State of Illinois
91st General Assembly
Legislation

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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 facility
30        rendering  the  outpatient  care  shall  be  required  to
31        periodically report to the Court on the progress  of  the
32        defendant. Such conditional release shall be for a period
33        of  five years. However, unless the 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 petition petitions the Court for an extension of  the
 3        conditional  release  period  for  an  additional 5 three
 4        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  an a single additional 5 three
11        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 Section exceed 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        Assembly  July  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).
20    In no event shall such conditional  release  be  longer  than
21    eight  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 the
 6    defendant or the commission of the offense took place in  any
 7    municipality  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  the  said  municipality  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 agencies provided  the
18    municipality 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.)".

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