State of Illinois
92nd General Assembly
Legislation

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92_HB5890

 
                                               LRB9215348LBpc

 1        AN ACT in relation to mentally ill committed persons.

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

 4        Section 5. The Unified Code of Corrections is amended  by
 5    adding Article 17 to Chapter 3 as follows:

 6        (730 ILCS 5/ Chapter 3, Article 17 heading new)
 7        ARTICLE 17.  DANGEROUS MENTALLY ILL COMMITTED PERSONS

 8        (730 ILCS 5/3-17-5 new)
 9        Sec. 3-17-5.  Definitions. In this Article:
10        "County  designated  mental  health professional" means a
11    mental health professional appointed by the county to perform
12    the duties specified in this Article.
13        "Mental disorder" means any organic, mental, or emotional
14    impairment  that  has  substantial  adverse  effects  on   an
15    individual's cognitive or volitional functions.
16        "Mental   health   professional"  means  a  psychiatrist,
17    clinical psychologist, or clinical  social  worker  as  those
18    terms  are  defined  in  the  Mental Health and Developmental
19    Disabilities Code, a registered nurse with a master's  degree
20    in  psychiatric  nursing who has 3 years of clinical training
21    and experience in the  evaluation  and  treatment  of  mental
22    illness that has been acquired subsequent to any training and
23    experience that constituted a part of the degree program, and
24    any  other  mental  health professionals as may be defined by
25    rules adopted by the Director under this Article.

26        (730 ILCS 5/3-17-10 new)
27        Sec. 3-17-10.  Plan for postrelease treatment and support
28    services; rules.
29        (a)  The Director shall identify committed persons who:
 
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 1             (1)  are reasonably  believed  to  be  dangerous  to
 2             themselves or others; and
 3             (2)  have a mental disorder.
 4        In  determining  a  committed person's dangerousness, the
 5    Director shall consider behavior known to the Department  and
 6    factors,  based  on research, that are linked to an increased
 7    risk for dangerousness of mentally ill committed persons  and
 8    shall  include consideration of a committed person's chemical
 9    dependency or abuse.
10        (b)  Prior to release of a  committed  person  identified
11    under  this  Section, a team consisting of representatives of
12    the  Department  of  Corrections,  the  Department  of  Human
13    Services specifically including representatives knowledgeable
14    in the treatment of alcoholism and substance abuse and  those
15    knowledgeable in the treatment of developmental disabilities,
16    the  appropriate  community mental health facility, and other
17    mental  health  service  providers,  as  appropriate,   shall
18    develop  a  plan,  as  determined  necessary by the team, for
19    delivery of treatment and support services to  the  committed
20    person  upon  release.  The  team may include a Department of
21    Corrections  School  District  representative  for  committed
22    persons under 21 years of age  who  have  not  obtained  high
23    school  diplomas or who have not passed the high school level
24    test of General Educational Development (GED). The team shall
25    consult with the committed person's counsel, if any, and,  as
26    appropriate, the committed person's family and community. The
27    team  shall  notify  the  crime victims, witnesses, and other
28    concerned citizens required to be notified under  the  Rights
29    of  Crime  Victims and Witnesses Act, of the proposed release
30    plan developed by the team.  Victims,  witnesses,  and  other
31    concerned  citizens  notified  by  the Department may provide
32    information and  comments  to  the  Department  on  potential
33    safety   risks   to   specific   individuals  or  classes  of
34    individuals posed by the specific committed person. The  team
 
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 1    may  recommend that the committed person: (i) be evaluated by
 2    the  county  designated  mental  health  professional;   (ii)
 3    receive  Department-supervised  community treatment; or (iii)
 4    receive  voluntary  community  mental  health   or   chemical
 5    dependency or abuse treatment.
 6        (c)  Prior  to  release  of a committed person identified
 7    under this Section, the team shall determine whether  or  not
 8    an   evaluation   by   a   county  designated  mental  health
 9    professional is needed. If an evaluation is recommended,  the
10    supporting  documentation  shall  be immediately forwarded to
11    the appropriate county designated mental health professional.
12    The supporting  documentation  shall  include  the  committed
13    person's  criminal history, history of judicially required or
14    administratively ordered involuntary antipsychotic medication
15    while in confinement, and any known  history  of  involuntary
16    civil commitment.
17        (d)  If  an  evaluation  by  a  county  designated mental
18    health  professional  is  recommended  by   the   team,   the
19    evaluation shall occur not more than 10 days, nor less than 5
20    days, prior to release.
21        (e)  A  second  evaluation  by a county designated mental
22    health professional shall occur on  the  day  of  release  if
23    requested by the team, based upon new information or a change
24    in  the  committed  person's  mental  condition,  and  if the
25    initial evaluation did not result in an  emergency  admission
26    under  Article  VI  of  Chapter  III of the Mental Health and
27    Developmental Disabilities Code.
28        (f)  If the county designated mental health  professional
29    determines  that  an  emergency admission under Article VI of
30    Chapter  III  of  the   Mental   Health   and   Developmental
31    Disabilities  Code is necessary, the Department shall release
32    the committed person only to a State mental  health  facility
33    or  to  a  consenting    private  mental health facility. The
34    Department shall  arrange  transportation  of  the  committed
 
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 1    person to the facility.
 2        (g)  If  the county designated mental health professional
 3    believes that a less  restrictive  alternative  treatment  is
 4    appropriate, he or she shall request that the Director file a
 5    petition  with  the  circuit court under Section 3-8-5, or if
 6    the person is committed to the Juvenile Division, the  county
 7    designated  mental health professional shall request that the
 8    petition be filed by the Assistant Director of  the  Juvenile
 9    Division  under  Section  3-10-5,  to  require  the committed
10    person to appear at a mental health facility  for  evaluation
11    and  treatment.  If the petition is granted by the court, the
12    committed  person  shall  remain  within   the   correctional
13    facility  until  completion of his or her term of confinement
14    and be transported, by corrections personnel on  the  day  of
15    completion, directly to the identified mental health facility
16    for evaluation and treatment.
17        (h)  The  Director  shall  adopt  rules to implement this
18    Section.
19        (i)  This Section does not create a presumption that  any
20    person subject to the provisions of this Section is dangerous
21    as  a  result  of a mental disorder or chemical dependency or
22    abuse. Every person subject to the provisions of this Section
23    retains the amount of liberty  consistent  with  his  or  her
24    condition,  behavior,  and legal status, and any restraint of
25    liberty must be done solely on  the  basis  of  forensic  and
26    clinical practices and standards.

