  recipient  is
32    benefiting from treatment, it may continue the original order
33    for  the  remainder of the admission period.  If the court is
34    not so satisfied, it may modify its original order or it  may
 
                            -4-            LRB9106073SMdvam02
 1    order the recipient discharged.
 2        (e)  In  lieu  of a treatment plan, the facility director
 3    may file a typed summary of the treatment plan which contains
 4    the information required under Section 3-209  and  subsection
 5    (a) of this Section.
 6    (Source: P.A. 88-380.)

 7        Section  10.   The  Code of Criminal Procedure of 1963 is
 8    amended by changing Section 104-25 as follows:

 9        (725 ILCS 5/104-25) (from Ch. 38, par. 104-25)
10        Sec. 104-25.  Discharge hearing.
11        (a)  As provided for in paragraph (a) of  Section  104-23
12    and  subparagraph  (1)  of  paragraph (b) of Section 104-23 a
13    hearing to determine the sufficiency of the evidence shall be
14    held.  Such hearing shall be conducted by the court without a
15    jury.  The State and the  defendant  may  introduce  evidence
16    relevant  to  the  question of defendant's guilt of the crime
17    charged.
18        The court may admit  hearsay  or  affidavit  evidence  on
19    secondary matters such as testimony to establish the chain of
20    possession   of   physical   evidence,   laboratory  reports,
21    authentication of transcripts taken  by  official  reporters,
22    court and business records, and public documents.
23        (b)  If  the evidence does not prove the defendant guilty
24    beyond a reasonable doubt, the court shall enter  a  judgment
25    of  acquittal; however nothing herein shall prevent the State
26    from requesting the court to  commit  the  defendant  to  the
27    Department  of  Human  Services  under  the provisions of the
28    Mental Health and Developmental Disabilities Code.
29        (c)  If the defendant is found not guilty  by  reason  of
30    insanity,  the  court shall enter a judgment of acquittal and
31    the proceedings after acquittal by reason of  insanity  under
32    Section 5-2-4 of the Unified Code of Corrections shall apply.
 
                            -5-            LRB9106073SMdvam02
 1        (d)  If  the  discharge  hearing  does  not  result in an
 2    acquittal of the charge the defendant  may  be  remanded  for
 3    further  treatment  and  the one year time limit set forth in
 4    Section 104-23 shall be extended as follows:
 5             (1)  If the most serious charge upon which the State
 6        sustained its burden of proof was a Class 1  or  Class  X
 7        felony,  the  treatment  period  may  be extended up to a
 8        maximum treatment period of 2 years; if a Class 2, 3,  or
 9        4  felony,  the  treatment period may be extended up to a
10        maximum of 15 months;
11             (2)  If the State sustained its burden of proof on a
12        charge of first degree murder, the treatment  period  may
13        be extended up to a maximum treatment period of 5 years.
14        (e)  Transcripts   of  testimony  taken  at  a  discharge
15    hearing may be admitted in evidence at a subsequent trial  of
16    the  case,  subject  to the rules of evidence, if the witness
17    who gave such testimony is legally unavailable at the time of
18    the subsequent trial.
19        (f)  If the court fails to enter an  order  of  acquittal
20    the  defendant  may  appeal  from  such  judgment in the same
21    manner provided for an appeal from a conviction in a criminal
22    case.
23        (g)  At the expiration of an extended period of treatment
24    ordered pursuant to this Section:
25             (1)  Upon a finding that the defendant is fit or can
26        be rendered fit consistent with Section 104-22, the court
27        may proceed with trial.
28             (2)  If the defendant continues to be unfit to stand
29        trial, the court shall determine whether  he  or  she  is
30        subject  to involuntary admission under the Mental Health
31        and Developmental  Disabilities  Code  or  constitutes  a
32        serious  threat  to  the public safety.  If so found, the
33        defendant shall be remanded to the  Department  of  Human
34        Services  for  further  treatment and shall be treated in
 
