22 | | - | defendant is not competent. For the purposes of this section, a 4 |
---|
23 | | - | defendant is not competent if the defendant is unable to understand 5 |
---|
24 | | - | the proceedings against him or her or to assist in his or her own 6 |
---|
25 | | - | defense. 7 |
---|
26 | | - | (b) A defendant is presumed to be competent. The burden of 8 |
---|
27 | | - | proving that the defendant is not competent by a preponderance of the 9 |
---|
28 | | - | evidence and the burden of going forward with the evidence are on the 10 |
---|
29 | | - | party raising the issue. The burden of going forward with the evidence 11 |
---|
30 | | - | shall be on the state if the court raises the issue. The court may call its 12 |
---|
31 | | - | own witnesses and conduct its own inquiry. 13 |
---|
32 | | - | (c) If, at any time during a criminal proceeding, it appears that the 14 |
---|
33 | | - | defendant is not competent, counsel for the defendant or for the state, 15 |
---|
34 | | - | or the court, on its own motion, may request an examination to 16 |
---|
35 | | - | determine the defendant's competency. 17 Substitute Bill No. 1231 |
---|
| 28 | + | defendant is not competent. For the purposes of this section, a defendant 4 |
---|
| 29 | + | is not competent if the defendant is unable to understand the 5 |
---|
| 30 | + | proceedings against him or her or to assist in his or her own defense. 6 |
---|
| 31 | + | (b) A defendant is presumed to be competent. The burden of proving 7 |
---|
| 32 | + | that the defendant is not competent by a preponderance of the evidence 8 |
---|
| 33 | + | and the burden of going forward with the evidence are on the party 9 |
---|
| 34 | + | raising the issue. The burden of going forward with the evidence shall 10 |
---|
| 35 | + | be on the state if the court raises the issue. The court may call its own 11 |
---|
| 36 | + | witnesses and conduct its own inquiry. 12 |
---|
| 37 | + | (c) If, at any time during a criminal proceeding, it appears that the 13 Raised Bill No. 1231 |
---|
42 | | - | (d) If the court finds that the request for an examination is justified 18 |
---|
43 | | - | and that, in accordance with procedures established by the judges of 19 |
---|
44 | | - | the Superior Court, there is probable cause to believe that the 20 |
---|
45 | | - | defendant has committed the crime for which the defendant is 21 |
---|
46 | | - | charged, the court shall order an examination of the defendant as to his 22 |
---|
47 | | - | or her competency. The court may (1) appoint one or more physicians 23 |
---|
48 | | - | specializing in psychiatry to examine the defendant, or (2) order the 24 |
---|
49 | | - | Commissioner of Mental Health and Addiction Services to conduct the 25 |
---|
50 | | - | examination either (A) by a clinical team consisting of a physician 26 |
---|
51 | | - | specializing in psychiatry, a clinical psychologist and one of the 27 |
---|
52 | | - | following: A clinical social worker licensed pursuant to chapter 383b or 28 |
---|
53 | | - | a psychiatric nurse clinical specialist holding a master's degree in 29 |
---|
54 | | - | nursing, or (B) by one or more physicians specializing in psychiatry, 30 |
---|
55 | | - | except that no employee of the Department of Mental Health and 31 |
---|
56 | | - | Addiction Services who has served as a member of a clinical team in 32 |
---|
57 | | - | the course of such employment for at least five years prior to October 33 |
---|
58 | | - | 1, 1995, shall be precluded from being appointed as a member of a 34 |
---|
59 | | - | clinical team. If the Commissioner of Mental Health and Addiction 35 |
---|
60 | | - | Services is ordered to conduct the examination, the commissioner shall 36 |
---|
61 | | - | select the members of the clinical team or the physician or physicians. 37 |
---|
62 | | - | When performing an examination under this section, the examiners 38 |
---|
63 | | - | shall have access to information on treatment dates and locations in the 39 |
---|
| 41 | + | LCO No. 6129 2 of 18 |
---|
| 42 | + | |
---|
| 43 | + | defendant is not competent, counsel for the defendant or for the state, 14 |
---|
| 44 | + | or the court, on its own motion, may request an examination to 15 |
---|
| 45 | + | determine the defendant's competency. 16 |
---|
| 46 | + | (d) If the court finds that the request for an examination is justified 17 |
---|
| 47 | + | and that, in accordance with procedures established by the judges of the 18 |
---|
| 48 | + | Superior Court, there is probable cause to believe that the defendant has 19 |
---|
| 49 | + | committed the crime for which the defendant is charged, the court shall 20 |
---|
| 50 | + | order an examination of the defendant as to his or her competency. The 21 |
---|
| 51 | + | court may [(1)] appoint one or more physicians specializing in 22 |
---|
| 52 | + | psychiatry to examine the defendant, [or (2) order the Commissioner of 23 |
---|
| 53 | + | Mental Health and Addiction Services to conduct the examination either 24 |
---|
| 54 | + | (A) by a clinical team consisting of a physician specializing in 25 |
---|
| 55 | + | psychiatry, a clinical psychologist and one of the following: A clinical 26 |
---|
| 56 | + | social worker licensed pursuant to chapter 383b or a psychiatric nurse 27 |
---|
| 57 | + | clinical specialist holding a master's degree in nursing, or (B) by one or 28 |
---|
| 58 | + | more physicians specializing in psychiatry, except that no employee of 29 |
---|
| 59 | + | the Department of Mental Health and Addiction Services who has 30 |
---|
| 60 | + | served as a member of a clinical team in the course of such employment 31 |
---|
| 61 | + | for at least five years prior to October 1, 1995, shall be precluded from 32 |
---|
| 62 | + | being appointed as a member of a clinical team. If the Commissioner of 33 |
---|
| 63 | + | Mental Health and Addiction Services is ordered to conduct the 34 |
---|
| 64 | + | examination, the commissioner shall select the members of the clinical 35 |
---|
| 65 | + | team or the physician or physicians] which may include any such 36 |
---|
| 66 | + | physician, as recommended by the prosecuting authority. When 37 |
---|
| 67 | + | performing an examination under this section, the examiners shall have 38 |
---|
| 68 | + | access to information on treatment dates and locations in the 39 |
---|
86 | | - | competency within the maximum period of any placement order 56 |
---|
87 | | - | under this section, the examiners shall then determine whether the 57 |
---|
88 | | - | defendant appears to be eligible for civil commitment to a hospital for 58 |
---|
89 | | - | psychiatric disabilities pursuant to subsection (m) of this section and 59 |
---|
90 | | - | make a recommendation to the court regarding the appropriateness of 60 |
---|
91 | | - | such civil commitment. The court may authorize a physician 61 |
---|
92 | | - | specializing in psychiatry, a clinical psychologist, a clinical social 62 |
---|
93 | | - | worker licensed pursuant to chapter 383b or a psychiatric nurse 63 |
---|
94 | | - | clinical specialist holding a master's degree in nursing selected by the 64 |
---|
95 | | - | defendant to observe the examination. Counsel for the defendant may 65 |
---|
96 | | - | observe the examination. The examination shall be completed within 66 |
---|
97 | | - | fifteen business days from the date it was ordered and the examiners 67 |
---|
98 | | - | shall prepare and sign, without notarization, a written report and file 68 |
---|
99 | | - | such report with the court within twenty-one business days of the date 69 |
---|
100 | | - | of the order. On receipt of the written report, the clerk of the court 70 |
---|
101 | | - | shall cause copies to be delivered immediately to the state's attorney 71 |
---|
102 | | - | and to counsel for the defendant. 72 |
---|
| 90 | + | competency within the maximum period of any placement order under 56 |
---|
| 91 | + | this section, the examiners shall then determine whether the defendant 57 |
---|
| 92 | + | appears to be eligible for civil commitment to a hospital for psychiatric 58 |
---|
| 93 | + | disabilities pursuant to subsection (m) of this section and make a 59 |
---|
| 94 | + | recommendation to the court regarding the appropriateness of such 60 |
---|
| 95 | + | civil commitment. The court may authorize a physician specializing in 61 |
---|
| 96 | + | psychiatry, a clinical psychologist, a clinical social worker licensed 62 |
---|
| 97 | + | pursuant to chapter 383b or a psychiatric nurse clinical specialist 63 |
---|
| 98 | + | holding a master's degree in nursing selected by the defendant to 64 |
---|
| 99 | + | observe the examination. Counsel for the defendant may observe the 65 |
---|
| 100 | + | examination. The examination shall be completed within fifteen 66 |
---|
| 101 | + | business days from the date it was ordered and the examiners shall 67 |
---|
| 102 | + | prepare and sign, without notarization, a written report and file such 68 |
---|
| 103 | + | report with the court within twenty-one business days of the date of the 69 |
---|
| 104 | + | order. On receipt of the written report, the clerk of the court shall cause 70 |
---|
| 105 | + | copies to be delivered immediately to the state's attorney and to counsel 71 |
---|
| 106 | + | for the defendant. 72 |
---|
128 | | - | competent, the court shall continue with the criminal proceedings. If 92 |
---|
129 | | - | the court finds that the defendant is not competent, the court shall also 93 |
---|
130 | | - | find whether there is a substantial probability that the defendant, if 94 |
---|
131 | | - | provided with a course of treatment, will regain competency within 95 |
---|
132 | | - | the maximum period of any placement order permitted under this 96 |
---|
133 | | - | section. 97 |
---|
134 | | - | (g) If, at the hearing, the court finds that there is not a substantial 98 |
---|
135 | | - | probability that the defendant, if provided with a course of treatment, 99 |
---|
136 | | - | will regain competency within the period of any placement order 100 |
---|
137 | | - | under this section, the court shall follow the procedure set forth in 101 |
---|
138 | | - | subsection (m) of this section. 102 |
---|
139 | | - | (h) (1) If, at the hearing, the court finds that there is a substantial 103 |
---|
140 | | - | probability that the defendant, if provided with a course of treatment, 104 |
---|
141 | | - | will regain competency within the period of any placement order 105 |
---|
142 | | - | under this section, the court shall either (A) order placement of the 106 |
---|
143 | | - | defendant for treatment for the purpose of rendering the defendant 107 |
---|
144 | | - | competent, or (B) order placement of the defendant at a treatment 108 |
---|
145 | | - | facility pending civil commitment proceedings pursuant to 109 |
---|
146 | | - | subdivision (2) of this subsection. 110 |
---|
147 | | - | (2) (A) Except as provided in subparagraph (B) of this subdivision, if 111 |
---|
148 | | - | the court makes a finding pursuant to subdivision (1) of this subsection 112 |
---|
149 | | - | and does not order placement pursuant to subparagraph (A) of said 113 |
---|
150 | | - | subdivision, the court shall, on its own motion or on motion of the 114 |
---|
151 | | - | state or the defendant, order placement of the defendant in the custody 115 |
---|
152 | | - | of the Commissioner of Mental Health and Addiction Services at a 116 |
---|
153 | | - | treatment facility pending civil commitment proceedings. The 117 |
---|
154 | | - | treatment facility shall be determined by the Commissioner of Mental 118 Substitute Bill No. 1231 |
---|
| 131 | + | competent, the court shall continue with the criminal proceedings. If the 92 |
---|
| 132 | + | court finds that the defendant is not competent, the court shall also find 93 |
---|
| 133 | + | whether there is a substantial probability that the defendant, if provided 94 |
---|
| 134 | + | with a course of treatment, will regain competency within the maximum 95 |
---|
| 135 | + | period of any placement order permitted under this section. 96 |
---|
