SB 1095: Criminal proceedings: mentally incompetent offenders.
- Session Year: 2017-2018
- House: Senate
- Latest Version Date: 2018-04-17
Existing law prohibits a person from having his or her probation, mandatory supervision, postrelease community supervision, or parole revoked while that person is mentally incompetent. A defendant is mentally incompetent for these purposes if, as a result of mental disorder or developmental disability, the defendant is unable to understand the nature of the criminal proceedings or to assist counsel in the conduct of a defense in a rational manner. If a defendant is found mentally incompetent during postrelease community supervision or parole revocation hearings, existing law requires the court to dismiss the pending revocation matter and return the defendant to supervision, and authorizes the court take other action, including referring the matter to the public guardian of the county of commitment to initiate conservatorship proceedings only if there are no other reasonable alternatives to meet the defendants mental health needs, as specified.
This bill would delete the authority of the court to dismiss the pending revocation matter and would delete the above-described restriction on the courts authority to order the matter to the public guardian. The bill would establish a process for delivering a defendant who is found mentally incompetent to a public or private treatment facility for up to 180 days or until the parolees date of discharge, whichever comes first, for the purpose of restoring the defendants competency, including procedures for involuntarily administering antipsychotic medication. provide a court with discretion when a defendant is found mentally incompetent during a postrelease community supervision or parole revocation hearing to either dismiss the pending revocation matter, as specified, or, if the court determines that there is a reasonable likelihood that the defendant may be restored to competency and returned to court to face the revocation proceedings, order the county sheriff to deliver the defendant to either a State Department of State Hospitals facility, as specified, or a public or private treatment facility, as specified, for treatment to restore the defendant to mental competency. The bill would require the defendant be returned to court to resume the revocation proceedings if the defendant is restored to competency within 180 days of arrest or before the defendants date of discharge, whichever is earlier. The bill would alternatively require the court to dismiss the pending revocation matter and return the defendant to supervision, as specified, if the defendant is not restored to competency within 180 days of arrest or before the defendants date of discharge, whichever comes first.
By increasing the duties of local officials, including the county mental health director and county public guardian, the bill would impose a state-mandated local program.
The California Constitution requires the state to reimburse local agencies and school districts for certain costs mandated by the state. Statutory provisions establish procedures for making that reimbursement.
This bill would provide that, if the Commission on State Mandates determines that the bill contains costs mandated by the state, reimbursement for those costs shall be made pursuant to the statutory provisions noted above.
Existing law prohibits a person from having his or her probation, mandatory supervision, postrelease community supervision, or parole revoked while that person is mentally incompetent. A defendant is mentally incompetent for these purposes if, as a result of mental disorder or developmental disability, the defendant is unable to understand the nature of the criminal proceedings or to assist counsel in the conduct of a defense in a rational manner. If a defendant is found mentally incompetent during postrelease community supervision or parole revocation hearings, existing law requires the court to dismiss the pending revocation matter and return the defendant to supervision, and authorizes the court take other action, including referring the matter to the public guardian of the county of commitment to initiate conservatorship proceedings only if there are no other reasonable alternatives to meet the defendants mental health needs, as specified.
This bill would delete the authority of the court to dismiss the pending revocation matter and would delete the above-described restriction on the courts authority to order the matter to the public guardian. The bill would establish a process for delivering a defendant who is found mentally incompetent to a public or private treatment facility for up to 180 days or until the parolees date of discharge, whichever comes first, for the purpose of restoring the defendants competency, including procedures for involuntarily administering antipsychotic medication.
By increasing the duties of local officials, including the county mental health director and county public guardian, the bill would impose a state-mandated local program.
The California Constitution requires the state to reimburse local agencies and school districts for certain costs mandated by the state. Statutory provisions establish procedures for making that reimbursement.
This bill would provide that, if the Commission on State Mandates determines that the bill contains costs mandated by the state, reimbursement for those costs shall be made pursuant to the statutory provisions noted above.
(a)If the defendant is found mentally competent during a postrelease community supervision or parole revocation hearing, the revocation proceedings shall resume. The formal hearing on the revocation shall occur within a reasonable time after resumption of the proceedings, but a defendant who is found to be mentally competent may shall not be detained in custody for over 180 days from the date of arrest.
(b)If the defendant is found mentally incompetent, the court may, using the least restrictive option to meet the mental health needs of the defendant, do any of the following: shall have discretion to do either of the following:
(1)Dismiss the pending revocation matter and may, using the least restrictive option to meet the mental health needs of the defendant, also do any of the following:
(1)(A)Modify the terms and conditions of supervision to include appropriate mental health treatment.
(2)(B)Refer the matter to any local mental health court, reentry court, or other collaborative justice court available for improving the mental health of the defendant.
(3)(C)Refer the matter to the public guardian of the county of commitment to initiate conservatorship proceedings pursuant to Sections 5352 and 5352.5 of the Welfare and Institutions Code. The public guardian shall investigate all available alternatives to conservatorship pursuant to Section 5354 of the Welfare and Institutions Code. The court shall order the matter to the public guardian pursuant to this subparagraph only if there are no other reasonable alternatives to the establishment of a conservatorship to meet the mental health needs of the defendant.