                            -6-            LRB9106073SMdvam02
 1        the same manner as a civilly committed  patient  for  all
 2        purposes,   except   that   the   original  court  having
 3        jurisdiction over the  defendant  shall  be  required  to
 4        approve  any  conditional  release  or  discharge  of the
 5        defendant, for the period  of  commitment  equal  to  the
 6        maximum  sentence  to which the defendant would have been
 7        subject had he  or  she  been  convicted  in  a  criminal
 8        proceeding.    During  this  period  of  commitment,  the
 9        original court having  jurisdiction  over  the  defendant
10        shall  hold  hearings  under clause (i) of this paragraph
11        (2).  However,  if  the  defendant  is  remanded  to  the
12        Department  of  Human  Services,  the  defendant shall be
13        placed in a secure setting unless  the  court  determines
14        that  there  are compelling reasons why such placement is
15        not necessary.
16             If the defendant does not have a  current  treatment
17        plan,   then  within  3  days  of  admission  under  this
18        subdivision (g)(2), a treatment plan  shall  be  prepared
19        for  each  defendant  and entered into his or her record.
20        The  plan  shall  include  (i)  an  assessment   of   the
21        defendant's  treatment  needs,  (ii) a description of the
22        services recommended for treatment, (iii)  the  goals  of
23        each  type  of  element  of  service, (iv) an anticipated
24        timetable for the accomplishment of the goals, and (v)  a
25        designation of the qualified professional responsible for
26        the  implementation  of  the  plan.   The  plan  shall be
27        reviewed and updated as the clinical condition  warrants,
28        but not less than every 30 days.
29             Every 90 days after the initial admission under this
30        subdivision  (g)(2),  the  facility director shall file a
31        typed treatment  plan  report  with  the  original  court
32        having jurisdiction over the defendant.  The report shall
33        include  an opinion as to whether the defendant is fit to
34        stand  trial  and  whether  the  defendant  is  currently
 
                            -7-            LRB9106073SMdvam02
 1        subject to  involuntary  admission,  in  need  of  mental
 2        health  services  on  an  inpatient  basis, or in need of
 3        mental health  services  on  an  outpatient  basis.   The
 4        report  shall also summarize the basis for those findings
 5        and provide a current summary of the 5 items required  in
 6        a  treatment  plan.   A  copy  of  the  report  shall  be
 7        forwarded   to  the  clerk  of  the  court,  the  State's
 8        Attorney, and the defendant's attorney if  the  defendant
 9        is represented by counsel.
10             The  court  on its own motion may order a hearing to
11        review the treatment plan.   The defendant or the State's
12        Attorney may request a treatment  plan  review  every  90
13        days  and  the  court  shall review the current treatment
14        plan to determine whether  the  plan  complies  with  the
15        requirements  of  this  Section.   The court may order an
16        independent examination on its own initiative  and  shall
17        order  such  an evaluation if either the recipient or the
18        State's Attorney so requests and has demonstrated to  the
19        court that the plan cannot be effectively reviewed by the
20        court    without   such   an   examination.    Under   no
21        circumstances shall the court be  required  to  order  an
22        independent  examination  pursuant  to  this Section more
23        than once each year.  The examination shall be  conducted
24        by  a psychiatrist or clinical psychologist as defined in
25        Section 1-103 of  the  Mental  Health  and  Developmental
26        Disabilities  Code  who  is  not  in  the  employ  of the
27        Department of Human Services.
28             If, during the period within which the defendant  is
29        confined  in  a secure setting, the court enters an order
30        that requires the defendant to appear,  the  court  shall
31        timely  transmit  a  copy  of  the  order  or writ to the
32        director of the particular Department of  Human  Services
33        facility  where  the  defendant  resides  authorizing the
34        transportation of the defendant  to  the  court  for  the
 