| 136 | + | (g) If, at the hearing, the court finds that there is not a substantial 97 |
---|
| 137 | + | probability that the defendant, if provided with a course of treatment, 98 |
---|
| 138 | + | will regain competency within the period of any placement order under 99 |
---|
| 139 | + | this section, the court shall follow the procedure set forth in subsection 100 |
---|
| 140 | + | (m) of this section. 101 |
---|
| 141 | + | (h) (1) If, at the hearing, the court finds that there is a substantial 102 |
---|
| 142 | + | probability that the defendant, if provided with a course of treatment, 103 |
---|
| 143 | + | will regain competency within the period of any placement order under 104 |
---|
| 144 | + | this section, the court shall either (A) order placement of the defendant 105 |
---|
| 145 | + | for treatment for the purpose of rendering the defendant competent, or 106 |
---|
| 146 | + | (B) order placement of the defendant at a treatment facility pending civil 107 |
---|
| 147 | + | commitment proceedings pursuant to subdivision (2) of this subsection. 108 |
---|
| 148 | + | (2) (A) Except as provided in subparagraph (B) of this subdivision, if 109 |
---|
| 149 | + | the court makes a finding pursuant to subdivision (1) of this subsection 110 |
---|
| 150 | + | and does not order placement pursuant to subparagraph (A) of said 111 |
---|
| 151 | + | subdivision, the court shall, on its own motion or on motion of the state 112 |
---|
| 152 | + | or the defendant, order placement of the defendant in the custody of the 113 Raised Bill No. 1231 |
---|
161 | | - | Health and Addiction Services. Such order shall: (i) Include an 119 |
---|
162 | | - | authorization for the Commissioner of Mental Health and Addiction 120 |
---|
163 | | - | Services to apply for civil commitment of such defendant pursuant to 121 |
---|
164 | | - | sections 17a-495 to 17a-528, inclusive; (ii) permit the defendant to agree 122 |
---|
165 | | - | to request voluntarily to be admitted under section 17a-506 and 123 |
---|
166 | | - | participate voluntarily in a treatment plan prepared by the 124 |
---|
167 | | - | Commissioner of Mental Health and Addiction Services, and require 125 |
---|
168 | | - | that the defendant comply with such treatment plan; and (iii) provide 126 |
---|
169 | | - | that if the application for civil commitment is denied or not pursued 127 |
---|
170 | | - | by the Commissioner of Mental Health and Addiction Services, or if 128 |
---|
171 | | - | the defendant is unwilling or unable to comply with a treatment plan 129 |
---|
172 | | - | despite reasonable efforts of the treatment facility to encourage the 130 |
---|
173 | | - | defendant's compliance, the person in charge of the treatment facility, 131 |
---|
174 | | - | or such person's designee, shall submit a written progress report to the 132 |
---|
175 | | - | court and the defendant shall be returned to the court for a hearing 133 |
---|
176 | | - | pursuant to subsection (k) of this section. Such written progress report 134 |
---|
177 | | - | shall include the status of any civil commitment proceedings 135 |
---|
178 | | - | concerning the defendant, the defendant's compliance with the 136 |
---|
179 | | - | treatment plan, an opinion regarding the defendant's current 137 |
---|
180 | | - | competency to stand trial, the clinical findings of the person 138 |
---|
181 | | - | submitting the report and the facts upon which the findings are based, 139 |
---|
182 | | - | and any other information concerning the defendant requested by the 140 |
---|
183 | | - | court, including, but not limited to, the method of treatment or the 141 |
---|
184 | | - | type, dosage and effect of any medication the defendant is receiving. 142 |
---|
185 | | - | The Court Support Services Division shall monitor the defendant's 143 |
---|
186 | | - | compliance with any applicable provisions of such order. The period 144 |
---|
187 | | - | of placement and monitoring under such order shall not exceed the 145 |
---|
188 | | - | period of the maximum sentence which the defendant could receive on 146 |
---|
189 | | - | conviction of the charges against such defendant, or eighteen months, 147 |
---|
190 | | - | whichever is less. If the defendant has complied with such treatment 148 |
---|
191 | | - | plan and any applicable provisions of such order, at the end of the 149 |
---|
192 | | - | period of placement and monitoring, the court shall approve the entry 150 |
---|
193 | | - | of a nolle prosequi to the charges against the defendant or shall 151 |
---|
194 | | - | dismiss such charges. 152 Substitute Bill No. 1231 |
---|
| 156 | + | LCO No. 6129 5 of 18 |
---|
| 157 | + | |
---|
| 158 | + | Commissioner of Mental Health and Addiction Services at a treatment 114 |
---|
| 159 | + | facility pending civil commitment proceedings. The treatment facility 115 |
---|
| 160 | + | shall be determined by the Commissioner of Mental Health and 116 |
---|
| 161 | + | Addiction Services. Such order shall: (i) Include an authorization for the 117 |
---|
| 162 | + | Commissioner of Mental Health and Addiction Services to apply for 118 |
---|
| 163 | + | civil commitment of such defendant pursuant to sections 17a-495 to 17a-119 |
---|
| 164 | + | 528, inclusive; (ii) permit the defendant to agree to request voluntarily 120 |
---|
| 165 | + | to be admitted under section 17a-506 and participate voluntarily in a 121 |
---|
| 166 | + | treatment plan prepared by the Commissioner of Mental Health and 122 |
---|
| 167 | + | Addiction Services, and require that the defendant comply with such 123 |
---|
| 168 | + | treatment plan; and (iii) provide that if the application for civil 124 |
---|
| 169 | + | commitment is denied or not pursued by the Commissioner of Mental 125 |
---|
| 170 | + | Health and Addiction Services, or if the defendant is unwilling or 126 |
---|
| 171 | + | unable to comply with a treatment plan despite reasonable efforts of the 127 |
---|
| 172 | + | treatment facility to encourage the defendant's compliance, the person 128 |
---|
| 173 | + | in charge of the treatment facility, or such person's designee, shall 129 |
---|
| 174 | + | submit a written progress report to the court and the defendant shall be 130 |
---|
| 175 | + | returned to the court for a hearing pursuant to subsection (k) of this 131 |
---|
| 176 | + | section. Such written progress report shall include the status of any civil 132 |
---|
| 177 | + | commitment proceedings concerning the defendant, the defendant's 133 |
---|
| 178 | + | compliance with the treatment plan, an opinion regarding the 134 |
---|
| 179 | + | defendant's current competency to stand trial, the clinical findings of the 135 |
---|
| 180 | + | person submitting the report and the facts upon which the findings are 136 |
---|
| 181 | + | based, and any other information concerning the defendant requested 137 |
---|
| 182 | + | by the court, including, but not limited to, the method of treatment or 138 |
---|
| 183 | + | the type, dosage and effect of any medication the defendant is receiving. 139 |
---|
| 184 | + | The Court Support Services Division shall monitor the defendant's 140 |
---|
| 185 | + | compliance with any applicable provisions of such order. The period of 141 |
---|
| 186 | + | placement and monitoring under such order shall not exceed the period 142 |
---|
| 187 | + | of the maximum sentence which the defendant could receive on 143 |
---|
| 188 | + | conviction of the charges against such defendant, or [eighteen] twenty-144 |
---|
| 189 | + | four months, whichever is less. If the defendant has complied with such 145 |
---|
| 190 | + | treatment plan and any applicable provisions of such order, at the end 146 |
---|
| 191 | + | of the period of placement and monitoring, the court shall approve the 147 |
---|
| 192 | + | entry of a nolle prosequi to the charges against the defendant or shall 148 Raised Bill No. 1231 |
---|
201 | | - | (B) This subdivision shall not apply: (i) To any person charged with 153 |
---|
202 | | - | a class A felony, a class B felony, except a violation of section 53a-122 154 |
---|
203 | | - | that does not involve the use, attempted use or threatened use of 155 |
---|
204 | | - | physical force against another person, or a violation of section 53a-70b 156 |
---|
205 | | - | of the general statutes, revision of 1958, revised to January 1, 2019, or 157 |
---|
206 | | - | section 14-227a or 14-227m, subdivision (1) or (2) of subsection (a) of 158 |
---|
207 | | - | section 14-227n, subdivision (2) of subsection (a) of section 53-21 or 159 |
---|
208 | | - | section 53a-56b, 53a-60d, 53a-70, 53a-70a, 53a-71, 53a-72a or 53a-72b; 160 |
---|
209 | | - | (ii) to any person charged with a crime or motor vehicle violation who, 161 |
---|
210 | | - | as a result of the commission of such crime or motor vehicle violation, 162 |
---|
211 | | - | causes the death of another person; or (iii) unless good cause is shown, 163 |
---|
212 | | - | to any person charged with a class C felony. 164 |
---|
213 | | - | (i) The placement of the defendant for treatment for the purpose of 165 |
---|
214 | | - | rendering the defendant competent shall comply with the following 166 |
---|
215 | | - | conditions: (1) The period of placement under the order or 167 |
---|
216 | | - | combination of orders shall not exceed the period of the maximum 168 |
---|
217 | | - | sentence which the defendant could receive on conviction of the 169 |
---|
218 | | - | charges against the defendant or [eighteen] twenty-four months, 170 |
---|
219 | | - | whichever is less; (2) the placement shall be either (A) in the custody of 171 |
---|
220 | | - | the Commissioner of Mental Health and Addiction Services, the 172 |
---|
221 | | - | Commissioner of Children and Families or the Commissioner of 173 |
---|
222 | | - | Developmental Services, except that any defendant placed for 174 |
---|
223 | | - | treatment with the Commissioner of Mental Health and Addiction 175 |
---|
224 | | - | Services may remain in the custody of the Department of Correction 176 |
---|
225 | | - | pursuant to subsection (p) of this section; or, (B) if the defendant or the 177 |
---|
226 | | - | appropriate commissioner agrees to provide payment, in the custody 178 |
---|
227 | | - | of any appropriate mental health facility or treatment program which 179 |
---|
228 | | - | agrees to provide treatment to the defendant and to adhere to the 180 |
---|
229 | | - | requirements of this section; and (3) the court shall order the 181 |
---|
230 | | - | placement, on either an inpatient or an outpatient basis, which the 182 |
---|
231 | | - | court finds is the least restrictive placement appropriate and available 183 |
---|
232 | | - | to restore competency. If outpatient treatment is the least restrictive 184 |
---|
233 | | - | placement for a defendant who has not yet been released from a 185 |
---|
234 | | - | correctional facility, the court shall consider whether the availability of 186 Substitute Bill No. 1231 |
---|
| 196 | + | LCO No. 6129 6 of 18 |
---|
| 197 | + | |
---|
| 198 | + | dismiss such charges. 149 |
---|
| 199 | + | (B) This subdivision shall not apply: (i) To any person charged with 150 |
---|
| 200 | + | a class A felony, a class B felony, except a violation of section 53a-122 151 |
---|
| 201 | + | that does not involve the use, attempted use or threatened use of 152 |
---|
| 202 | + | physical force against another person, or a violation of section 53a-70b 153 |
---|
| 203 | + | of the general statutes, revision of 1958, revised to January 1, 2019, or 154 |
---|
| 204 | + | section 14-227a or 14-227m, subdivision (1) or (2) of subsection (a) of 155 |
---|
| 205 | + | section 14-227n, subdivision (2) of subsection (a) of section 53-21 or 156 |
---|
| 206 | + | section 53a-56b, 53a-60d, 53a-70, 53a-70a, 53a-71, 53a-72a or 53a-72b; (ii) 157 |
---|
| 207 | + | to any person charged with a crime or motor vehicle violation who, as a 158 |
---|
| 208 | + | result of the commission of such crime or motor vehicle violation, causes 159 |
---|
| 209 | + | the death of another person; or (iii) unless good cause is shown, to any 160 |