(2)(A)If the court determines, after considering the opinions in the report prepared pursuant to subdivision (a) of Section 1369 and any other relevant information, that there is a reasonable likelihood that the defendant may be restored to competency and returned to court to face the revocation proceedings no later than 180 days from the date of arrest, or before the defendants date of discharge, whichever is earlier, the court shall order the county sheriff to deliver the defendant to one of the following facilities for treatment pursuant to Section 1370 for the purpose of restoring the defendant to mental competency:
(i)A State Department of State Hospitals facility, as defined in Section 4100 of the Welfare and Institutions Code, for the care and treatment of the mentally disordered, as directed by the State Department of State Hospitals.
(ii)A public or private treatment facility, including a jail restoration of competency program or the community-based residential treatment system established pursuant to Article 1 (commencing with Section 5670) of Chapter 2.5 of Part 2 of Division 5 of the Welfare and Institutions Code, if the facility has a secured perimeter or a locked and controlled treatment facility, approved by the community program director.
(B)If the defendant is restored to competency within 180 days of arrest or before the defendants date of discharge, whichever is earlier, the defendant shall be returned to court and the revocation proceedings shall resume.
(C)If the defendant is not restored to competency within 180 days of arrest or before the defendants date of discharge, whichever is earlier, the court shall dismiss the pending revocation matter and return the defendant to supervision. The court may proceed with any of the options described in paragraph (1).
(4)Order the defendant to be delivered by the county sheriff to a public or private treatment facility, including a jail restoration of competency program or the community-based residential treatment system established pursuant to Article 1 (commencing with Section 5670) of Chapter 2.5 of Part 2 of Division 5 of the Welfare and Institutions Code, if the facility has a secured perimeter or a locked and controlled treatment facility, approved by the community program director, to promote the defendants restoration to mental competence as soon as possible, for up to an additional 180 days from the day the defendant is found by the court to be mentally incompetent, or up to the parolees date of discharge, whichever comes first, for the purpose of restoring the defendants competency.(A)The court shall hear and determine whether the defendant lacks the mental capacity to make decisions regarding the administration of antipsychotic medication. The court shall consider opinions in the reports prepared pursuant to subdivision (a) of Section 1369, as applicable to the issue of whether the defendant lacks the capacity to make decisions regarding the administration of antipsychotic medication, and shall proceed, as follows:(i)The court shall hear and determine whether either of the following is true:(I)The defendant lacks the capacity to make decisions regarding the administration of antipsychotic medication, the defendants mental disorder requires medical treatment with antipsychotic medication, and, if the defendants mental disorder is not treated with antipsychotic medication, it is probable that serious harm to the physical or mental health of the defendant will result. Probability of serious harm to the physical or mental health of the defendant requires evidence that the defendant is presently suffering adverse effects to his or her physical or mental health, or the defendant has previously suffered these effects as a result of a mental disorder and his or her condition is substantially deteriorating. The fact that a defendant has a diagnosis of a mental disorder does not alone establish the probability of serious harm to the physical or mental health of the defendant.(II)The defendant is a danger to others because he or she has inflicted, attempted to inflict, or made a serious threat of inflicting substantial physical harm on another while in custody, or the defendant had inflicted, attempted to inflict, or made a serious threat to inflict substantial physical harm on another that resulted in his or her being taken into custody, and the defendant presents, as a result of mental disorder or mental defect, a demonstrated danger of inflicting substantial physical harm on others. Demonstrated danger may be based on an assessment of the defendants present mental condition, including a consideration of past behavior of the defendant within six years prior to the time the defendant last attempted to inflict, inflicted, or threatened to inflict substantial physical harm on another, and other relevant evidence.(ii)If the court finds either of the conditions described in clause (i) to be true, the court shall issue an order authorizing involuntary administration of antipsychotic medication to the defendant when and as prescribed by the defendants treating psychiatrist at any facility housing the defendant for purposes of this chapter.(iii)In all cases, the treating facility or program may administer medically appropriate antipsychotic medication prescribed by a psychiatrist in an emergency, as described in subdivision (m) of Section 5008 of the Welfare and Institutions Code.(iv)If the court has determined that the defendant has the capacity to make decisions regarding antipsychotic medication, and if the defendant, with the advice of his or her counsel, consents, the court order of commitment shall include confirmation that antipsychotic medication may be given to the defendant as prescribed by a treating psychiatrist with the defendants consent. The commitment order shall also indicate that if the defendant withdraws consent for antipsychotic medication after the treating psychiatrist complies with the requirements of subclause (II) of clause (i), the defendant shall be returned to court for a hearing in accordance with this subparagraph regarding whether antipsychotic medication shall be administered involuntarily.(B)The court shall set a review hearing prior to the expiration of the additional 180 day period to review the progress in restoring the defendants competency. At the review hearing, if the defendant is found mentally competent, the defendant shall be returned to parole supervision, If the defendants mental competency has not been restored, the court shall dismiss the pending revocation matter and return the defendant to supervision. If the revocation matter is dismissed, the court may, using the least restrictive option to meet the mental health needs of the defendant, proceed with any of the options described in paragraphs (1) to (3), inclusive.(C)The court shall transmit a copy of the order to the Department of Corrections and Rehabilitation, the district attorneys office, and the defendants counsel.(c)(1)Notwithstanding any other law, if a person subject to parole pursuant to Section 3000.1 or paragraph (4) of subdivision (b) of Section 3000 is found mentally incompetent, the court shall order the parolee to undergo treatment pursuant to Section 1370 for restoring the person to competency, except that if the parolee is not restored to competency within the maximum period of confinement and the court dismisses the revocation, the court shall return the parolee to parole supervision.