                            -8-            LRB9106073SMdvam02
 1        purpose of the hearing.
 2                  (i)  180  days after a defendant is remanded to
 3             the Department of Human  Services,  under  paragraph
 4             (2),  and  every  180 days thereafter for so long as
 5             the defendant is confined under  the  order  entered
 6             thereunder,  the  facility  director  shall  file  a
 7             treatment   plan  with  the  original  court  having
 8             jurisdiction over the  defendant.   The  plan  shall
 9             include  an  evaluation  of the defendant's progress
10             and the extent to which he  or  she  is  benefitting
11             from  treatment  and  an  opinion  as to whether the
12             defendant  is  currently  subject   to   involuntary
13             admission or in need of mental health services on an
14             inpatient basis or in need of mental health services
15             on  an outpatient basis.  A copy of the report shall
16             be forwarded by the facility director to  the  clerk
17             of  the  court, State's Attorney and the defendant's
18             attorney if the defendant is represented by counsel.
19             Within 30 days of the receipt of the report  by  the
20             court,  the  court  shall  set  a  hearing and shall
21             direct that notice of the  time  and  place  of  the
22             hearing  be  served upon the defendant, the facility
23             director, the State's Attorney, and the  defendant's
24             attorney.   If  requested by either the State or the
25             defense or  if  the  court  determines  that  it  is
26             appropriate,   an   impartial   examination  of  the
27             defendant by a psychiatrist or clinical psychologist
28             as defined in Section 1-103 of the Mental Health and
29             Developmental Disabilities Code who is  not  in  the
30             employ  of the Department of Human Services shall be
31             ordered, and the report considered at  the  time  of
32             the  hearing.   If  the  defendant  is not currently
33             represented by counsel the court shall  appoint  the
34             public  defender  to  represent the defendant at the
 
                            -9-            LRB9106073SMdvam02
 1             hearing.  The court  shall  make  a  finding  as  to
 2             whether the defendant is:
 3                       (A)  subject to involuntary admission; or
 4                       (B)  in  need of mental health services in
 5                  the form of inpatient care; or
 6                       (C)  in need of mental health services but
 7                  not  subject  to  involuntary   admission   nor
 8                  inpatient care.
 9             The  findings  of  the court shall be established by
10             clear and convincing  evidence  and  the  burden  of
11             proof  and  the  burden  of  going  forward with the
12             evidence shall rest with the State's Attorney.  Upon
13             finding by the court,  the  court  shall  enter  its
14             findings and an appropriate order.
15                  (ii)  The   terms   "subject   to   involuntary
16             admission",  "in  need  of mental health services in
17             the form of inpatient care" and "in need  of  mental
18             health  services  but  not  subject  to  involuntary
19             admission   nor   inpatient  care"  shall  have  the
20             meanings  ascribed  to  them  in  clause  (d)(3)  of
21             Section 5-2-4 of the Unified Code of Corrections.
22             (3)  If the defendant is not committed  pursuant  to
23        this Section, he or she shall be released.
24             (4)  In   no  event  may  the  treatment  period  be
25        extended to  exceed  the  maximum  sentence  to  which  a
26        defendant  would  have  been  subject  had he or she been
27        convicted in a criminal proceeding.  For purposes of this
28        Section, the maximum  sentence  shall  be  determined  by
29        Section  5-8-1  of  the  "Unified  Code  of Corrections",
30        excluding any sentence of natural life.
31    (Source: P.A. 89-439, eff. 6-1-96; 89-507, eff. 7-1-97.)

32        Section 15.  The Unified Code of Corrections  is  amended
33    by changing Section 5-2-4 as follows:
 
                            -10-           LRB9106073SMdvam02
 1        (730 ILCS 5/5-2-4) (from Ch. 38, par. 1005-2-4)
 2        Sec.  5-2-4.  Proceedings  after  Acquittal  by Reason of
 3    Insanity.
 4        (a)  After a finding or verdict of not guilty  by  reason
 5    of insanity under Sections 104-25, 115-3 or 115-4 of The Code
 6    of Criminal Procedure of 1963, the defendant shall be ordered
 7    to  the  Department of Human Services for an evaluation as to
 8    whether he is subject to involuntary admission or in need  of
 9    mental  health services.  The order shall specify whether the
10    evaluation shall be conducted on an inpatient  or  outpatient
11    basis.  If  the evaluation is to be conducted on an inpatient
12    basis, the defendant shall be  placed  in  a  secure  setting
13    unless the Court determines that there are compelling reasons
14    why such placement is not necessary. After the evaluation and
15    during   the   period  of  time  required  to  determine  the
16    appropriate placement, the defendant shall  remain  in  jail.
17    Upon  completion  of the placement  process the sheriff shall
18    be  notified  and  shall  transport  the  defendant  to   the
19    designated facility.
20        The  Department  shall provide the Court with a report of
21    its evaluation within 30 days of the date of this order.  The
22    Court shall hold a  hearing  as  provided  under  the  Mental
23    Health  and  Developmental  Disabilities Code to determine if
24    the individual is: (a) subject to involuntary admission;  (b)
25    in  need of mental health services on an inpatient basis; (c)
26    in need of mental health services on an outpatient basis; (d)
27    a person not in need of mental health  services.   The  Court
28    shall enter its findings.
29        If  the  defendant  is found to be subject to involuntary
30    admission  or  in  need  of  mental  health  services  on  an
31    inpatient care basis, the Court shall order the defendant  to
32    the  Department  of  Human  Services.  The defendant shall be
33    placed in a secure setting unless the Court  determines  that
34    there  are  compelling  reasons  why  such  placement  is not
 