---|
| 210 | + | person charged with a class C felony. 161 |
---|
| 211 | + | (i) The placement of the defendant for treatment for the purpose of 162 |
---|
| 212 | + | rendering the defendant competent shall comply with the following 163 |
---|
| 213 | + | conditions: (1) The period of placement under the order or combination 164 |
---|
| 214 | + | of orders shall not exceed the period of the maximum sentence which 165 |
---|
| 215 | + | the defendant could receive on conviction of the charges against the 166 |
---|
| 216 | + | defendant or eighteen months, whichever is less; (2) the placement shall 167 |
---|
| 217 | + | be either (A) in the custody of the Commissioner of Mental Health and 168 |
---|
| 218 | + | Addiction Services, the Commissioner of Children and Families or the 169 |
---|
| 219 | + | Commissioner of Developmental Services, except that any defendant 170 |
---|
| 220 | + | placed for treatment with the Commissioner of Mental Health and 171 |
---|
| 221 | + | Addiction Services may remain in the custody of the Department of 172 |
---|
| 222 | + | Correction pursuant to subsection (p) of this section; or, (B) if the 173 |
---|
| 223 | + | defendant or the appropriate commissioner agrees to provide payment, 174 |
---|
| 224 | + | in the custody of any appropriate mental health facility or treatment 175 |
---|
| 225 | + | program which agrees to provide treatment to the defendant and to 176 |
---|
| 226 | + | adhere to the requirements of this section; and (3) the court shall order 177 |
---|
| 227 | + | the placement, on either an inpatient or an outpatient basis, which the 178 |
---|
| 228 | + | court finds is the least restrictive placement appropriate and available 179 |
---|
| 229 | + | to restore competency. If outpatient treatment is the least restrictive 180 |
---|
| 230 | + | placement for a defendant who has not yet been released from a 181 |
---|
| 231 | + | correctional facility, the court shall consider whether the availability of 182 Raised Bill No. 1231 |
---|
241 | | - | such treatment is a sufficient basis on which to release the defendant 187 |
---|
242 | | - | on a promise to appear, conditions of release, cash bail or bond. If the 188 |
---|
243 | | - | court determines that the defendant may not be so released, the court 189 |
---|
244 | | - | shall order treatment of the defendant on an inpatient basis at a mental 190 |
---|
245 | | - | health facility or facility for persons with intellectual disability. Not 191 |
---|
246 | | - | later than twenty-four hours after the court orders placement of the 192 |
---|
247 | | - | defendant for treatment for the purpose of rendering the defendant 193 |
---|
248 | | - | competent, the examiners shall transmit information obtained about 194 |
---|
249 | | - | the defendant during the course of an examination pursuant to 195 |
---|
250 | | - | subsection (d) of this section to the health care provider named in the 196 |
---|
251 | | - | court's order. 197 |
---|
252 | | - | (j) The person in charge of the treatment facility, or such person's 198 |
---|
253 | | - | designee, or the Commissioner of Mental Health and Addiction 199 |
---|
254 | | - | Services with respect to any defendant who is in the custody of the 200 |
---|
255 | | - | Commissioner of Correction pursuant to subsection (p) of this section, 201 |
---|
256 | | - | shall submit a written progress report to the court (1) at least seven 202 |
---|
257 | | - | days prior to the date of any hearing on the issue of the defendant's 203 |
---|
258 | | - | competency; (2) whenever he or she believes that the defendant has 204 |
---|
259 | | - | attained competency; (3) whenever he or she believes that there is not a 205 |
---|
260 | | - | substantial probability that the defendant will attain competency 206 |
---|
261 | | - | within the period covered by the placement order; (4) whenever, 207 |
---|
262 | | - | within the first one hundred twenty days of the period covered by the 208 |
---|
263 | | - | placement order, he or she believes that the defendant would be 209 |
---|
264 | | - | eligible for civil commitment pursuant to subdivision (2) of subsection 210 |
---|
265 | | - | (h) of this section; or (5) whenever he or she believes that the 211 |
---|
266 | | - | defendant is still not competent but has improved sufficiently such 212 |
---|
267 | | - | that continued inpatient commitment is no longer the least restrictive 213 |
---|
268 | | - | placement appropriate and available to restore competency. The 214 |
---|
269 | | - | progress report shall contain: (A) The clinical findings of the person 215 |
---|
270 | | - | submitting the report and the facts on which the findings are based; (B) 216 |
---|
271 | | - | the opinion of the person submitting the report as to whether the 217 |
---|
272 | | - | defendant has attained competency or as to whether the defendant is 218 |
---|
273 | | - | making progress, under treatment, toward attaining competency 219 |
---|
274 | | - | within the period covered by the placement order; (C) the opinion of 220 Substitute Bill No. 1231 |
---|
| 235 | + | LCO No. 6129 7 of 18 |
---|
| 236 | + | |
---|
| 237 | + | such treatment is a sufficient basis on which to release the defendant on 183 |
---|
| 238 | + | a promise to appear, conditions of release, cash bail or bond. If the court 184 |
---|
| 239 | + | determines that the defendant may not be so released, the court shall 185 |
---|
| 240 | + | order treatment of the defendant on an inpatient basis at a mental health 186 |
---|
| 241 | + | facility or facility for persons with intellectual disability. Not later than 187 |
---|
| 242 | + | twenty-four hours after the court orders placement of the defendant for 188 |
---|
| 243 | + | treatment for the purpose of rendering the defendant competent, the 189 |
---|
| 244 | + | examiners shall transmit information obtained about the defendant 190 |
---|
| 245 | + | during the course of an examination pursuant to subsection (d) of this 191 |
---|
| 246 | + | section to the health care provider named in the court's order. 192 |
---|
| 247 | + | (j) The person in charge of the treatment facility, or such person's 193 |
---|
| 248 | + | designee, or the Commissioner of Mental Health and Addiction Services 194 |
---|
| 249 | + | with respect to any defendant who is in the custody of the 195 |
---|
| 250 | + | Commissioner of Correction pursuant to subsection (p) of this section, 196 |
---|
| 251 | + | shall submit a written progress report to the court (1) at least seven days 197 |
---|
| 252 | + | prior to the date of any hearing on the issue of the defendant's 198 |
---|
| 253 | + | competency; (2) whenever he or she believes that the defendant has 199 |
---|
| 254 | + | attained competency; (3) whenever he or she believes that there is not a 200 |
---|
| 255 | + | substantial probability that the defendant will attain competency within 201 |
---|
| 256 | + | the period covered by the placement order; (4) whenever, within the 202 |
---|
| 257 | + | first one hundred twenty days of the period covered by the placement 203 |
---|
| 258 | + | order, he or she believes that the defendant would be eligible for civil 204 |
---|
| 259 | + | commitment pursuant to subdivision (2) of subsection (h) of this section; 205 |
---|
| 260 | + | or (5) whenever he or she believes that the defendant is still not 206 |
---|
| 261 | + | competent but has improved sufficiently such that continued inpatient 207 |
---|
| 262 | + | commitment is no longer the least restrictive placement appropriate and 208 |
---|
| 263 | + | available to restore competency. The progress report shall contain: (A) 209 |
---|
| 264 | + | The clinical findings of the person submitting the report and the facts on 210 |
---|
| 265 | + | which the findings are based; (B) the opinion of the person submitting 211 |
---|
| 266 | + | the report as to whether the defendant has attained competency or as to 212 |
---|
| 267 | + | whether the defendant is making progress, under treatment, toward 213 |
---|
| 268 | + | attaining competency within the period covered by the placement order; 214 |
---|
| 269 | + | (C) the opinion of the person submitting the report as to whether the 215 |
---|
| 270 | + | defendant appears to be eligible for civil commitment to a hospital for 216 Raised Bill No. 1231 |
---|
281 | | - | the person submitting the report as to whether the defendant appears 221 |
---|
282 | | - | to be eligible for civil commitment to a hospital for psychiatric 222 |
---|
283 | | - | disabilities pursuant to subsection (m) of this section and the 223 |
---|
284 | | - | appropriateness of such civil commitment, if there is not a substantial 224 |
---|
285 | | - | probability that the defendant will attain competency within the 225 |
---|
286 | | - | period covered by the placement order; and (D) any other information 226 |
---|
287 | | - | concerning the defendant requested by the court, including, but not 227 |
---|
288 | | - | limited to, the method of treatment or the type, dosage and effect of 228 |
---|
289 | | - | any medication the defendant is receiving. Not later than five business 229 |
---|
290 | | - | days after the court finds either that the defendant will not attain 230 |
---|
291 | | - | competency within the period of any placement order under this 231 |
---|
292 | | - | section or that the defendant has regained competency, the person in 232 |
---|
293 | | - | charge of the treatment facility, or such person's designee, or the 233 |
---|
294 | | - | Commissioner of Mental Health and Addiction Services with respect 234 |
---|
295 | | - | to any defendant who is in the custody of the Commissioner of 235 |
---|
296 | | - | Correction pursuant to subsection (p) of this section, shall provide a 236 |
---|
297 | | - | copy of the written progress report to the examiners who examined the 237 |
---|
298 | | - | defendant pursuant to subsection (d) of this section. 238 |
---|
299 | | - | (k) (1) Whenever any placement order for treatment is rendered or 239 |
---|
300 | | - | continued, the court shall set a date for a hearing, to be held within 240 |
---|
301 | | - | ninety days, for reconsideration of the issue of the defendant's 241 |
---|
302 | | - | competency. Whenever the court (A) receives a report pursuant to 242 |
---|
303 | | - | subsection (j) of this section which indicates that (i) the defendant has 243 |
---|
304 | | - | attained competency, (ii) the defendant will not attain competency 244 |
---|
305 | | - | within the remainder of the period covered by the placement order, 245 |
---|
306 | | - | (iii) the defendant will not attain competency within the remainder of 246 |
---|
307 | | - | the period covered by the placement order absent administration of 247 |
---|
308 | | - | psychiatric medication for which the defendant is unwilling or unable 248 |
---|
309 | | - | to provide consent, (iv) the defendant would be eligible for civil 249 |
---|
310 | | - | commitment pursuant to subdivision (2) of subsection (h) of this 250 |
---|
311 | | - | section, or (v) the defendant is still not competent but has improved 251 |
---|
312 | | - | sufficiently such that continued inpatient commitment is no longer the 252 |
---|
313 | | - | least restrictive placement appropriate and available to restore 253 |
---|
314 | | - | competency, or (B) receives a report pursuant to subparagraph (A)(iii) 254 Substitute Bill No. 1231 |
---|
| 274 | + | LCO No. 6129 8 of 18 |
---|
| 275 | + | |
---|
| 276 | + | psychiatric disabilities pursuant to subsection (m) of this section and the 217 |
---|
| 277 | + | appropriateness of such civil commitment, if there is not a substantial 218 |
---|
| 278 | + | probability that the defendant will attain competency within the period 219 |
---|
| 279 | + | covered by the placement order; and (D) any other information 220 |
---|
| 280 | + | concerning the defendant requested by the court, including, but not 221 |
---|
| 281 | + | limited to, the method of treatment or the type, dosage and effect of any 222 |
---|