(2)If the parolee is returned to parole supervision, the court may, using the least restrictive option to meet the mental health needs of the parolee, do any of the following:
(A)Modify the terms and conditions of parole to include appropriate mental health treatment.
(B)Refer the matter to any local mental health court, reentry court, or other collaborative justice court available for improving the mental health of the parolee.
(C)Refer the matter to the public guardian of the county of commitment to initiate conservatorship proceedings pursuant to Sections 5352 and 5352.5 of the Welfare and Institutions Code. The public guardian shall investigate all available alternatives to conservatorship pursuant to Section 5354 of the Welfare and Institutions Code. The court shall order the matter to the public guardian pursuant to this subparagraph only if there are no other reasonable alternatives to the establishment of a conservatorship to meet the mental health needs of the parolee.
(d)If a conservatorship is established for a defendant or parolee pursuant to subdivision (b) or (c), the county or the Department of Corrections and Rehabilitation shall not compassionately release the defendant or parolee or otherwise cause the termination of his or her supervision or parole based on the establishment of that conservatorship.
SEC. 2.If the Commission on State Mandates determines that this act contains costs mandated by the state, reimbursement to local agencies and school districts for those costs shall be made pursuant to Part 7 (commencing with Section 17500) of Division 4 of Title 2 of the Government Code.
(a)If the defendant is found mentally competent during a postrelease community supervision or parole revocation hearing, the revocation proceedings shall resume. The formal hearing on the revocation shall occur within a reasonable time after resumption of the proceedings, but in no event may the defendant a defendant who is found to be mentally competent may not be detained in custody for over 180 days from the date of arrest.
(b)If the defendant is found mentally incompetent, the court shall dismiss the pending revocation matter and return the defendant to supervision. If the revocation matter is dismissed pursuant to this subdivision, the court may, using the least restrictive option to meet the mental health needs of the defendant, also do any of the following:
(1)Modify the terms and conditions of supervision to include appropriate mental health treatment.
(2)Refer the matter to any local mental health court, reentry court, or other collaborative justice court available for improving the mental health of the defendant.
(3)Refer the matter to the public guardian of the county of commitment to initiate conservatorship proceedings pursuant to Sections 5352 and 5352.5 of the Welfare and Institutions Code. The public guardian shall investigate all available alternatives to conservatorship pursuant to Section 5354 of the Welfare and Institutions Code. The court shall order the matter to the public guardian pursuant to this paragraph only if there are no other reasonable alternatives to the establishment of a conservatorship to meet the mental health needs of the defendant.
(4)Order the defendant to be delivered by the county sheriff to a public or private treatment facility, including a jail restoration of competency program or the community-based residential treatment system established pursuant to Article 1 (commencing with Section 5670) of Chapter 2.5 of Part 2 of Division 5 of the Welfare and Institutions Code, if the facility has a secured perimeter or a locked and controlled treatment facility, approved by the community program director, to promote the defendants restoration to mental competence as soon as possible, for up to an additional 180 days from the day the defendant is found by the court to be mentally incompetent, or up to the parolees date of discharge, whichever comes first, for the purpose of restoring the defendants competency.
(A)The court shall hear and determine whether the defendant lacks the mental capacity to make decisions regarding the administration of antipsychotic medication. The court shall consider opinions in the reports prepared pursuant to subdivision (a) of Section 1369, as applicable to the issue of whether the defendant lacks the capacity to make decisions regarding the administration of antipsychotic medication, and shall proceed, as follows:
(i)The court shall hear and determine whether either of the following is true:
(I)The defendant lacks the capacity to make decisions regarding the administration of antipsychotic medication, the defendants mental disorder requires medical treatment with antipsychotic medication, and, if the defendants mental disorder is not treated with antipsychotic medication, it is probable that serious harm to the physical or mental health of the defendant will result. Probability of serious harm to the physical or mental health of the defendant requires evidence that the defendant is presently suffering adverse effects to his or her physical or mental health, or the defendant has previously suffered these effects as a result of a mental disorder and his or her condition is substantially deteriorating. The fact that a defendant has a diagnosis of a mental disorder does not alone establish the probability of serious harm to the physical or mental health of the defendant.
(II)The defendant is a danger to others because he or she has inflicted, attempted to inflict, or made a serious threat of inflicting substantial physical harm on another while in custody, or the defendant had inflicted, attempted to inflict, or made a serious threat to inflict substantial physical harm on another that resulted in his or her being taken into custody, and the defendant presents, as a result of mental disorder or mental defect, a demonstrated danger of inflicting substantial physical harm on others. Demonstrated danger may be based on an assessment of the defendants present mental condition, including a consideration of past behavior of the defendant within six years prior to the time the defendant last attempted to inflict, inflicted, or threatened to inflict substantial physical harm on another, and other relevant evidence.
(ii)If the court finds either of the conditions described in clause (i) to be true, the court shall issue an order authorizing involuntary administration of antipsychotic medication to the defendant when and as prescribed by the defendants treating psychiatrist at any facility housing the defendant for purposes of this chapter.
(iii)In all cases, the treating facility or program may administer medically appropriate antipsychotic medication prescribed by a psychiatrist in an emergency, as described in subdivision (m) of Section 5008 of the Welfare and Institutions Code.