27        (730 ILCS 5/3-17-15 new)
28        Sec.   3-17-15.  Rule   making;   Medicaid;  Director  of
29    Corrections; Secretary of Human  Services.  The  Director  of
30    Corrections  and  the  Secretary of Human Services shall each
31    adopt rules and develop working agreements that  will  ensure
32    that  committed  persons  identified  under subsection (a) of
33    Section 3-17-10 will be assisted in  making  application  for
 
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 1    Medicaid  under  Article V of the Illinois Public Aid Code to
 2    facilitate  a  decision  regarding  the  committed   person's
 3    eligibility for those entitlements prior to the end of his or
 4    her term of confinement in a correctional facility.

 5        (730 ILCS 5/3-17-20 new)
 6        Sec.  3-17-20.  Less  restrictive  alternative treatment;
 7    consideration by court.
 8        (a)  When making a decision under this Article whether to
 9    require a less restrictive alternative treatment,  the  court
10    shall  consider  whether  it  is  appropriate  to  include or
11    exclude time spent in confinement  when  determining  whether
12    the person has committed a recent overt act.
13        (b)  When  determining  whether  a  committed person is a
14    danger to himself or herself or others under this Article,  a
15    court  shall  give  great weight to any evidence submitted to
16    the court regarding the committed person's recent history  of
17    judicially  required  or administratively ordered involuntary
18    antipsychotic medication while in confinement.

19        (730 ILCS 5/3-17-25 new)
20        Sec. 3-17-25.  Dangerous mentally ill committed  persons;
21    contract for case management.
22        (a)  The  Director  shall  contract,  to  the extent that
23    funds are appropriated for this purpose, for case  management
24    services  and  any  other  services  that  the Director deems
25    necessary  to  assist  committed  persons  identified   under
26    Section  3-17-10.  The contracts may be with community mental
27    health facilities or  any  other  qualified  and  appropriate
28    entities.
29        (b)  The  case  manager has the authority to assist these
30    committed persons in obtaining the services, as set forth  in
31    the plan created under subsection (b) of Section 3-17-10, for
32    up  to  5  years.  The  services  may include coordination of
 
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 1    mental health  services,  assistance  with  unfunded  medical
 2    expenses,  obtaining  chemical dependency treatment, housing,
 3    employment  services,  educational  or  vocational  training,
 4    independent  living  skills,   parenting   education,   anger
 5    management  services,  and  such  other  services as the case
 6    manager deems necessary.

 7        (730 ILCS 5/3-17-30 new)
 8        Sec.  3-17-30.  Evaluation  of   amendatory   Act.    The
 9    Department of Corrections, in conjunction with the Department
10    of  Human  Services,  shall  conduct  an  evaluation  of this
11    amendatory Act of the 92nd General Assembly to determine:
12        (1)  whether there is a reduction in criminal  recidivism
13    as  a  result  of the enactment of this amendatory Act of the
14    92nd General Assembly;
15        (2)  whether the enactment of this amendatory Act of  the
16    92nd   General   Assembly  has  resulted  in:  (A)  increased
17    treatment  of,  and  services  to,  dangerous  mentally   ill
18    committed  persons,  including  services  at  a Department of
19    Corrections  facility,  and  through  other  publicly  funded
20    services; (B) a reduction in repeated inpatient mental health
21    treatment of the  same  committed  person;  and  (C)  reduced
22    length of stays at State mental health facilities;
23        (3)  whether  the enactment of this amendatory Act of the
24    92nd General Assembly improves delivery and effectiveness  of
25    the  treatment and services, including mental health, drug or
26    alcohol,  case  management,  housing  assistance,  and  other
27    provided services;
28        (4)  whether services under this amendatory  Act  of  the
29    92nd  General  Assembly  should  be expanded to include other
30    classifications  of  committed  persons,  such  as:  juvenile
31    offenders; felons not sentenced to a  term  of  imprisonment;
32    and  misdemeanants.  Cost  estimates  for  expansion  of each
33    classification shall be included;
 
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 1        (5)  the validity of the risk assessment tool utilized by
 2    the Department of  Corrections  to  assess  dangerousness  of
 3    committed persons;
 4        (6)  increases   in   early   Medicaid   enrollment   and
 5    associated cost savings; and
 6        (7)  any  savings  in  bed  spaces  in  the Department of
 7    Corrections facilities as a result of the enactment  of  this
 8    amendatory Act of the 92nd General Assembly.
 9        The evaluation shall be submitted to the Governor and the
10    General Assembly by December 1, 2005.

11        (730 ILCS 5/ 3-17-35 new)
12        Sec.  3-17-35.  Rules.   The  Director of Corrections and
13    the Secretary of Human Services shall, in  consultation  with
14    the   community   mental   health   facilities  and  provider
15    representatives, each adopt rules as necessary  to  implement
16    this amendatory Act of the 92nd General Assembly.

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