| 282 | + | medication the defendant is receiving. Not later than five business days 223 |
---|
| 283 | + | after the court finds either that the defendant will not attain competency 224 |
---|
| 284 | + | within the period of any placement order under this section or that the 225 |
---|
| 285 | + | defendant has regained competency, the person in charge of the 226 |
---|
| 286 | + | treatment facility, or such person's designee, or the Commissioner of 227 |
---|
| 287 | + | Mental Health and Addiction Services with respect to any defendant 228 |
---|
| 288 | + | who is in the custody of the Commissioner of Correction pursuant to 229 |
---|
| 289 | + | subsection (p) of this section, shall provide a copy of the written 230 |
---|
| 290 | + | progress report to the examiners who examined the defendant pursuant 231 |
---|
| 291 | + | to subsection (d) of this section. 232 |
---|
| 292 | + | (k) (1) Whenever any placement order for treatment is rendered or 233 |
---|
| 293 | + | continued, the court shall set a date for a hearing, to be held within 234 |
---|
| 294 | + | ninety days, for reconsideration of the issue of the defendant's 235 |
---|
| 295 | + | competency. Whenever the court (A) receives a report pursuant to 236 |
---|
| 296 | + | subsection (j) of this section which indicates that (i) the defendant has 237 |
---|
| 297 | + | attained competency, (ii) the defendant will not attain competency 238 |
---|
| 298 | + | within the remainder of the period covered by the placement order, (iii) 239 |
---|
| 299 | + | the defendant will not attain competency within the remainder of the 240 |
---|
| 300 | + | period covered by the placement order absent administration of 241 |
---|
| 301 | + | psychiatric medication for which the defendant is unwilling or unable 242 |
---|
| 302 | + | to provide consent, (iv) the defendant would be eligible for civil 243 |
---|
| 303 | + | commitment pursuant to subdivision (2) of subsection (h) of this section, 244 |
---|
| 304 | + | or (v) the defendant is still not competent but has improved sufficiently 245 |
---|
| 305 | + | such that continued inpatient commitment is no longer the least 246 |
---|
| 306 | + | restrictive placement appropriate and available to restore competency, 247 |
---|
| 307 | + | or (B) receives a report pursuant to subparagraph (A)(iii) of subdivision 248 |
---|
| 308 | + | (2) of subsection (h) of this section which indicates that (i) the 249 |
---|
| 309 | + | application for civil commitment of the defendant has been denied or 250 Raised Bill No. 1231 |
---|
321 | | - | of subdivision (2) of subsection (h) of this section which indicates that 255 |
---|
322 | | - | (i) the application for civil commitment of the defendant has been 256 |
---|
323 | | - | denied or has not been pursued by the Commissioner of Mental Health 257 |
---|
324 | | - | and Addiction Services, or (ii) the defendant is unwilling or unable to 258 |
---|
325 | | - | comply with a treatment plan despite reasonable efforts of the 259 |
---|
326 | | - | treatment facility to encourage the defendant's compliance, the court 260 |
---|
327 | | - | shall set the matter for a hearing not later than ten days after the report 261 |
---|
328 | | - | is received. The hearing may be waived by the defendant only if the 262 |
---|
329 | | - | report indicates that the defendant is competent. With respect to a 263 |
---|
330 | | - | defendant who is in the custody of the Commissioner of Correction 264 |
---|
331 | | - | pursuant to subsection (p) of this section, the Commissioner of Mental 265 |
---|
332 | | - | Health and Addiction Services shall retain responsibility for providing 266 |
---|
333 | | - | testimony at any hearing under this subsection. The court shall 267 |
---|
334 | | - | determine whether the defendant is competent or is making progress 268 |
---|
335 | | - | toward attaining competency within the period covered by the 269 |
---|
336 | | - | placement order. If the court finds that the defendant is competent, the 270 |
---|
337 | | - | defendant shall be returned to the custody of the Commissioner of 271 |
---|
338 | | - | Correction or released, if the defendant has met the conditions for 272 |
---|
339 | | - | release, and the court shall continue with the criminal proceedings. If 273 |
---|
340 | | - | the court finds that the defendant is still not competent but that the 274 |
---|
341 | | - | defendant is making progress toward attaining competency, the court 275 |
---|
342 | | - | may continue or modify the placement order. If the court finds that the 276 |
---|
343 | | - | defendant is still not competent but that the defendant is making 277 |
---|
344 | | - | progress toward attaining competency and inpatient placement is no 278 |
---|
345 | | - | longer the least restrictive placement appropriate and available to 279 |
---|
346 | | - | restore competency, the court shall consider whether the availability of 280 |
---|
347 | | - | such less restrictive placement is a sufficient basis on which to release 281 |
---|
348 | | - | the defendant on a promise to appear, conditions of release, cash bail 282 |
---|
349 | | - | or bond and may order continued treatment to restore competency on 283 |
---|
350 | | - | an outpatient basis. If the court finds that the defendant is still not 284 |
---|
351 | | - | competent and will not attain competency within the remainder of the 285 |
---|
352 | | - | period covered by the placement order absent administration of 286 |
---|
353 | | - | psychiatric medication for which the defendant is unwilling or unable 287 |
---|
354 | | - | to provide consent, the court shall proceed as provided in subdivisions 288 |
---|
355 | | - | (2), (3) and (4) of this subsection. If the court finds that the defendant is 289 Substitute Bill No. 1231 |
---|
| 313 | + | LCO No. 6129 9 of 18 |
---|
| 314 | + | |
---|
| 315 | + | has not been pursued by the Commissioner of Mental Health and 251 |
---|
| 316 | + | Addiction Services, or (ii) the defendant is unwilling or unable to 252 |
---|
| 317 | + | comply with a treatment plan despite reasonable efforts of the treatment 253 |
---|
| 318 | + | facility to encourage the defendant's compliance, the court shall set the 254 |
---|
| 319 | + | matter for a hearing not later than ten days after the report is received. 255 |
---|
| 320 | + | The hearing may be waived by the defendant only if the report indicates 256 |
---|
| 321 | + | that the defendant is competent. With respect to a defendant who is in 257 |
---|
| 322 | + | the custody of the Commissioner of Correction pursuant to subsection 258 |
---|
| 323 | + | (p) of this section, the Commissioner of Mental Health and Addiction 259 |
---|
| 324 | + | Services shall retain responsibility for providing testimony at any 260 |
---|
| 325 | + | hearing under this subsection. The court shall determine whether the 261 |
---|
| 326 | + | defendant is competent or is making progress toward attaining 262 |
---|
| 327 | + | competency within the period covered by the placement order. If the 263 |
---|
| 328 | + | court finds that the defendant is competent, the defendant shall be 264 |
---|
| 329 | + | returned to the custody of the Commissioner of Correction or released, 265 |
---|
| 330 | + | if the defendant has met the conditions for release, and the court shall 266 |
---|
| 331 | + | continue with the criminal proceedings. If the court finds that the 267 |
---|
| 332 | + | defendant is still not competent but that the defendant is making 268 |
---|
| 333 | + | progress toward attaining competency, the court may continue or 269 |
---|
| 334 | + | modify the placement order. If the court finds that the defendant is still 270 |
---|
| 335 | + | not competent but that the defendant is making progress toward 271 |
---|
| 336 | + | attaining competency and inpatient placement is no longer the least 272 |
---|
| 337 | + | restrictive placement appropriate and available to restore competency, 273 |
---|
| 338 | + | the court shall consider whether the availability of such less restrictive 274 |
---|
| 339 | + | placement is a sufficient basis on which to release the defendant on a 275 |
---|
| 340 | + | promise to appear, conditions of release, cash bail or bond and may 276 |
---|
| 341 | + | order continued treatment to restore competency on an outpatient basis. 277 |
---|
| 342 | + | If the court finds that the defendant is still not competent and will not 278 |
---|
| 343 | + | attain competency within the remainder of the period covered by the 279 |
---|
| 344 | + | placement order absent administration of psychiatric medication for 280 |
---|
| 345 | + | which the defendant is unwilling or unable to provide consent, the court 281 |
---|
| 346 | + | shall proceed as provided in subdivisions (2), (3) and (4) of this 282 |
---|
| 347 | + | subsection. If the court finds that the defendant is eligible for civil 283 |
---|
| 348 | + | commitment, the court may order placement of the defendant at a 284 |
---|
| 349 | + | treatment facility pending civil commitment proceedings pursuant to 285 Raised Bill No. 1231 |
---|
362 | | - | eligible for civil commitment, the court may order placement of the 290 |
---|
363 | | - | defendant at a treatment facility pending civil commitment 291 |
---|
364 | | - | proceedings pursuant to subdivision (2) of subsection (h) of this 292 |
---|
365 | | - | section. 293 |
---|
366 | | - | (2) If the court finds that the defendant will not attain competency 294 |
---|
367 | | - | within the remainder of the period covered by the placement order 295 |
---|
368 | | - | absent administration of psychiatric medication for which the 296 |
---|
369 | | - | defendant is unwilling or unable to provide consent, and after any 297 |
---|
370 | | - | hearing held pursuant to subdivision (3) of this subsection, the court 298 |
---|
371 | | - | may order the involuntary medication of the defendant if the court 299 |
---|
372 | | - | finds by clear and convincing evidence that: (A) To a reasonable 300 |
---|
373 | | - | degree of medical certainty, involuntary medication of the defendant 301 |
---|
374 | | - | will render the defendant competent to stand trial, (B) an adjudication 302 |
---|
375 | | - | of guilt or innocence cannot be had using less intrusive means, (C) the 303 |
---|
376 | | - | proposed treatment plan is narrowly tailored to minimize intrusion on 304 |
---|
377 | | - | the defendant's liberty and privacy interests, (D) the proposed drug 305 |
---|
378 | | - | regimen will not cause an unnecessary risk to the defendant's health, 306 |
---|
379 | | - | and (E) the seriousness of the alleged crime is such that the criminal 307 |
---|
380 | | - | law enforcement interest of the state in fairly and accurately 308 |
---|
381 | | - | determining the defendant's guilt or innocence overrides the 309 |
---|
382 | | - | defendant's interest in self-determination. 310 |
---|
383 | | - | (3) (A) If the court finds that the defendant is unwilling or unable to 311 |
---|
384 | | - | provide consent for the administration of psychiatric medication, and 312 |
---|
385 | | - | prior to deciding whether to order the involuntary medication of the 313 |
---|
386 | | - | defendant under subdivision (2) of this subsection, the court shall 314 |
---|
387 | | - | appoint a health care guardian who shall be a licensed health care 315 |
---|
388 | | - | provider with specialized training in the treatment of persons with 316 |
---|
389 | | - | psychiatric disabilities to represent the health care interests of the 317 |
---|
390 | | - | defendant before the court. Notwithstanding the provisions of section 318 |
---|
391 | | - | 52-146e, such health care guardian shall have access to the psychiatric 319 |
---|
392 | | - | records of the defendant. Such health care guardian shall file a report 320 |
---|
393 | | - | with the court not later than thirty days after his or her appointment. 321 |
---|
394 | | - | The report shall set forth such health care guardian's findings and 322 Substitute Bill No. 1231 |
---|
| 353 | + | LCO No. 6129 10 of 18 |
---|
| 354 | + | |
---|
| 355 | + | subdivision (2) of subsection (h) of this section. 286 |