(iv)If the court has determined that the defendant has the capacity to make decisions regarding antipsychotic medication, and if the defendant, with the advice of his or her counsel, consents, the court order of commitment shall include confirmation that antipsychotic medication may be given to the defendant as prescribed by a treating psychiatrist with the defendants consent. The commitment order shall also indicate that if the defendant withdraws consent for antipsychotic medication after the treating psychiatrist complies with the requirements of subclause (II) of clause (i), the defendant shall be returned to court for a hearing in accordance with this subparagraph regarding whether antipsychotic medication shall be administered involuntarily.
(B)The court shall set a review hearing prior to the expiration of the additional 180 day period to review the progress in restoring the defendants competency. At the review hearing, if the defendant is found mentally competent, the defendant shall be returned to parole supervision, If the defendants mental competency has not been restored, the court shall dismiss the pending revocation matter and return the defendant to supervision. If the revocation matter is dismissed, the court may, using the least restrictive option to meet the mental health needs of the defendant, proceed with any of the options described in paragraphs (1) to (3), inclusive.
(C)The court shall transmit a copy of the order to the Department of Corrections and Rehabilitation, the district attorneys office, and the defendants counsel.
(c)(1)Notwithstanding any other law, if a person subject to parole pursuant to Section 3000.1 or paragraph (4) of subdivision (b) of Section 3000 is found mentally incompetent, the court shall order the parolee to undergo treatment pursuant to Section 1370 for restoring the person to competency, except that if the parolee is not restored to competency within the maximum period of confinement and the court dismisses the revocation, the court shall return the parolee to parole supervision.
(2)If the parolee is returned to parole supervision, the court may, using the least restrictive option to meet the mental health needs of the parolee, do any of the following:
(A)Modify the terms and conditions of parole to include appropriate mental health treatment.
(B)Refer the matter to any local mental health court, reentry court, or other collaborative justice court available for improving the mental health of the parolee.
(C)Refer the matter to the public guardian of the county of commitment to initiate conservatorship proceedings pursuant to Sections 5352 and 5352.5 of the Welfare and Institutions Code. The public guardian shall investigate all available alternatives to conservatorship pursuant to Section 5354 of the Welfare and Institutions Code. The court shall order the matter to the public guardian pursuant to this subparagraph only if there are no other reasonable alternatives to the establishment of a conservatorship to meet the mental health needs of the parolee.
(d)If a conservatorship is established for a defendant or parolee pursuant to subdivision (b) or (c), the county or the Department of Corrections and Rehabilitation shall not compassionately release the defendant or parolee or otherwise cause the termination of his or her supervision or parole based on the establishment of that conservatorship.
SEC. 2.If the Commission on State Mandates determines that this act contains costs mandated by the state, reimbursement to local agencies and school districts for those costs shall be made pursuant to Part 7 (commencing with Section 17500) of Division 4 of Title 2 of the Government Code.
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Date
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Status
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| May 25, 2018 | May 25 hearing: Held in committee and under submission. |
| May 18, 2018 | Set for hearing May 25. |
| Apr 30, 2018 | April 30 hearing: Placed on APPR. suspense file. |
| Apr 20, 2018 | Set for hearing April 30. |
| Apr 17, 2018 | Read second time and amended. Re-referred to Com. on APPR. |
| Apr 16, 2018 | From committee: Do pass as amended and re-refer to Com. on APPR. (Ayes 7. Noes 0.) (April 10). |
| Mar 15, 2018 | Set for hearing April 10. |
| Feb 22, 2018 | Referred to Com. on PUB. S. |
| Feb 14, 2018 | From printer. May be acted upon on or after March 16. |
| Feb 13, 2018 | Introduced. Read first time. To Com. on RLS. for assignment. To print. |
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Date
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Description
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Location
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Votes
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| Apr 30, 2018 | Placed on suspense file | Senate Standing Committee on Appropriations |
Passed |
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| Apr 10, 2018 | Do pass as amended, but first amend, and re-refer to the Committee on [Appropriations] | Senate Standing Committee on Public Safety |
Passed |
This list shows positions taken on this bill by organizations on the date displayed, which is linked to the original source.
Positions by individuals are not included.
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Organization
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Position
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Date
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| ACLU California | * Support | Apr 10, 2018 |
| California District Attorneys Association | ** Support | Apr 9, 2018 |
| PURPOSE | ** Against | Apr 9, 2018 |
SENATE COMMITTEE ON APPROPRIATIONS
Senator Ricardo Lara, Chair
2017 - 2018 Regular Session
SB 1095 (Anderson) - Criminal proceedings: mentally incompetent offenders
Version: April 17, 2018 | Policy Vote: PUB. S. 7 - 0 |
Urgency: No | Mandate: Yes |
Hearing Date: April 30, 2018 | Consultant: Shaun Naidu |
This bill meets the criteria for referral to the Suspense File.
Bill Summary:
SB 1095 would replace the requirement that the court dismiss a pending parole or post-release community supervision (PRCS) revocation proceeding against a defendant who is found to be mentally incompetent by allowing the court to order him or her, if specified conditions are met, to treatment in a state hospital or other treatment facility, as specified, to attempt to restore competency.