                            -11-           LRB9106073SMdvam02
 1    necessary. Such defendants placed in a secure  setting  shall
 2    not  be  permitted outside the facility's housing unit unless
 3    escorted or accompanied by personnel  of  the  Department  of
 4    Human  Services  or  with the prior approval of the Court for
 5    unsupervised on-grounds privileges as  provided  herein.  Any
 6    defendant  placed  in  a  secure  setting  pursuant  to  this
 7    Section,  transported  to  court  hearings or other necessary
 8    appointments  off  facility  grounds  by  personnel  of   the
 9    Department  of  Human  Services,  may  be  placed in security
10    devices  or  otherwise   secured   during   the   period   of
11    transportation  to  assure  secure transport of the defendant
12    and the safety of Department of Human Services personnel  and
13    others.    These   security  measures  shall  not  constitute
14    restraint as defined in the Mental Health  and  Developmental
15    Disabilities  Code.   If the defendant is found to be in need
16    of mental health services,  but  not  on  an  inpatient  care
17    basis,  the  Court shall conditionally release the defendant,
18    under such conditions as set forth in this  Section  as  will
19    reasonably  assure  the  defendant's satisfactory progress in
20    treatment or rehabilitation and the safety of  the  defendant
21    or  others.   If  the  Court  finds the person not in need of
22    mental health  services,  then  the  Court  shall  order  the
23    defendant discharged from custody.
24        (1)  Definitions:  For the purposes of this Section:
25             (A)  "Subject  to  involuntary  admission" means:  a
26        defendant  has  been  found  not  guilty  by  reason   of
27        insanity; and
28                  (i)  who is mentally ill and who because of his
29             mental  illness  is  reasonably  expected to inflict
30             serious physical harm upon himself or another in the
31             near future; or
32                  (ii)  who is mentally ill and  who  because  of
33             his  illness  is  unable  to  provide  for his basic
34             physical needs so as to guard himself  from  serious
 
                            -12-           LRB9106073SMdvam02
 1             harm.
 2             (B)  "In  need  of  mental  health  services  on  an
 3        inpatient  basis"  means:  a defendant who has been found
 4        not guilty by reason of insanity who is  not  subject  to
 5        involuntary  admission  but who is reasonably expected to
 6        inflict serious physical harm upon himself or another and
 7        who would benefit from inpatient care or is  in  need  of
 8        inpatient care.
 9             (C)  "In  need  of  mental  health  services  on  an
10        outpatient  basis"  means: a defendant who has been found
11        not guilty by reason of insanity who is  not  subject  to
12        involuntary   admission  or  in  need  of  mental  health
13        services on  an  inpatient  basis,  but  is  in  need  of
14        outpatient   care,  drug  and/or  alcohol  rehabilitation
15        programs,  community  adjustment  programs,   individual,
16        group, or family therapy, or chemotherapy.
17             (D)  "Conditional  Release"  means: the release from
18        either the custody of the Department of Human Services or
19        the custody of the Court of a person who has  been  found
20        not guilty by reason of insanity under such conditions as
21        the   Court   may  impose  which  reasonably  assure  the
22        defendant's  satisfactory  progress   in   treatment   or
23        habilitation  and the safety of the defendant and others.
24        The Court shall consider such terms and conditions  which
25        may include, but need not be limited to, outpatient care,
26        alcoholic  and  drug  rehabilitation  programs, community
27        adjustment  programs,  individual,  group,  family,   and
28        chemotherapy,  periodic checks with the legal authorities
29        and/or the Department of Human Services.  The  person  or
30        facility  rendering the outpatient care shall be required
31        to periodically report to the Court on  the  progress  of
32        the  defendant.  Such  conditional release shall be for a
33        period of five years, unless the defendant, the person or
34        facility rendering the  treatment,  therapy,  program  or
 