---|
| 356 | + | (2) If the court finds that the defendant will not attain competency 287 |
---|
| 357 | + | within the remainder of the period covered by the placement order 288 |
---|
| 358 | + | absent administration of psychiatric medication for which the defendant 289 |
---|
| 359 | + | is unwilling or unable to provide consent, and after any hearing held 290 |
---|
| 360 | + | pursuant to subdivision (3) of this subsection, the court may order the 291 |
---|
| 361 | + | involuntary medication of the defendant if the court finds by clear and 292 |
---|
| 362 | + | convincing evidence that: (A) To a reasonable degree of medical 293 |
---|
| 363 | + | certainty, involuntary medication of the defendant will render the 294 |
---|
| 364 | + | defendant competent to stand trial, (B) an adjudication of guilt or 295 |
---|
| 365 | + | innocence cannot be had using less intrusive means, (C) the proposed 296 |
---|
| 366 | + | treatment plan is narrowly tailored to minimize intrusion on the 297 |
---|
| 367 | + | defendant's liberty and privacy interests, (D) the proposed drug 298 |
---|
| 368 | + | regimen will not cause an unnecessary risk to the defendant's health, 299 |
---|
| 369 | + | and (E) the seriousness of the alleged crime is such that the criminal law 300 |
---|
| 370 | + | enforcement interest of the state in fairly and accurately determining the 301 |
---|
| 371 | + | defendant's guilt or innocence overrides the defendant's interest in self-302 |
---|
| 372 | + | determination. 303 |
---|
| 373 | + | (3) (A) If the court finds that the defendant is unwilling or unable to 304 |
---|
| 374 | + | provide consent for the administration of psychiatric medication, and 305 |
---|
| 375 | + | prior to deciding whether to order the involuntary medication of the 306 |
---|
| 376 | + | defendant under subdivision (2) of this subsection, the court shall 307 |
---|
| 377 | + | appoint a health care guardian who shall be a licensed health care 308 |
---|
| 378 | + | provider with specialized training in the treatment of persons with 309 |
---|
| 379 | + | psychiatric disabilities to represent the health care interests of the 310 |
---|
| 380 | + | defendant before the court. Notwithstanding the provisions of section 311 |
---|
| 381 | + | 52-146e, such health care guardian shall have access to the psychiatric 312 |
---|
| 382 | + | records of the defendant. Such health care guardian shall file a report 313 |
---|
| 383 | + | with the court not later than thirty days after his or her appointment. 314 |
---|
| 384 | + | The report shall set forth such health care guardian's findings and 315 |
---|
| 385 | + | recommendations concerning the administration of psychiatric 316 |
---|
| 386 | + | medication to the defendant, including the risks and benefits of such 317 |
---|
| 387 | + | medication, the likelihood and seriousness of any adverse side effects 318 |
---|
| 388 | + | and the prognosis with and without such medication. The court shall 319 Raised Bill No. 1231 |
---|
401 | | - | recommendations concerning the administration of psychiatric 323 |
---|
402 | | - | medication to the defendant, including the risks and benefits of such 324 |
---|
403 | | - | medication, the likelihood and seriousness of any adverse side effects 325 |
---|
404 | | - | and the prognosis with and without such medication. The court shall 326 |
---|
405 | | - | hold a hearing on the matter not later than ten days after receipt of 327 |
---|
406 | | - | such health care guardian's report and shall, in deciding whether to 328 |
---|
407 | | - | order the involuntary medication of the defendant, take into account 329 |
---|
408 | | - | such health care guardian's opinion concerning the health care 330 |
---|
409 | | - | interests of the defendant. 331 |
---|
410 | | - | (B) The court, in anticipation of considering continued involuntary 332 |
---|
411 | | - | medication of the defendant under subdivision (4) of this subsection, 333 |
---|
412 | | - | shall order the health care guardian to file a supplemental report 334 |
---|
413 | | - | updating the findings and recommendations contained in the health 335 |
---|
414 | | - | care guardian's report filed under subparagraph (A) o f this 336 |
---|
415 | | - | subdivision. 337 |
---|
416 | | - | (4) If, after the defendant has been found to have attained 338 |
---|
417 | | - | competency by means of involuntary medication ordered under 339 |
---|
418 | | - | subdivision (2) of this subsection, the court determines by clear and 340 |
---|
419 | | - | convincing evidence that the defendant will not remain competent 341 |
---|
420 | | - | absent the continued administration of psychiatric medication for 342 |
---|
421 | | - | which the defendant is unable to provide consent, and after any 343 |
---|
422 | | - | hearing held pursuant to subdivision (3) of this subsection and 344 |
---|
423 | | - | consideration of the supplemental report of the health care guardian, 345 |
---|
424 | | - | the court may order continued involuntary medication of the 346 |
---|
425 | | - | defendant if the court finds by clear and convincing evidence that: (A) 347 |
---|
426 | | - | To a reasonable degree of medical certainty, continued involuntary 348 |
---|
427 | | - | medication of the defendant will maintain the defendant's competency 349 |
---|
428 | | - | to stand trial, (B) an adjudication of guilt or innocence cannot be had 350 |
---|
429 | | - | using less intrusive means, (C) the proposed treatment plan is 351 |
---|
430 | | - | narrowly tailored to minimize intrusion on the defendant's liberty and 352 |
---|
431 | | - | privacy interests, (D) the proposed drug regimen will not cause an 353 |
---|
432 | | - | unnecessary risk to the defendant's health, and (E) the seriousness of 354 |
---|
433 | | - | the alleged crime is such that the criminal law enforcement interest of 355 Substitute Bill No. 1231 |
---|
| 392 | + | LCO No. 6129 11 of 18 |
---|
| 393 | + | |
---|
| 394 | + | hold a hearing on the matter not later than ten days after receipt of such 320 |
---|
| 395 | + | health care guardian's report and shall, in deciding whether to order the 321 |
---|
| 396 | + | involuntary medication of the defendant, take into account such health 322 |
---|
| 397 | + | care guardian's opinion concerning the health care interests of the 323 |
---|
| 398 | + | defendant. 324 |
---|
| 399 | + | (B) The court, in anticipation of considering continued involuntary 325 |
---|
| 400 | + | medication of the defendant under subdivision (4) of this subsection, 326 |
---|
| 401 | + | shall order the health care guardian to file a supplemental report 327 |
---|
| 402 | + | updating the findings and recommendations contained in the health 328 |
---|
| 403 | + | care guardian's report filed under subparagraph (A) of this subdivision. 329 |
---|
| 404 | + | (4) If, after the defendant has been found to have attained competency 330 |
---|
| 405 | + | by means of involuntary medication ordered under subdivision (2) of 331 |
---|
| 406 | + | this subsection, the court determines by clear and convincing evidence 332 |
---|
| 407 | + | that the defendant will not remain competent absent the continued 333 |
---|
| 408 | + | administration of psychiatric medication for which the defendant is 334 |
---|
| 409 | + | unable to provide consent, and after any hearing held pursuant to 335 |
---|
| 410 | + | subdivision (3) of this subsection and consideration of the supplemental 336 |
---|
| 411 | + | report of the health care guardian, the court may order continued 337 |
---|
| 412 | + | involuntary medication of the defendant if the court finds by clear and 338 |
---|
| 413 | + | convincing evidence that: (A) To a reasonable degree of medical 339 |
---|
| 414 | + | certainty, continued involuntary medication of the defendant will 340 |
---|
| 415 | + | maintain the defendant's competency to stand trial, (B) an adjudication 341 |
---|
| 416 | + | of guilt or innocence cannot be had using less intrusive means, (C) the 342 |
---|
| 417 | + | proposed treatment plan is narrowly tailored to minimize intrusion on 343 |
---|
| 418 | + | the defendant's liberty and privacy interests, (D) the proposed drug 344 |
---|
| 419 | + | regimen will not cause an unnecessary risk to the defendant's health, 345 |
---|
| 420 | + | and (E) the seriousness of the alleged crime is such that the criminal law 346 |
---|
| 421 | + | enforcement interest of the state in fairly and accurately determining the 347 |
---|
| 422 | + | defendant's guilt or innocence overrides the defendant's interest in self-348 |
---|
| 423 | + | determination. Continued involuntary medication ordered under this 349 |
---|
| 424 | + | subdivision may be administered to the defendant while the criminal 350 |
---|
| 425 | + | charges against the defendant are pending and the defendant is in the 351 |
---|
| 426 | + | custody of the Commissioner of Correction or the Commissioner of 352 |
---|
| 427 | + | Mental Health and Addiction Services. An order for continued 353 Raised Bill No. 1231 |
---|
440 | | - | the state in fairly and accurately determining the defendant's guilt or 356 |
---|
441 | | - | innocence overrides the defendant's interest in self-determination. 357 |
---|
442 | | - | Continued involuntary medication ordered under this subdivision 358 |
---|
443 | | - | may be administered to the defendant while the criminal charges 359 |
---|
444 | | - | against the defendant are pending and the defendant is in the custody 360 |
---|
445 | | - | of the Commissioner of Correction or the Commissioner of Mental 361 |
---|
446 | | - | Health and Addiction Services. An order for continued involuntary 362 |
---|
447 | | - | medication of the defendant under this subdivision shall be reviewed 363 |
---|
448 | | - | by the court every one hundred eighty days while such order remains 364 |
---|
449 | | - | in effect. The court shall order the health care guardian to file a 365 |
---|
450 | | - | supplemental report for each such review. After any hearing held 366 |
---|
451 | | - | pursuant to subdivision (3) of this subsection and consideration of the 367 |
---|
452 | | - | supplemental report of the health care guardian, the court may 368 |
---|
453 | | - | continue such order if the court finds, by clear and convincing 369 |
---|
454 | | - | evidence, that the criteria enumerated in subparagraphs (A) to (E), 370 |
---|
455 | | - | inclusive, of this subdivision are met. 371 |
---|
456 | | - | (5) The state shall hold harmless and indemnify any health care 372 |
---|
457 | | - | guardian appointed by the court pursuant to subdivision (3) of this 373 |
---|
458 | | - | subsection from financial loss and expense arising out of any claim, 374 |
---|
459 | | - | demand, suit or judgment by reason of such health care guardian's 375 |
---|
460 | | - | alleged negligence or alleged deprivation of any person's civil rights or 376 |
---|
461 | | - | other act or omission resulting in damage or injury, provided the 377 |
---|
462 | | - | health care guardian is found to have been acting in the discharge of 378 |
---|
463 | | - | his or her duties pursuant to said subdivision and such act or omission 379 |
---|
464 | | - | is found not to have been wanton, reckless or malicious. The 380 |
---|
465 | | - | provisions of subsections (b), (c) and (d) of section 5-141d shall apply 381 |
---|
466 | | - | to such health care guardian. The provisions of chapter 53 shall not 382 |
---|
467 | | - | apply to a claim against such health care guardian. 383 |
---|
468 | | - | (l) If a defendant who has been ordered placed for treatment on an 384 |
---|
469 | | - | inpatient basis at a mental health facility or a facility for persons with 385 |
---|
470 | | - | intellectual disability is released from such facility on a furlough or for 386 |
---|
471 | | - | work, therapy or any other reason and fails to return to the facility in 387 |
---|
472 | | - | accordance with the terms and conditions of the defendant's release, 388 Substitute Bill No. 1231 |
---|
| 431 | + | LCO No. 6129 12 of 18 |
---|
| 432 | + | |
---|