Fiscal Impact:
- Unknown, potentially-significant costs to the Department of State Hospitals (DSH) for the placement of individuals into competency restoration treatment at a state hospital for up to six months. The placement of two patients at a state hospital for competency restoration treatment for six months who otherwise would have pending parole or PRCS revocation proceedings against them dismissed would surpass the threshold for referral of this bill to the Suspense File. (General Fund)
- Unknown costs to counties to treat defendants who the court orders to a local public treatment program, whether a jail-based competency treatment program or another program operated by a public treatment facility. (local funds, General Fund^)
- Unknown costs to the court to commence revocation proceedings that otherwise would be dismissed. (General Fund*)
*Trial Court Trust Fund
^Proposition 30 (2012) exempts the state from mandate reimbursement for realigned responsibilities for “Public Safety Services” including the managing of local jails and the provision of services for and supervision of minor and adult offenders. The constitutional amendment, however, provides that legislation enacted after September 30, 2012 that has an overall effect of increasing the costs already borne by a local agency for public safety services transferred by the 2011 Realignment Legislation apply to local agencies only to the extent that the state provides annual funding for the costs increase. If the local costs resulting from this measure are determined to be included within the scope of Proposition 30, the local agency would not be obligated to provide the level of service required by this bill above the level for which funding is provided by the state. The provisions of this bill may lead to the additional subvention of funds to obtain local compliance, resulting in cost pressure to the General Fund.
Background:
Existing law prohibits a person from having his or her probation, mandatory supervision, PRCS, or parole revoked while that person is mentally incompetent. A defendant is mentally incompetent for these purposes if, as a result of a mental disorder or developmental disability, the defendant is unable to understand the nature of the criminal proceedings or to assist his or her lawyer in the conduct of a defense in a rational manner. If a defendant is found incompetent during PRCS or parole revocation hearings, existing law requires the court to dismiss the pending revocation matter and return the defendant to supervision and authorizes the court take another action, including referring the matter to the public guardian of the county of commitment to initiate conservatorship proceedings only if there are no other reasonable alternatives to meet the defendant’s mental health needs, as specified.
Proposed Law:
This bill would replace the requirement that the court dismiss a pending parole or PRCS revocation proceeding against a defendant who is found to be incompetent. It would allow the court in this situation, if it determines that there is a reasonable likelihood that the defendant may be restored to competency and returned to court to face the revocation proceedings, to order the defendant to either a DSH facility, as specified, or a public or private treatment facility, as specified, for restoration of competency treatment. It also would require the defendant be returned to court to resume the revocation proceedings if the defendant is restored to competency within 180 days of arrest or before the defendant’s date of discharge, whichever is earlier. SB 1095 alternatively would require the court to dismiss the pending revocation matter and return the defendant to supervision, as specified, if the defendant is not restored to competency within 180 days of arrest or before the defendant’s date of discharge, whichever comes first.
Related Legislation:
SB 684 (Bates, Ch. 246, Stats. 2017) authorized a prosecutor, in a felony case involving alleged death, great bodily harm, or a serious threat to the physical well-being of another person to request a probable cause hearing at any time before or after a defendant is found to be incompetent in order to establish probable cause that the defendant committed the crime for purposes of establishing a “Murphy” conservatorship. It also codified that certain persons may be conserved under either a “Murphy” conservatorship or Lanterman-Petris-Short conservatorship.
SB 1412 (Nielsen, Ch. 759, Stats. 2014) established the current scheme for situations in which a defendant who is facing a PRCS or parole revocation proceeding is found to be incompetent.
Staff Comments:
Despite an increase in capacity over the last few years, the need for competency restoration treatment still surpasses the space available at state hospitals. As of February 2018, DSH had 933 patients on the department’s waiting list for competency restoration treatment. This number is about 41 percent higher than the waitlist in August 2017. To address this backlog, the governor’s proposed 2018-19 budget includes an augmentation of $87.4 million to the department’s budget to expand competency restoration treatment. The proposed budget also includes a one-time appropriation of $100 million for DSH to contract with counties to create diversion programs to treat individuals in the criminal justice system before they are declared incompetent.
Additionally, this bill would allow the court, if specified conditions are met, to order a defendant, who is facing a parole or PRCS revocation proceeding but is found incompetent, to a jail-based competency treatment program. According to information provided to the Legislative Analyst’s Office by DSH, these jail-based programs also have waitlists. As of the end of March 2018, there were 252 placements pending to a jail-based competency treatment program.
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SENATE COMMITTEE ON PUBLIC SAFETY
Senator Nancy Skinner, Chair
2017 - 2018 Regular
Bill No: SB 1095 Hearing Date: April 10, 2018
Author: | Anderson | ||
Version: | February 13, 2018 | ||
Urgency: | No | Fiscal: | Yes |
Consultant: | SC | ||
Subject: Criminal Proceedings: Mentally Incompetent Offenders
HISTORY
Source: San Diego District Attorney’s Office
Prior Legislation: SB 684 (Bates), Ch. 246, Stats. 2017
AB 103 (Comm. on Budget), Ch. 17, Stats. 2017
AB 720 (Eggman), Ch. 347, Stats. 2017
SB 1412 (Nielsen), Ch. 759, Stats. 2014
AB 2625 (Achadjian), Ch. 742, Stats. 2014
AB 2190 (Maienschein), Ch. 734, Stats. 2014
AB 2186 (Lowenthal), Ch. 733, Stats. 2014
AB 1907 (Lowenthal), Ch. 814, Stats. 2012
SB 1789 (Perata), Ch. 486, Stats. 2004
Support: California District Attorneys Association
Opposition: American Civil Liberties Union of California; California Public Defenders Association; Disability Rights California
PURPOSE
The purpose of this bill is to delete the requirement under existing law that a court must dismiss a pending revocation matter and return a defendant to supervision when the defendant is found mentally incompetent to stand trial (IST) and to authorize the placement of the defendant in a treatment facility for up to an additional 180 days and order involuntary medication.