                            -13-           LRB9106073SMdvam02
 1        outpatient  care,  or  the State's Attorney petitions the
 2        Court for an extension of the conditional release  period
 3        for  an  additional  three  years. Upon receipt of such a
 4        petition, the Court shall hold a hearing consistent  with
 5        the provisions of this paragraph (a) and paragraph (f) of
 6        this  Section,  shall  determine  whether  the  defendant
 7        should continue to be subject to the terms of conditional
 8        release,  and  shall  enter an order either extending the
 9        defendant's period of conditional release  for  a  single
10        additional   three   year   period   or  discharging  the
11        defendant. In no event shall the  defendant's  period  of
12        conditional  release exceed eight years. These provisions
13        for extension of conditional release shall only apply  to
14        defendants  conditionally  released  on  or after July 1,
15        1979. However the  extension  provisions  of  Public  Act
16        83-1449  apply only to defendants charged with a forcible
17        felony.
18             (E)  "Facility director" means the chief officer  of
19        a mental health or developmental disabilities facility or
20        his  or  her  designee  or the supervisor of a program of
21        treatment  or  habilitation  or  his  or  her   designee.
22        "Designee"    may    include    a   physician,   clinical
23        psychologist, social worker, or nurse.
24        (b)  If  the  Court  finds  the  defendant   subject   to
25    involuntary admission or in need of mental health services on
26    an inpatient basis, the admission, detention, care, treatment
27    or   habilitation,   treatment   plans,  review  proceedings,
28    including  review  of  treatment  and  treatment  plans,  and
29    discharge of the defendant after such order  shall  be  under
30    the Mental Health and Developmental Disabilities Code, except
31    that the initial order for admission of a defendant acquitted
32    of  a felony by reason of insanity shall be for an indefinite
33    period of time. Such period of commitment  shall  not  exceed
34    the maximum length of time that the defendant would have been
 
                            -14-           LRB9106073SMdvam02
 1    required  to  serve,  less  credit  for good behavior, before
 2    becoming eligible for release had he been  convicted  of  and
 3    received  the maximum sentence for the most serious crime for
 4    which he has been acquitted by reason of insanity. The  Court
 5    shall  determine  the  maximum  period  of  commitment  by an
 6    appropriate order. During  this period of time, the defendant
 7    shall not be permitted to be in the community in any  manner,
 8    including  but not limited to off-grounds privileges, with or
 9    without escort  by  personnel  of  the  Department  of  Human
10    Services,  unsupervised  on-grounds  privileges, discharge or
11    conditional  or  temporary  release,  except  by  a  plan  as
12    provided in this Section.  In no event  shall  a  defendant's
13    continued unauthorized absence be a basis for discharge.  Not
14    more   than  30  days  after  admission  and  every  60  days
15    thereafter so long as the initial order  remains  in  effect,
16    the facility director shall file a treatment plan report with
17    the  court and forward a copy of the treatment plan report to
18    the clerk  of  the  court,  the  State's  Attorney,  and  the
19    defendant's  attorney,  if  the  defendant  is represented by
20    counsel, or to a person authorized by the defendant under the
21    Mental Health and Developmental Disabilities  Confidentiality
22    Act  to  be  sent a copy of the report.  The report Such plan
23    shall include an opinion  as  to  whether  the  defendant  is
24    currently subject to involuntary admission, in need of mental
25    health  services  on an inpatient basis, or in need of mental
26    health services on an outpatient  basis.   The  report  shall
27    also  summarize  the  basis  for those findings and provide a
28    current summary of the following  items  from  the  treatment
29    plan:  (1)  an assessment of the defendant's treatment needs,
30    (2) a description of the services recommended for  treatment,
31    (3)  the  goals  of  each  type of element of service, (4) an
32    anticipated timetable for the accomplishment  of  the  goals,
33    and   (5)   a   designation  of  the  qualified  professional
34    responsible for the implementation of the plan an  evaluation
 