| 433 | + | involuntary medication of the defendant under this subdivision shall be 354 |
---|
| 434 | + | reviewed by the court every one hundred eighty days while such order 355 |
---|
| 435 | + | remains in effect. The court shall order the health care guardian to file a 356 |
---|
| 436 | + | supplemental report for each such review. After any hearing held 357 |
---|
| 437 | + | pursuant to subdivision (3) of this subsection and consideration of the 358 |
---|
| 438 | + | supplemental report of the health care guardian, the court may continue 359 |
---|
| 439 | + | such order if the court finds, by clear and convincing evidence, that the 360 |
---|
| 440 | + | criteria enumerated in subparagraphs (A) to (E), inclusive, of this 361 |
---|
| 441 | + | subdivision are met. 362 |
---|
| 442 | + | (5) The state shall hold harmless and indemnify any health care 363 |
---|
| 443 | + | guardian appointed by the court pursuant to subdivision (3) of this 364 |
---|
| 444 | + | subsection from financial loss and expense arising out of any claim, 365 |
---|
| 445 | + | demand, suit or judgment by reason of such health care guardian's 366 |
---|
| 446 | + | alleged negligence or alleged deprivation of any person's civil rights or 367 |
---|
| 447 | + | other act or omission resulting in damage or injury, provided the health 368 |
---|
| 448 | + | care guardian is found to have been acting in the discharge of his or her 369 |
---|
| 449 | + | duties pursuant to said subdivision and such act or omission is found 370 |
---|
| 450 | + | not to have been wanton, reckless or malicious. The provisions of 371 |
---|
| 451 | + | subsections (b), (c) and (d) of section 5-141d shall apply to such health 372 |
---|
| 452 | + | care guardian. The provisions of chapter 53 shall not apply to a claim 373 |
---|
| 453 | + | against such health care guardian. 374 |
---|
| 454 | + | (l) If a defendant who has been ordered placed for treatment on an 375 |
---|
| 455 | + | inpatient basis at a mental health facility or a facility for persons with 376 |
---|
| 456 | + | intellectual disability is released from such facility on a furlough or for 377 |
---|
| 457 | + | work, therapy or any other reason and fails to return to the facility in 378 |
---|
| 458 | + | accordance with the terms and conditions of the defendant's release, the 379 |
---|
| 459 | + | person in charge of the facility, or such person's designee, shall, within 380 |
---|
| 460 | + | twenty-four hours of the defendant's failure to return, report such 381 |
---|
| 461 | + | failure to the prosecuting authority for the court location which ordered 382 |
---|
| 462 | + | the placement of the defendant. Upon receipt of such a report, the 383 |
---|
| 463 | + | prosecuting authority shall, within available resources, make 384 |
---|
| 464 | + | reasonable efforts to notify any victim or victims of the crime for which 385 |
---|
| 465 | + | the defendant is charged of such defendant's failure to return to the 386 |
---|
| 466 | + | facility. No civil liability shall be incurred by the state or the prosecuting 387 Raised Bill No. 1231 |
---|
479 | | - | the person in charge of the facility, or such person's designee, shall, 389 |
---|
480 | | - | within twenty-four hours of the defendant's failure to return, report 390 |
---|
481 | | - | such failure to the prosecuting authority for the court location which 391 |
---|
482 | | - | ordered the placement of the defendant. Upon receipt of such a report, 392 |
---|
483 | | - | the prosecuting authority shall, within available resources, make 393 |
---|
484 | | - | reasonable efforts to notify any victim or victims of the crime for which 394 |
---|
485 | | - | the defendant is charged of such defendant's failure to return to the 395 |
---|
486 | | - | facility. No civil liability shall be incurred by the state or the 396 |
---|
487 | | - | prosecuting authority for failure to notify any victim or victims in 397 |
---|
488 | | - | accordance with this subsection. The failure of a defendant to return to 398 |
---|
489 | | - | the facility in which the defendant has been placed may constitute 399 |
---|
490 | | - | sufficient cause for the defendant's rearrest upon order by the court. 400 |
---|
491 | | - | (m) (1) If at any time the court determines that there is not a 401 |
---|
492 | | - | substantial probability that the defendant will attain competency 402 |
---|
493 | | - | within the period of treatment allowed by this section, or if at the end 403 |
---|
494 | | - | of such period the court finds that the defendant is still not competent, 404 |
---|
495 | | - | the court shall consider any recommendation made by the examiners 405 |
---|
496 | | - | pursuant to subsection (d) of this section and any opinion submitted 406 |
---|
497 | | - | by the treatment facility pursuant to subparagraph (C) of subsection (j) 407 |
---|
498 | | - | of this section regarding eligibility for, and the appropriateness of, civil 408 |
---|
499 | | - | commitment to a hospital for psychiatric disabilities and shall either 409 |
---|
500 | | - | release the defendant from custody or order the defendant placed in 410 |
---|
501 | | - | the custody of the Commissioner of Mental Health and Addiction 411 |
---|
502 | | - | Services, the Commissioner of Children and Families or the 412 |
---|
503 | | - | Commissioner of Developmental Services. If the court orders the 413 |
---|
504 | | - | defendant placed in the custody of the Commissioner of Children and 414 |
---|
505 | | - | Families or the Commissioner of Developmental Services, the 415 |
---|
506 | | - | commissioner given custody, or the commissioner's designee, shall 416 |
---|
507 | | - | then apply for civil commitment in accordance with sections 17a-75 to 417 |
---|
508 | | - | 17a-83, inclusive, or 17a-270 to 17a-282, inclusive. If the court orders 418 |
---|
509 | | - | the defendant placed in the custody of the Commissioner of Mental 419 |
---|
510 | | - | Health and Addiction Services, the court may order the commissioner, 420 |
---|
511 | | - | or the commissioner's designee, to apply for civil commitment in 421 |
---|
512 | | - | accordance with sections 17a-495 to 17a-528, inclusive, or order the 422 Substitute Bill No. 1231 |
---|
| 470 | + | LCO No. 6129 13 of 18 |
---|
| 471 | + | |
---|
| 472 | + | authority for failure to notify any victim or victims in accordance with 388 |
---|
| 473 | + | this subsection. The failure of a defendant to return to the facility in 389 |
---|
| 474 | + | which the defendant has been placed may constitute sufficient cause for 390 |
---|
| 475 | + | the defendant's rearrest upon order by the court. 391 |
---|
| 476 | + | (m) (1) If at any time the court determines that there is not a 392 |
---|
| 477 | + | substantial probability that the defendant will attain competency within 393 |
---|
| 478 | + | the period of treatment allowed by this section, or if at the end of such 394 |
---|
| 479 | + | period the court finds that the defendant is still not competent, the court 395 |
---|
| 480 | + | shall consider any recommendation made by the examiners pursuant to 396 |
---|
| 481 | + | subsection (d) of this section and any opinion submitted by the 397 |
---|
| 482 | + | treatment facility pursuant to subparagraph (C) of subsection (j) of this 398 |
---|
| 483 | + | section regarding eligibility for, and the appropriateness of, civil 399 |
---|
| 484 | + | commitment to a hospital for psychiatric disabilities and shall either 400 |
---|
| 485 | + | release the defendant from custody or order the defendant placed in the 401 |
---|
| 486 | + | custody of the Commissioner of Mental Health and Addiction Services, 402 |
---|
| 487 | + | the Commissioner of Children and Families or the Commissioner of 403 |
---|
| 488 | + | Developmental Services. If the court orders the defendant placed in the 404 |
---|
| 489 | + | custody of the Commissioner of Children and Families or the 405 |
---|
| 490 | + | Commissioner of Developmental Services, the commissioner given 406 |
---|
| 491 | + | custody, or the commissioner's designee, shall then apply for civil 407 |
---|
| 492 | + | commitment in accordance with sections 17a-75 to 17a-83, inclusive, or 408 |
---|
| 493 | + | 17a-270 to 17a-282, inclusive. If the court orders the defendant placed in 409 |
---|
| 494 | + | the custody of the Commissioner of Mental Health and Addiction 410 |
---|
| 495 | + | Services, the court may order the commissioner, or the commissioner's 411 |
---|
| 496 | + | designee, to apply for civil commitment in accordance with sections 17a-412 |
---|
| 497 | + | 495 to 17a-528, inclusive, or order the commissioner, or the 413 |
---|
| 498 | + | commissioner's designee, to provide services to the defendant in a less 414 |
---|
| 499 | + | restrictive setting, provided the examiners have determined in the 415 |
---|
| 500 | + | written report filed pursuant to subsection (d) of this section or have 416 |
---|
| 501 | + | testified pursuant to subsection (e) of this section that such services are 417 |
---|
| 502 | + | available and appropriate. If the court orders the defendant placed in 418 |
---|
| 503 | + | the custody of the Commissioner of Mental Health and Addiction 419 |
---|
| 504 | + | Services and orders the commissioner to apply for civil commitment 420 |
---|
| 505 | + | pursuant to this subsection, the court [may] shall order the 421 Raised Bill No. 1231 |
---|
519 | | - | commissioner, or the commissioner's designee, to provide services to 423 |
---|
520 | | - | the defendant in a less restrictive setting, provided the examiners have 424 |
---|
521 | | - | determined in the written report filed pursuant to subsection (d) of this 425 |
---|
522 | | - | section or have testified pursuant to subsection (e) of this section that 426 |
---|
523 | | - | such services are available and appropriate. If the court orders the 427 |
---|
524 | | - | defendant placed in the custody of the Commissioner of Mental Health 428 |
---|
525 | | - | and Addiction Services and orders the commissioner to apply for civil 429 |
---|
526 | | - | commitment pursuant to this subsection, the court [may] shall order 430 |
---|
527 | | - | the commissioner to give the court notice when the defendant is 431 |
---|
528 | | - | released from the commissioner's custody if such release is prior to the 432 |
---|
529 | | - | expiration of the time within which the defendant may be prosecuted 433 |
---|
530 | | - | for the crime with which the defendant is charged [, provided] and 434 |
---|
531 | | - | such order [indicates] shall indicate when such time expires. Upon 435 |
---|
532 | | - | receipt of such notice by the court, the clerk shall docket the matter 436 |
---|
533 | | - | which will result in any victim of the crime who has requested 437 |
---|
534 | | - | notification through the state-wide automated victim information and 438 |
---|
535 | | - | notification system being informed of case activity in the criminal 439 |
---|
536 | | - | proceeding through such system. If the court orders the defendant 440 |
---|
537 | | - | placed in the custody of the Commissioner of Developmental Services 441 |
---|
538 | | - | for purposes of commitment under any provision of sections 17a-270 442 |
---|
539 | | - | to 17a-282, inclusive, the court [may] shall order the Commissioner of 443 |
---|
540 | | - | Developmental Services to give the court notice when the defendant's 444 |
---|
541 | | - | commitment is terminated if such termination is prior to the expiration 445 |
---|
542 | | - | of the time within which the defendant may be prosecuted for the 446 |
---|
543 | | - | crime with which the defendant is charged [, provided] and such order 447 |
---|
544 | | - | [indicates] shall indicate when such time expires. Upon receipt of such 448 |
---|
545 | | - | notice by the court, the clerk shall docket the matter which will result 449 |
---|
546 | | - | in any victim of the crime who has requested notification through the 450 |
---|
547 | | - | state-wide automated victim information and notification system 451 |
---|
548 | | - | being informed of case activity in the criminal proceeding through 452 |