Existing law specifies procedures to revoke, modify or terminate parole or postrelease community supervision (PRCS). (Pen. Code, §§ 3000.08; 3455.)
Existing law limits confinement for a PRCS or parole violation to 180 days in county jail. (Pen. Code, §§ 3000.08, subd. (g); 3455, subd. (d).)
Existing law specifies certain conditions that PRCS must include. (Pen. Code, § 3453.)
Existing law states that a person cannot be tried or adjudged to punishment or have his or her probation, mandatory supervision, PRCS, or parole revoked while that person is mentally incompetent. (Pen. Code § 1367, subd. (a).)
Existing law provides that a person is mentally incompetent if, as a result of mental disorder or developmental disability, the defendant is unable to understand the nature of the criminal proceedings or to assist counsel in the conduct of a defense in a rational manner. (Id.)
Existing law requires, when a doubt been declared as to the defendant’s mental competence, the court to hold a trial determine the mental competence of the defendant. (Pen. Code § 1368, subds. (a) & (b).)
Existing law provides that, except as provided, when an order for a hearing into the present mental competence of the defendant has been issued, all proceedings in the criminal prosecution shall be suspended until the question of whether the defendant is IST is determined. (Pen. Code § 1368, subd. (c).)
Existing law specifies how the trial on the issue of mental competency shall proceed. (Pen. Code § 1369.)
Existing law provides that in order to determine whether a defendant is IST, the court shall order a trial on the question of the defendant’s mental competence and requires the court to appoint a psychiatrist or licensed psychologist to examine the defendant. Among the evaluations that the psychiatrist or licensed psychologist must conduct is whether or not treatment with antipsychotic medication is medically appropriate and whether antipsychotic medication is likely to restore the defendant to mental competence. The examining psychiatrist or licensed psychologist shall also address the issues of whether the defendant has the capacity to make decisions regarding antipsychotic medication and whether the defendant is a danger to self or others. (Pen. Code, § 1369, subd. (a).)
Existing law requires the court to hear and determine whether the defendant lacks capacity to make decisions regarding the administration of antipsychotic medication and if the court determines any of the following conditions to be true, the court shall issue an order authorizing involuntary medication:
- The defendant lacks capacity to make decisions regarding antipsychotic medication, the defendant’s mental disorder requires medical treatment with antipsychotic medication, and if the defendant’s mental disorder is not treated with antipsychotic medication, it is probable that serious harm to the physical or mental health of the defendant will result;
- The defendant is a danger to others, in that the defendant has inflicted, attempted to inflict, or made a serious threat of inflicting substantial physical harm on another while in custody, or the defendant had inflicted, attempted to inflict , or made serious threat of inflicting substantial physical harm on another that resulted in the defendant being taken into custody, and the defendant presents, as a result of mental disorder or mental defect, a demonstrated danger of inflicting substantial physical harm on others; or,
- The defendant has been charged with a serious crime against the person or property, involuntary administration of antipsychotic medication is substantially likely to render the defendant competent to stand trial, the medication is unlikely to have side effects that interfere with the defendant’s ability to understand the nature of the criminal proceedings or to assist counsel in the conduct of a defense in a reasonable manner, less intrusive treatments are unlikely to have substantially the same results, and antipsychotic medication is in the patient’s best medical interest in light of his or her medical condition. (Pen. Code, § 1370, subd. (a)(2)(B)(i).)
This bill adds language that mirrors the above conditions that the court shall consider when determining whether to issue an order authorizing involuntary medication, except the third condition concerning new charges.
Existing law provides that if the defendant is found mentally competent during a PRCS or parole revocation hearing, the revocation proceedings shall resume. The formal hearing on the revocation shall occur within a reasonable time after resumption of the proceedings, but in no event may the defendant be detained in custody for over 180 days from the date of arrest. (Pen. Code, § 1370.02, subd. (a).)
Existing law states that if the defendant is found IST, the court shall dismiss the pending revocation matter and return the defendant to supervision. Pen. Code, § 1370.02, subd. (b).)
This bill deletes the authority of the court to dismiss the pending revocation matter when the defendant is found IST.
Existing law provides that if the revocation matter is dismissed, the court may, using the least restrictive option to meet the mental health needs of the defendant, also do any of the following:
- Modify the terms and conditions of supervision to include appropriate mental health treatment;
- Refer the matter to any local mental health court, reentry court, or other collaborative justice court available for improving the mental health of the defendant;
- Refer the matter to the public guardian of the county of commitment to initiate conservatorship proceedings only if there are no other reasonable alternatives to the establishment of a conservatorship to meet the mental health needs of the defendant. (Pen. Code, § 1370.02, subd. (b).)
This bill deletes the restriction that the court may only refer the matter to the public guardian if there are no other reasonable alternatives to the establishment of the conservatorship to meet the mental health needs of the defendant.
This bill provides that the court may, when a defendant is found IST during a revocation hearing, order the defendant to be delivered to a public or private treatment facility, including a jail restoration of competency program or the community-based residential treatment system, if the facility has a secured perimeter or a locked and controlled treatment facility, approved by the community program director, to promote the defendant’s restoration to mental competence as soon as possible, for up to an additional 180 days from the day the defendant is found by the court to be IST, or up to the parolee’s date of discharge, whichever comes first.
This bill requires the court to set a review hearing prior to the expiration of the additional 180 day period to review the progress in restoring the defendant’s competency.