                            -15-           LRB9106073SMdvam02
 1    of  the  defendant's  progress  and the extent to which he is
 2    benefiting from treatment. The  report  Such  plan  may  also
 3    include   unsupervised   on-grounds  privileges,  off-grounds
 4    privileges (with  or  without  escort  by  personnel  of  the
 5    Department  of Human Services), home visits and participation
 6    in work programs, but only where such  privileges  have  been
 7    approved  by  specific  court  order, which order may include
 8    such conditions on  the  defendant  as  the  Court  may  deem
 9    appropriate   and   necessary   to   reasonably   assure  the
10    defendant's satisfactory progress in treatment and the safety
11    of the defendant and others.
12        (c)  Every defendant acquitted of a felony by  reason  of
13    insanity  and subsequently found to be subject to involuntary
14    admission or in need  of  mental  health  services  shall  be
15    represented  by counsel in all proceedings under this Section
16    and under the Mental Health  and  Developmental  Disabilities
17    Code.
18             (1)  The  Court  shall appoint as counsel the public
19        defender or an attorney licensed by this State.
20             (2)  Upon  filing  with  the  Court  of  a  verified
21        statement of  legal  services  rendered  by  the  private
22        attorney  appointed  pursuant  to  paragraph  (1) of this
23        subsection, the Court shall determine  a  reasonable  fee
24        for such services.  If the defendant is unable to pay the
25        fee, the Court shall enter an order upon the State to pay
26        the  entire fee or such amount as the defendant is unable
27        to pay from funds appropriated by  the  General  Assembly
28        for that purpose.
29        (d)  When the facility director determines that:
30             (1)  the   defendant   is   no   longer  subject  to
31        involuntary  admission  or  in  need  of  mental   health
32        services on an inpatient basis; and
33             (2)  the  defendant  may  be  conditionally released
34        because he or she is  still  in  need  of  mental  health
 
                            -16-           LRB9106073SMdvam02
 1        services  or  that the defendant may be discharged as not
 2        in need of any mental health services; or
 3             (3)  the defendant no longer requires placement in a
 4        secure setting;
 5    the facility director shall give written notice to the Court,
 6    State's Attorney and defense attorney. Such notice shall  set
 7    forth  in  detail  the  basis  for  the recommendation of the
 8    facility director, and specify clearly  the  recommendations,
 9    if  any,  of  the  facility  director, concerning conditional
10    release.  Within 30 days of the notification by the  facility
11    director, the Court shall set a hearing and make a finding as
12    to whether the defendant is:
13             (i)  subject to involuntary admission; or
14             (ii)  in  need of mental health services in the form
15        of inpatient care; or
16             (iii)  in need of mental  health  services  but  not
17        subject to involuntary admission or inpatient care; or
18             (iv)  no  longer  in need of mental health services;
19        or
20             (v)  no  longer  requires  placement  in  a   secure
21        setting.
22        Upon  finding  by  the  Court,  the Court shall enter its
23    findings and such appropriate order as provided in subsection
24    (a) of this Section.
25        (e)  A defendant admitted pursuant to  this  Section,  or
26    any  person on his behalf, may  file a petition for treatment
27    plan review, transfer to  a  non-secure  setting  within  the
28    Department  of  Human  Services  or  discharge or conditional
29    release under the standards of  this  Section  in  the  Court
30    which  rendered  the verdict.  Upon receipt of a petition for
31    treatment plan review, transfer to a  non-secure  setting  or
32    discharge  or  conditional  release,  the  Court  shall set a
33    hearing to be held  within  120  days.   Thereafter,  no  new
34    petition  may  be  filed  for  120  days without leave of the
 