---|
549 | | - | such system. For purposes of this section, "victim" has the same 453 |
---|
550 | | - | meaning as provided in section 1-1k. 454 |
---|
551 | | - | (2) The court shall hear arguments as to whether the defendant 455 |
---|
552 | | - | should be released or should be placed in the custody of the 456 Substitute Bill No. 1231 |
---|
| 509 | + | LCO No. 6129 14 of 18 |
---|
| 510 | + | |
---|
| 511 | + | commissioner to give the court and any victim of the crime with which 422 |
---|
| 512 | + | the defendant is charged who is registered with the Office of Victim 423 |
---|
| 513 | + | Services within the Judicial Department notice when the defendant is 424 |
---|
| 514 | + | released from the commissioner's custody if such release is prior to the 425 |
---|
| 515 | + | expiration of the time within which the defendant may be prosecuted 426 |
---|
| 516 | + | for the crime with which the defendant is charged [, provided] and such 427 |
---|
| 517 | + | order [indicates] shall indicate when such time expires. If the court 428 |
---|
| 518 | + | orders the defendant placed in the custody of the Commissioner of 429 |
---|
| 519 | + | Developmental Services for purposes of commitment under any 430 |
---|
| 520 | + | provision of sections 17a-270 to 17a-282, inclusive, the court [may] shall 431 |
---|
| 521 | + | order the Commissioner of Developmental Services to give the court 432 |
---|
| 522 | + | and any victim of the crime with which the defendant is charged who is 433 |
---|
| 523 | + | registered with the Office of Victim Services within the Judicial 434 |
---|
| 524 | + | Department notice when the defendant's commitment is terminated if 435 |
---|
| 525 | + | such termination is prior to the expiration of the time within which the 436 |
---|
| 526 | + | defendant may be prosecuted for the crime with which the defendant is 437 |
---|
| 527 | + | charged [, provided] and such order [indicates] shall indicate when such 438 |
---|
| 528 | + | time expires. For purposes of this section, "victim" has the same meaning 439 |
---|
| 529 | + | as provided in section 1-1k. 440 |
---|
| 530 | + | (2) The court shall hear arguments as to whether the defendant 441 |
---|
| 531 | + | should be released or should be placed in the custody of the 442 |
---|
| 532 | + | Commissioner of Mental Health and Addiction Services, the 443 |
---|
| 533 | + | Commissioner of Children and Families or the Commissioner of 444 |
---|
| 534 | + | Developmental Services. 445 |
---|
| 535 | + | (3) If the court orders the release of a defendant charged with the 446 |
---|
| 536 | + | commission of a crime that resulted in the death or serious physical 447 |
---|
| 537 | + | injury, as defined in section 53a-3, of another person, or with a violation 448 |
---|
| 538 | + | of section 53a-70b of the general statutes, revision of 1958, revised to 449 |
---|
| 539 | + | January 1, 2019, or subdivision (2) of subsection (a) of section 53-21, 450 |
---|
| 540 | + | subdivision (2) of subsection (a) of section 53a-60 or section 53a-60a, 53a-451 |
---|
| 541 | + | 70, 53a-70a, 53a-71, 53a-72a or 53a-72b, or orders the placement of such 452 |
---|
| 542 | + | defendant in the custody of the Commissioner of Mental Health and 453 |
---|
| 543 | + | Addiction Services or the Commissioner of Developmental Services, the 454 |
---|
| 544 | + | court may, on its own motion or on motion of the prosecuting authority, 455 Raised Bill No. 1231 |
---|
559 | | - | Commissioner of Mental Health and Addiction Services, the 457 |
---|
560 | | - | Commissioner of Children and Families or the Comm issioner of 458 |
---|
561 | | - | Developmental Services. 459 |
---|
562 | | - | (3) If the court orders the release of a defendant charged with the 460 |
---|
563 | | - | commission of a crime that resulted in the death or serious physical 461 |
---|
564 | | - | injury, as defined in section 53a-3, of another person, or with a 462 |
---|
565 | | - | violation of section 53a-70b of the general statutes, revision of 1958, 463 |
---|
566 | | - | revised to January 1, 2019, or subdivision (2) of subsection (a) of 464 |
---|
567 | | - | section 53-21, subdivision (2) of subsection (a) of section 53a-60 or 465 |
---|
568 | | - | section 53a-60a, 53a-70, 53a-70a, 53a-71, 53a-72a or 53a-72b, or orders 466 |
---|
569 | | - | the placement of such defendant in the custody of the Commissioner 467 |
---|
570 | | - | of Mental Health and Addiction Services or the Commissioner of 468 |
---|
571 | | - | Developmental Services, the court may, on its own motion or on 469 |
---|
572 | | - | motion of the prosecuting authority, order, as a condition of such 470 |
---|
573 | | - | release or placement, periodic examinations of the defendant as to the 471 |
---|
574 | | - | defendant's competency at intervals of not less than six months. If, at 472 |
---|
575 | | - | any time after the initial periodic examination, the court finds again, 473 |
---|
576 | | - | based upon an examiner's recommendation, that there is a substantial 474 |
---|
577 | | - | probability that the defendant, if provided with a course of treatment, 475 |
---|
578 | | - | will never regain competency, then any subsequent periodic 476 |
---|
579 | | - | examination of the defendant as to the defendant's competency shall 477 |
---|
580 | | - | be at intervals of not less than eighteen months. Such an examination 478 |
---|
581 | | - | shall be conducted in accordance with subsection (d) of this section. 479 |
---|
582 | | - | Periodic examinations ordered by the court under this subsection shall 480 |
---|
583 | | - | continue until the court finds that the defendant has attained 481 |
---|
584 | | - | competency or until the time within which the defendant may be 482 |
---|
585 | | - | prosecuted for the crime with which the defendant is charged, as 483 |
---|
586 | | - | provided in section 54-193, has expired, whichever occurs first. At any 484 |
---|
587 | | - | point that the Commissioner of Mental Health and Addiction Services 485 |
---|
588 | | - | or the Commissioner of Developmental Services, as applicable, intends 486 |
---|
589 | | - | to release from such commissioner's custody a defendant charged with 487 |
---|
590 | | - | the commission of a crime that resulted in the death or serious physical 488 |
---|
591 | | - | injury, as defined in section 53a-3, of another person, or with a 489 |
---|
592 | | - | violation of section 53a-70b of the general statutes, revision of 1958, 490 Substitute Bill No. 1231 |
---|
| 548 | + | LCO No. 6129 15 of 18 |
---|
| 549 | + | |
---|
| 550 | + | order, as a condition of such release or placement, periodic 456 |
---|
| 551 | + | examinations of the defendant as to the defendant's competency at 457 |
---|
| 552 | + | intervals of not less than six months. If, at any time after the initial 458 |
---|
| 553 | + | periodic examination, the court finds again, based upon an examiner's 459 |
---|
| 554 | + | recommendation, that there is a substantial probability that the 460 |
---|
| 555 | + | defendant, if provided with a course of treatment, will never regain 461 |
---|
| 556 | + | competency, then any subsequent periodic examination of the 462 |
---|
| 557 | + | defendant as to the defendant's competency shall be at intervals of not 463 |
---|
| 558 | + | less than eighteen months. Such an examination shall be conducted in 464 |
---|
| 559 | + | accordance with subsection (d) of this section. Periodic examinations 465 |
---|
| 560 | + | ordered by the court under this subsection shall continue until the court 466 |
---|
| 561 | + | finds that the defendant has attained competency or until the time 467 |
---|
| 562 | + | within which the defendant may be prosecuted for the crime with which 468 |
---|
| 563 | + | the defendant is charged, as provided in section 54-193, has expired, 469 |
---|
| 564 | + | whichever occurs first. At no point may the Commissioner of Mental 470 |
---|
| 565 | + | Health and Addiction Services or the Commissioner of Developmental 471 |
---|
| 566 | + | Services, as applicable, release from such commissioner's custody a 472 |
---|
| 567 | + | defendant charged with the commission of a crime that resulted in the 473 |
---|
| 568 | + | death or serious physical injury, as defined in section 53a-3, of another 474 |
---|
| 569 | + | person, or with a violation of section 53a-70b of the general statutes, 475 |
---|
| 570 | + | revision of 1958, revised to January 1, 2019, or subdivision (2) of 476 |
---|
| 571 | + | subsection (a) of section 53-21, subdivision (2) of subsection (a) of section 477 |
---|
| 572 | + | 53a-60 or section 53a-60a, 53a-70, 53a-70a, 53a-71, 53a-72a or 53a-72b, 478 |
---|
| 573 | + | without a final examination conducted in accordance with the 479 |
---|
| 574 | + | provisions of this section. 480 |
---|
| 575 | + | (4) Upon receipt of the written report as provided in subsection (d) of 481 |
---|
| 576 | + | this section, the court shall, upon the request of either party filed not 482 |
---|
| 577 | + | later than thirty days after the court receives such report, conduct a 483 |
---|
| 578 | + | hearing as provided in subsection (e) of this section. Such hearing shall 484 |
---|
| 579 | + | be held not later than ninety days after the court receives such report. If 485 |
---|
| 580 | + | the court finds that the defendant has attained competency, the 486 |
---|
| 581 | + | defendant shall be returned to the custody of the Commissioner of 487 |
---|
| 582 | + | Correction or released, if the defendant has met the conditions for 488 |
---|
| 583 | + | release, and the court shall continue with the criminal proceedings. 489 Raised Bill No. 1231 |
---|
599 | | - | revised to January 1, 2019, or subdivision (2) of subsection (a) of 491 |
---|
600 | | - | section 53-21, subdivision (2) of subsection (a) of section 53a-60 or 492 |
---|
601 | | - | section 53a-60a, 53a-70, 53a-70a, 53a-71, 53a-72a or 53a-72b, a state's 493 |
---|
602 | | - | attorney may move for and the court may order an independent 494 |
---|
603 | | - | evaluation of such defendant prior to the release from custody of such 495 |
---|
604 | | - | defendant. 496 |
---|
605 | | - | (4) Upon receipt of the written report as provided in subsection (d) 497 |
---|
606 | | - | of this section, the court shall, upon the request of either party filed not 498 |
---|
607 | | - | later than thirty days after the court receives such report, conduct a 499 |
---|
608 | | - | hearing as provided in subsection (e) of this section. Such hearing shall 500 |
---|
609 | | - | be held not later than ninety days after the court receives such report. 501 |
---|
610 | | - | If the court finds that the defendant has attained competency, the 502 |
---|
611 | | - | defendant shall be returned to the custody of the Commissioner of 503 |
---|
612 | | - | Correction or released, if the defendant has met the conditions for 504 |
---|
613 | | - | release, and the court shall continue with the criminal proceedings. 505 |
---|
614 | | - | (5) The court shall dismiss, with or without prejudice, any charges 506 |
---|
615 | | - | for which a nolle prosequi is not entered when the time within which 507 |
---|
616 | | - | the defendant may be prosecuted for the crime with which the 508 |
---|
617 | | - | defendant is charged, as provided in section 54-193, has expired. 509 |
---|
618 | | - | Notwithstanding the record erasure provisions of section 54-142a, 510 |
---|
619 | | - | police and court records and records of any state's attorney pertaining 511 |
---|
620 | | - | to a charge which is nolled or dismissed without prejudice while the 512 |
---|
621 | | - | defendant is not competent shall not be erased until the time for the 513 |
---|
622 | | - | prosecution of the defendant expires under section 54-193. A 514 |
---|
623 | | - | defendant who is not civilly committed as a result of an application 515 |
---|
624 | | - | made by the Commissioner of Mental Health and Addiction Services, 516 |
---|
625 | | - | the Commissioner of Children and Families or the Commissioner of 517 |
---|