This bill states that if, at the review hearing, the defendant is found mentally competent, the defendant shall be returned to supervision.
This bill provides that if, at the review hearing, the defendant’s mental competency has not been restored, the court shall dismiss the pending revocation matter and return the defendant to supervision. If the revocation matter is dismissed, the court may, using the least restrictive option to meet the mental health needs of the defendant, proceed with any of the following:
- Modify the terms and conditions of supervision to include appropriate mental health treatment;
- Refer the matter to any local mental health court, reentry court, or other collaborative justice court available for improving the mental health of the defendant; or,
- Refer the matter to the public guardian of the county of commitment to initiate conservatorship proceedings.
COMMENTS
1. Need for This Bill
According to the sponsor of this bill:
Currently, when an offender on parole or PRCS is returned to court on a parole violation and a “doubt” regarding their mental competency is raised by the Court of their attorney, revocation proceedings are suspended and the offender is referred for a mental competency examination by a court appointed psychologist. If the court appointed psychologist finds the offender to be mentally incompetent, current law dictates that the court must dismiss the revocation petition and release the offender from custody, without treatment, to supervision.
In addition, current law limits the time a parolee or PRCS offender can be detained on a parole violation to up to 180 days. During those 180 days, the offender continues to accrue “good conduct credits” per penal code 4019, therefore only giving the curt the ability to hold the individual for up to 90 actual days for evaluation or treatment. This means that parolees who are considered “high-risk” for reoffending in a violent or sexual manner, and who pose an added risk to themselves and to the public due to their acute mental health condition, are back on the streets within 90 days, regardless of whether they received a mental health evaluation or treatment. Without being restored to competency, these offenders, oftentimes suffering from delusions, pose an extreme danger to themselves and the public. It is only after they commit a new crime that they are likely to be referred to seek mental health restoration and treatment. This may very well add to the already lengthy waiting list for a bed at Patton State Hospital, or alternatively a lengthy and costly, jail or prison term.
2. Population of Inmates Suffering from a Mental Disorder is Growing
According to several reports, the population of inmates in county jails and in state prisons has increased over the years. A Los Angeles Times article from June 2016 reported that “the number of mentally ill inmates has grown in both county jails and state prisons, although overall inmate populations have shrunk. In L.A. County jails, the average population of mentally ill inmates in 2013 was 3,081. As of mid-May it was 4,139, a 34% increase.
“In the state prison system, the mentally ill inmate population was 32,525 in April 2013, making up 24.5% of the overall population. As of February [2016], according to a recently released monitoring report, the overall population had fallen by 5,230 while the mental health population had grown by 4,275, and made up 29% of the total population.” (Sewell, Mentally ill inmates are swamping the state's prisons and jails. Here's one man's story. (June 19, 2016) Los Angeles Times see full article at < http://www.latimes.com/local/california/la-me-mentally-ill-inmate-snap-story.html > [as of Apr. 2, 2018].)
Studies have found that persons with mental disorders tend to spend more time in jail and prison than similarly situated persons who do not have a mental disorder. (Stanford Justice Advocacy Project, Confronting California’s Continuing Prison Crisis: The Prevalence and Severity of Mental Illness Among California Prisoners on the Rise (2017) p. 2; Treatment Advocacy Center Office of Research and Public Affairs, Serious Mental Illness Prevalence in Jails and Prisons (Sept. 2016) pp. 2-3.) Part of this can be attributed to mental competency evaluations and restoration of competency, however, it has been found that the main reason mentally ill inmates are incarcerated longer than other prisoners is that many find it difficult to understand and follow jail and prison rules. (Ibid.) The same rationale could be applied to persons who have a mental disorder making them likely to violate their terms of probation or parole more often than those who do not have a mental disorder.
Under existing law, a person who has violated a condition of parole of PRCS can be confined in county jail for up to 180 days. (Pen. Code, §§ 3000.08, subd. (g); 3455, subd. (d).) Existing law specifies procedures for a person who has had a doubt declared regarding their mental competency during a revocation matter. (Pen. Code, § 1370.02.) If, after an evaluation, a person is found mentally competent, the revocation matter resumes. (Pen. Code, § 1370.02, subd. (a).) At that point, the court may revoke PRCS or parole and order the person to serve up to 180 days in jail, which amounts to a maximum of 90 days when credits are applied. Any time that the person spent confined to county jail awaiting the resolution of the matter would also be credited toward the maximum confinement time. The court could choose to place the person back on supervision with additional terms and conditions. If the person is found IST, the court is required to dismiss the revocation matter and return the person to supervision. (Pen. Code, § 1370.02, subd. (b).)
This bill would require the court, instead of dismissing the revocation matter, to place a person in a public or private treatment facility, including a jail restoration of competency program or the community-based residential treatment system for up to an additional 180 days to restore the person’s mental competency and also authorize involuntary medication. The 180 days in treatment would not be reduced by credits that would be earned by someone confined in county jail. Once restored, the person could face up to 180 days of confinement for the actual violation. This means that a person who is found IST would likely be confined for a longer period of time than someone who is mentally competent for the same conduct.
Considering that a person with a mental disorder is more likely to violate his or her supervision conditions and that parole or PRCS violations typically do not rise to the level of a new crime (a new crime would be subject to longer periods of competency restoration and confinement under existing Penal Code section 1370), is the longer period of a person’s loss of liberty proposed by this bill justified?