                            -17-           LRB9106073SMdvam02
 1    Court.
 2        (f)  The Court shall direct that notice of the  time  and
 3    place  of  the  hearing  be  served  upon  the defendant, the
 4    facility director, the State's Attorney, and the  defendant's
 5    attorney.  If requested by either the State or the defense or
 6    if  the  Court  feels  it  is   appropriate,   an   impartial
 7    examination  of  the  defendant by a psychiatrist or clinical
 8    psychologist as defined in Section 1-103 of the Mental Health
 9    and Developmental Disabilities Code who is not in the  employ
10    of the Department of Human Services shall be ordered, and the
11    report considered at the time of the hearing.
12        (g)  The  findings  of  the Court shall be established by
13    clear and convincing evidence.  The burden of proof  and  the
14    burden  of  going forth with the evidence rest with the State
15    when a hearing is held to review  the  determination  of  the
16    facility director that the defendant should be transferred to
17    a  non-secure  setting, discharged or conditionally released.
18    The burden of proof and the burden of going  forth  with  the
19    evidence  rest  on  the  defendant  when a hearing is held to
20    review a petition filed by or on behalf  of  such  defendant.
21    The  evidence shall be presented in open Court with the right
22    of confrontation and cross-examination.
23        (h)  If the Court finds that the defendant is  no  longer
24    in need of mental health services it shall order the facility
25    director to discharge the defendant.  If the Court finds that
26    the  defendant  is  in need of mental health services, and no
27    longer in need of inpatient care, it shall order the facility
28    director to release the defendant under  such  conditions  as
29    the  Court deems appropriate and as provided by this Section.
30    Such conditional release shall be imposed  for  a  period  of
31    five years and shall be subject  to later modification by the
32    Court  as  provided  by this Section. If the Court finds that
33    the defendant is subject to involuntary admission or in  need
34    of  mental  health  services  on an inpatient basis, it shall
 
                            -18-           LRB9106073SMdvam02
 1    order the facility director not to discharge or  release  the
 2    defendant in accordance with paragraph (b) of this Section.
 3        (i)  If  within the period of the defendant's conditional
 4    release, the Court determines, after hearing  evidence,  that
 5    the  defendant  has  not fulfilled the conditions of release,
 6    the Court shall order a hearing to be  held  consistent  with
 7    the  provisions  of paragraph (f) and (g) of this Section. At
 8    such hearing, if  the  Court  finds  that  the  defendant  is
 9    subject  to involuntary admission or in need of mental health
10    services on an inpatient  basis,  it  shall  enter  an  order
11    remanding  him  or her to the Department of Human Services or
12    other  facility.  If  the  defendant  is  remanded   to   the
13    Department  of Human Services, he or she shall be placed in a
14    secure setting unless the Court  determines  that  there  are
15    compelling  reasons  that such placement is not necessary. If
16    the Court finds that the defendant  continues to be  in  need
17    of  mental  health services but not on an inpatient basis, it
18    may modify the conditions of the original release in order to
19    reasonably assure the defendant's  satisfactory  progress  in
20    treatment  and his or her safety and the safety of others. In
21    no event shall such conditional release be longer than  eight
22    years. Nothing in this Section shall limit a Court's contempt
23    powers or any other powers of a Court.
24        (j)  An  order  of  admission under this Section does not
25    affect the remedy of habeas corpus.
26        (k)  In the event of a conflict between this Section  and
27    the  Mental Health and Developmental Disabilities Code or the
28    Mental Health and Developmental Disabilities  Confidentiality
29    Act, the provisions of this Section shall govern.
30        (l)  This  amendatory  Act shall apply to all persons who
31    have been found not guilty by reason of insanity and who  are
32    presently  committed  to  the Department of Mental Health and
33    Developmental  Disabilities  (now  the  Department  of  Human
34    Services).
 
                            -19-           LRB9106073SMdvam02
 1        (m)  The Clerk of the Court shall, after the entry of  an
 2    order  of  transfer to a non-secure setting of the Department
 3    of  Human  Services  or  discharge  or  conditional  release,
 4    transmit a certified copy of the order to the  Department  of
 5    Human  Services, and the sheriff of the county from which the
 6    defendant was admitted.  In cases where  the  arrest  of  the
 7    defendant  or the commission of the offense took place in any
 8    municipality with a population of more than  25,000  persons,
 9    the  Clerk  of the Court shall also transmit a certified copy
10    of the order of  discharge  or  conditional  release  to  the
11    proper  law enforcement agency for said municipality provided
12    the municipality has requested such notice in writing.
13    (Source: P.A. 89-404,  eff.  8-20-95;  89-507,  eff.  7-1-97;
14    90-105, eff. 7-11-97; 90-593, eff. 6-19-98.)

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

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