626 | | - | Developmental Services pursuant to this section shall be released. A 518 |
---|
627 | | - | defendant who is civilly committed pursuant to such an application 519 |
---|
628 | | - | shall be treated in the same manner as any other civilly committed 520 |
---|
629 | | - | person. 521 |
---|
630 | | - | (n) The cost of the examination effected by the Commissioner of 522 |
---|
631 | | - | Mental Health and Addiction Services and of testimony of persons 523 Substitute Bill No. 1231 |
---|
| 587 | + | LCO No. 6129 16 of 18 |
---|
| 588 | + | |
---|
| 589 | + | (5) The court shall dismiss, with or without prejudice, any charges for 490 |
---|
| 590 | + | which a nolle prosequi is not entered when the time within which the 491 |
---|
| 591 | + | defendant may be prosecuted for the crime with which the defendant is 492 |
---|
| 592 | + | charged, as provided in section 54-193, has expired. Notwithstanding 493 |
---|
| 593 | + | the record erasure provisions of section 54-142a, police and court 494 |
---|
| 594 | + | records and records of any state's attorney pertaining to a charge which 495 |
---|
| 595 | + | is nolled or dismissed without prejudice while the defendant is not 496 |
---|
| 596 | + | competent shall not be erased until the time for the prosecution of the 497 |
---|
| 597 | + | defendant expires under section 54-193. A defendant who is not civilly 498 |
---|
| 598 | + | committed as a result of an application made by the Commissioner of 499 |
---|
| 599 | + | Mental Health and Addiction Services, the Commissioner of Children 500 |
---|
| 600 | + | and Families or the Commissioner of Developmental Services pursuant 501 |
---|
| 601 | + | to this section shall be released. A defendant who is civilly committed 502 |
---|
| 602 | + | pursuant to such an application shall be treated in the same manner as 503 |
---|
| 603 | + | any other civilly committed person. 504 |
---|
| 604 | + | (n) The cost of the examination effected by the Commissioner of 505 |
---|
| 605 | + | Mental Health and Addiction Services and of testimony of persons 506 |
---|
| 606 | + | conducting the examination effected by the commissioner shall be paid 507 |
---|
| 607 | + | by the Department of Mental Health and Addiction Services. The cost 508 |
---|
| 608 | + | of the examination and testimony by physicians appointed by the court 509 |
---|
| 609 | + | shall be paid by the Judicial Department. If the defendant is indigent, 510 |
---|
| 610 | + | the fee of the person selected by the defendant to observe the 511 |
---|
| 611 | + | examination and to testify on the defendant's behalf shall be paid by the 512 |
---|
| 612 | + | Public Defender Services Commission. The expense of treating a 513 |
---|
| 613 | + | defendant placed in the custody of the Commissioner of Mental Health 514 |
---|
| 614 | + | and Addiction Services, the Commissioner of Children and Families or 515 |
---|
| 615 | + | the Commissioner of Developmental Services pursuant to subdivision 516 |
---|
| 616 | + | (2) of subsection (h) of this section or subsection (i) of this section shall 517 |
---|
| 617 | + | be computed and paid for in the same manner as is provided for persons 518 |
---|
| 618 | + | committed by a probate court under the provisions of sections 17b-122, 519 |
---|
| 619 | + | 17b-124 to 17b-132, inclusive, 17b-136 to 17b-138, inclusive, 17b-194 to 520 |
---|
| 620 | + | 17b-197, inclusive, 17b-222 to 17b-250, inclusive, 17b-263, 17b-340 to 17b-521 |
---|
| 621 | + | 350, inclusive, 17b-689b and 17b-743 to 17b-747, inclusive. 522 |
---|
| 622 | + | (o) Until the hearing is held, the defendant, if not released on a 523 Raised Bill No. 1231 |
---|
638 | | - | conducting the examination effected by the commissioner shall be paid 524 |
---|
639 | | - | by the Department of Mental Health and Addiction Services. The cost 525 |
---|
640 | | - | of the examination and testimony by physicians appointed by the 526 |
---|
641 | | - | court shall be paid by the Judicial Department. If the defendant is 527 |
---|
642 | | - | indigent, the fee of the person selected by the defendant to observe the 528 |
---|
643 | | - | examination and to testify on the defendant's behalf shall be paid by 529 |
---|
644 | | - | the Public Defender Services Commission. The expense of treating a 530 |
---|
645 | | - | defendant placed in the custody of the Commissioner of Mental Health 531 |
---|
646 | | - | and Addiction Services, the Commissioner of Children and Families or 532 |
---|
647 | | - | the Commissioner of Developmental Services pursuant to subdivision 533 |
---|
648 | | - | (2) of subsection (h) of this section or subsection (i) of this section shall 534 |
---|
649 | | - | be computed and paid for in the same manner as is provided for 535 |
---|
650 | | - | persons committed by a probate court under the provisions of sections 536 |
---|
651 | | - | 17b-122, 17b-124 to 17b-132, inclusive, 17b-136 to 17b-138, inclusive, 537 |
---|
652 | | - | 17b-194 to 17b-197, inclusive, 17b-222 to 17b-250, inclusive, 17b-263, 538 |
---|
653 | | - | 17b-340 to 17b-350, inclusive, 17b-689b and 17b-743 to 17b-747, 539 |
---|
654 | | - | inclusive. 540 |
---|
655 | | - | (o) Until the hearing is held, the defendant, if not released on a 541 |
---|
656 | | - | promise to appear, conditions of release, cash bail or bond, shall 542 |
---|
657 | | - | remain in the custody of the Commissioner of Correction unless 543 |
---|
658 | | - | hospitalized as provided in sections 17a-512 to 17a-517, inclusive. 544 |
---|
659 | | - | (p) (1) This section shall not be construed to require the 545 |
---|
660 | | - | Commissioner of Mental Health and Addiction Services to place any 546 |
---|
661 | | - | defendant who presents a significant security, safety or medical risk in 547 |
---|
662 | | - | a hospital for psychiatric disabilities which does not have the trained 548 |
---|
663 | | - | staff, facilities or security to accommodate such a person, as 549 |
---|
664 | | - | determined by the Commissioner of Mental Health and Addiction 550 |
---|
665 | | - | Services in consultation with the Commissioner of Correction. 551 |
---|
666 | | - | (2) If a defendant is placed for treatment with the Commissioner of 552 |
---|
667 | | - | Mental Health and Addiction Services pursuant to subsection (i) of this 553 |
---|
668 | | - | section and such defendant is not placed in a hospital for psychiatric 554 |
---|
669 | | - | disabilities pursuant to a determination made by the Commissioner of 555 |
---|
670 | | - | Mental Health and Addiction Services under subdivision (1) of this 556 Substitute Bill No. 1231 |
---|
| 626 | + | LCO No. 6129 17 of 18 |
---|
| 627 | + | |
---|
| 628 | + | promise to appear, conditions of release, cash bail or bond, shall remain 524 |
---|
| 629 | + | in the custody of the Commissioner of Correction unless hospitalized as 525 |
---|
| 630 | + | provided in sections 17a-512 to 17a-517, inclusive. 526 |
---|
| 631 | + | (p) (1) This section shall not be construed to require the 527 |
---|
| 632 | + | Commissioner of Mental Health and Addiction Services to place any 528 |
---|
| 633 | + | defendant who presents a significant security, safety or medical risk in 529 |
---|
| 634 | + | a hospital for psychiatric disabilities which does not have the trained 530 |
---|
| 635 | + | staff, facilities or security to accommodate such a person, as determined 531 |
---|
| 636 | + | by the Commissioner of Mental Health and Addiction Services in 532 |
---|
| 637 | + | consultation with the Commissioner of Correction. 533 |
---|
| 638 | + | (2) If a defendant is placed for treatment with the Commissioner of 534 |
---|
| 639 | + | Mental Health and Addiction Services pursuant to subsection (i) of this 535 |
---|
| 640 | + | section and such defendant is not placed in a hospital for psychiatric 536 |
---|
| 641 | + | disabilities pursuant to a determination made by the Commissioner of 537 |
---|
| 642 | + | Mental Health and Addiction Services under subdivision (1) of this 538 |
---|
| 643 | + | subsection, the defendant shall remain in the custody of the 539 |
---|
| 644 | + | Commissioner of Correction. The Commissioner of Correction shall be 540 |
---|
| 645 | + | responsible for the medical and psychiatric care of the defendant, and 541 |
---|
| 646 | + | the Commissioner of Mental Health and Addiction Services shall 542 |
---|
| 647 | + | remain responsible to provide other appropriate services to restore 543 |
---|
| 648 | + | competency. 544 |
---|
| 649 | + | (3) If a defendant remains in the custody of the Commissioner of 545 |
---|
| 650 | + | Correction pursuant to subdivision (2) of this subsection and the court 546 |
---|
| 651 | + | finds that the defendant is still not competent and will not attain 547 |
---|
| 652 | + | competency within the remainder of the period covered by the 548 |
---|
| 653 | + | placement order absent administration of psychiatric medication for 549 |
---|
| 654 | + | which the defendant is unwilling or unable to provide consent, the court 550 |
---|
| 655 | + | shall proceed as provided in subdivisions (2), (3) and (4) of subsection 551 |
---|
| 656 | + | (k) of this section. Nothing in this subdivision shall prevent the court 552 |
---|
| 657 | + | from making any other finding or order set forth in subsection (k) of this 553 |
---|
| 658 | + | section. 554 |
---|
| 659 | + | (q) This section shall not prevent counsel for the defendant from 555 Raised Bill No. 1231 |
---|
677 | | - | subsection, the defendant shall remain in the custody of the 557 |
---|
678 | | - | Commissioner of Correction. The Commissioner of Correction shall be 558 |
---|
679 | | - | responsible for the medical and psychiatric care of the defendant, and 559 |
---|
680 | | - | the Commissioner of Mental Health and Addiction Services shall 560 |
---|
681 | | - | remain responsible to provide other appropriate services to restore 561 |
---|
682 | | - | competency. 562 |
---|
683 | | - | (3) If a defendant remains in the custody of the Commissioner of 563 |
---|
684 | | - | Correction pursuant to subdivision (2) of this subsection and the court 564 |
---|
685 | | - | finds that the defendant is still not competent and will not attain 565 |
---|
686 | | - | competency within the remainder of the period covered by the 566 |
---|
687 | | - | placement order absent administration of psychiatric medication for 567 |
---|
688 | | - | which the defendant is unwilling or unable to provide consent, the 568 |
---|
689 | | - | court shall proceed as provided in subdivisions (2), (3) and (4) of 569 |
---|
690 | | - | subsection (k) of this section. Nothing in this subdivision shall prevent 570 |
---|
691 | | - | the court from making any other finding or order set forth in 571 |
---|
692 | | - | subsection (k) of this section. 572 |
---|
693 | | - | (q) This section shall not prevent counsel for the defendant from 573 |
---|
694 | | - | raising, prior to trial and while the defendant is not competent, any 574 |
---|
695 | | - | issue susceptible of fair determination. 575 |
---|
696 | | - | (r) Actual time spent in confinement on an inpatient basis pursuant 576 |
---|
697 | | - | to this section shall be credited against any sentence imposed on the 577 |
---|
698 | | - | defendant in the pending criminal case or in any other case arising out 578 |
---|
699 | | - | of the same conduct in the same manner as time is credited for time 579 |
---|
700 | | - | spent in a correctional facility awaiting trial. 580 |
---|
| 663 | + | LCO No. 6129 18 of 18 |
---|
| 664 | + | |
---|
| 665 | + | raising, prior to trial and while the defendant is not competent, any issue 556 |
---|
| 666 | + | susceptible of fair determination. 557 |
---|
| 667 | + | (r) Actual time spent in confinement on an inpatient basis pursuant 558 |
---|
| 668 | + | to this section shall be credited against any sentence imposed on the 559 |
---|
| 669 | + | defendant in the pending criminal case or in any other case arising out 560 |
---|
| 670 | + | of the same conduct in the same manner as time is credited for time 561 |
---|
| 671 | + | spent in a correctional facility awaiting trial. 562 |
---|