3. Legislative History
Penal Code section 1370.02 was enacted by SB 1412 (Nielsen), Chapter 759, Statutes of 2014. The purpose of the bill was to create a mental competency process for persons under PRCS and mandatory supervision, which were categories of supervision created through Criminal Justice Realignment in 2011.
Prior to realignment, individuals released from prison were placed on parole and supervised in the community by parole agents of the California Department of Corrections and Rehabilitation (CDCR). Realignment shifted the supervision of some released prison inmates from CDCR parole agents to local probation departments. Parole under the jurisdiction of CDCR for inmates released from prison on or after October 1, 2011 is limited to those defendants whose term was for a serious or violent felony; were serving a Three-Strikes sentence; are classified as high-risk sex offenders; who are required to undergo treatment as mentally disordered offenders; or who, while on certain paroles, commit new offenses. (Pen. Code, §§ 3000.08, subd. (a) and (c), and 3451, subd. (b).) All other inmates released from prison are subject to up to three years of PRCS under supervision by county probation departments. (Penal Code Sections 3000.08, subd. (b) and 3451, subd. (a).)
Earlier versions of SB 1412 did not require dismissal of the pending revocation matter once a person was found IST, but the version of the bill ultimately signed into law required dismissal. This language, amended into the bill on August 19, 2014, was added to address concerns regarding capacity of the State Hospitals that already had long wait lists, as well as concerns about the 180 day time period being insufficient to restore a person to competency.
4. Addressing the Growing IST Population
Limited state hospital beds and an increasing IST population have led to long waitlists to be transferred to a state hospital. Although beds have been increased in the past few years, the number of patients on the IST waitlist continues to grow. As of February 2018, there were 933 patients on the waitlist, which is about 41 percent higher than the waitlist in August of 2017. (2018-19 Budget: Analysis of the Health and Human Services Budget, Legislative Analyst’s Office (LAO) (Feb. 2018).)
According to LAO’s report:
Patients on the waitlist are typically housed in county jails while they wait to be transferred to a [Department of State Hospitals] DSH program, which is problematic for two reasons. First, due to limited access to mental health treatment in some jails, these patients’ condition can worsen (“decompensate”) while they are in jail, potentially making eventual restoration of competency more difficult. Second, long waitlists can result in increased court costs and a higher risk of DSH being found in contempt of court orders to admit patients. This is because courts in some counties have required DSH to admit patients within certain time frames and DSH can be ordered to appear in court or be held in contempt when it fails to do so.(Ibid.)
In addition to increasing beds in state hospitals, DSH has been authorized to contract with counties to provide jail-based competency programs to address this population. Under such programs, counties provide restoration treatment in county jails to persons who have been declared IST but do not require the intensive level of inpatient treatment provided in state hospitals. The most recent information provided by DSH shows that the jail based competency programs also have waitlists, although not as long as those for the state hospital beds. As of March 26, 2018, there were 252 persons pending placement in a jail based competency program as compared to the 743 on the waitlist for a state hospital bed. It has been noted by LAO, however, that the waitlist does not only include patients who cannot be served due to lack of available capacity; the waitlist also includes patients who are being processed by the department to determine where to treat them as well as those who are waiting a short period of time to be physically transferred to an available bed. (Ibid.)
The Governor’s budget for 2018-19 includes $87.4 million to expand IST capacity and reduce the waitlist. The budget also proposes a one-time $100 million to DSH to contract with counties to create diversion programs to treat offenders before they are declared IST. (Ibid.)
5. Additional Considerations
Earlier this year, this committee heard and approved SB 1187 (Beall) which, among other provisions, conformed the IST involuntary medication procedures with the procedures applicable to all county jail inmates pursuant to Penal Code section 2603. This bill conflicts with SB 1187 in that it requires a different process for involuntary medications.
This bill deletes the restriction that the court may only refer the matter to the public guardian if there are no other reasonable alternatives to the establishment of the conservatorship to meet the mental health needs of the defendant. Would this authorize persons to be referred for conservatorship that currently would not be eligible, creating additional strains on resources available for conservatorships?
6. Argument in Support
The California District Attorneys Association writes in support:
Currently, when an offender on parole or PRCS is returned to court on a parole violation and a doubt regarding their mental competency is raised by the Court of by their attorney, revocation proceedings are suspended and the offender is referred for a mental competency examination by a court appointed psychologist. If the court appointed psychologist finds the offender to be mentally incompetent, current law dictates that the court must dismiss the revocation petition and release the offender from custody back to supervision, without receiving treatment.
7. Argument in Opposition
The California Public Defenders Association opposes this bill and writes:
SB 1095, if adopted, would allow for “competency restoration” commitments of individuals whose criminal charges have been adjudicated, who have been to prison and have served their entire prison sentence, who have been thereafter released from prison (without being subject to commitment as a mentally disordered offender), and who are under the supervision of the Probation Department, whenever such individuals come before the superior court, not with charges of new criminal misconduct, but with one or more allegations that they have violated terms and conditions of supervision.
If adopted, this bill would add this population of individuals, who are already eligible to receive comprehensive mental health services in the community of be made the subject of conservatorships under the [Lanterman-Petris-Short Act] LPSA, to the ever-mounting waitlist (n=920) of criminal defendants who are psychiatrically decompensating in our county jails, waiting for months on end for a competency restoration placement bed to become available so they may begin receiving psychiatric treatment and, hopefully, eventually be able to address their criminal charges.
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Discussed in Hearing
Senate Standing Committee on Public Safety
Bill Author
Bill Co-Author(s):