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2 | 2 | | SENATE DOCKET, NO. 1643 FILED ON: 1/16/2025 |
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3 | 3 | | SENATE . . . . . . . . . . . . . . No. 1171 |
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4 | 4 | | The Commonwealth of Massachusetts |
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5 | 5 | | _________________ |
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6 | 6 | | PRESENTED BY: |
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7 | 7 | | Joan B. Lovely |
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8 | 8 | | _________________ |
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9 | 9 | | To the Honorable Senate and House of Representatives of the Commonwealth of Massachusetts in General |
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10 | 10 | | Court assembled: |
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11 | 11 | | The undersigned legislators and/or citizens respectfully petition for the adoption of the accompanying bill: |
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12 | 12 | | An Act relative to the well-being of new mothers and infants. |
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13 | 13 | | _______________ |
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14 | 14 | | PETITION OF: |
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15 | 15 | | NAME:DISTRICT/ADDRESS :Joan B. LovelySecond Essex 1 of 16 |
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16 | 16 | | SENATE DOCKET, NO. 1643 FILED ON: 1/16/2025 |
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17 | 17 | | SENATE . . . . . . . . . . . . . . No. 1171 |
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18 | 18 | | By Ms. Lovely, a petition (accompanied by bill, Senate, No. 1171) of Joan B. Lovely for |
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19 | 19 | | legislation relative to the well-being of new mothers and infants. The Judiciary. |
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20 | 20 | | [SIMILAR MATTER FILED IN PREVIOUS SESSION |
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21 | 21 | | SEE SENATE, NO. 2398 OF 2023-2024.] |
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22 | 22 | | The Commonwealth of Massachusetts |
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23 | 23 | | _______________ |
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24 | 24 | | In the One Hundred and Ninety-Fourth General Court |
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25 | 25 | | (2025-2026) |
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26 | 26 | | _______________ |
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27 | 27 | | An Act relative to the well-being of new mothers and infants. |
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28 | 28 | | Be it enacted by the Senate and House of Representatives in General Court assembled, and by the authority |
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29 | 29 | | of the same, as follows: |
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30 | 30 | | 1 SECTION 1. Section 1 of Chapter 123 of the General Laws, as so appearing, is hereby |
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31 | 31 | | 2amended by inserting at the end thereof the following new definitions:- |
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32 | 32 | | 3 “Postpartum psychosis”, the most severe of the perinatal mood and anxiety disorders |
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33 | 33 | | 4whereby an individual experiences alternating states of depression and/or mania (euphoria) and |
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34 | 34 | | 5loses touch with reality. Postpartum psychosis severely impairs an individual’s thinking and |
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35 | 35 | | 6judgment, with symptoms including, but not limited to, hallucinations and/or delusions, |
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36 | 36 | | 7cognitive confusion and disorientation, disorganized or racing thoughts, minimal need for sleep, |
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37 | 37 | | 8delirium, and excessive restlessness, such as pacing. |
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38 | 38 | | 9 “Postpartum depression”, a mood disorder which includes a variety of moderate to severe |
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39 | 39 | | 10symptoms of depression, severe anxiety, panic attacks and/or intrusive distressing obsessive 2 of 16 |
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40 | 40 | | 11thoughts and compulsive ritualistic behavior. Clinical symptoms of depression include, but are |
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41 | 41 | | 12not limited to: insomnia and sleep disturbances; loss of pleasure and motivation in usual |
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42 | 42 | | 13activities, including lack of interest in the infant sad and depressed mood; lack of clarity in |
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43 | 43 | | 14thinking; lack of appetite or interest in eating; feelings of hopelessness, worthlessness and poor |
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44 | 44 | | 15self-esteem; extreme fatigue; suicidal thoughts; not feeling like oneself; feeling overwhelmed |
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45 | 45 | | 16and unable to cope with life’s demands. |
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46 | 46 | | 17 SECTION 2. (a) As used in this section, “perinatal” shall refer to the period of time from |
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47 | 47 | | 18pregnancy up until one year following birth. |
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48 | 48 | | 19 (b) The department of public health may consult with health care providers, including, |
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49 | 49 | | 20but not limited to, obstetricians, gynecologists, pediatricians, primary care providers, nurse |
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50 | 50 | | 21midwives, psychiatrists, and mental health clinicians, non-profit organizations, community |
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51 | 51 | | 22organizations, organizations providing prenatal childbirth education, and health insurance |
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52 | 52 | | 23carriers regarding development of a comprehensive digital resource center on perinatal mood and |
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53 | 53 | | 24anxiety disorders, including but not limited to postpartum depression and postpartum psychosis. |
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54 | 54 | | 25The department shall create, maintain, and update this digital resource center, which shall be free |
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55 | 55 | | 26and available to the public, and shall include information and resources for health care providers |
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56 | 56 | | 27and organizations serving perinatal individuals to aid them in treating or making appropriate |
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57 | 57 | | 28referrals for individuals experiencing perinatal psychiatric complications, as well as information |
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58 | 58 | | 29and resources for perinatal individuals and their families to aid them in understanding and |
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59 | 59 | | 30identifying perinatal mood and anxiety disorders and how to navigate available resources. |
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60 | 60 | | 31 (c) The department shall issue regulations that require health care providers and |
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61 | 61 | | 32organizations providing services to perinatal individuals, including, but not limited to, 3 of 16 |
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62 | 62 | | 33obstetricians, gynecologists, pediatricians, primary care providers, nurse midwives, psychiatrists, |
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63 | 63 | | 34and mental health clinicians, non-profit organizations, community organizations, and |
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64 | 64 | | 35organizations providing prenatal childbirth education, to provide information to perinatal |
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65 | 65 | | 36individuals and their families about how to access the digital resource center described in |
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66 | 66 | | 37subsection (b), or to provide hard copies of the materials included in the digital resource center to |
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67 | 67 | | 38individuals unable to access digital resources. |
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68 | 68 | | 39 (d) The commissioner of public health shall issue an annual summary of the use of the |
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69 | 69 | | 40digital resource center described in subsection (b), including but not limited to which portions of |
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70 | 70 | | 41the resource center were the most and least utilized by visitors, and shall annually file the |
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71 | 71 | | 42summary with the clerks of the house of representatives and the senate not later than June 30; |
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72 | 72 | | 43provided, however, that the first report is due not later than the June 30 following publication of |
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73 | 73 | | 44the digital resource center. |
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74 | 74 | | 45 SECTION 3. Section 15 of chapter 123 of the General Laws, as so appearing, is hereby |
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75 | 75 | | 46amended by inserting after the word “psychologists”, in lines 7 and 8, the following words: |
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76 | 76 | | 47provided however, that a defendant who gave birth within 12 months prior to the crime for which |
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77 | 77 | | 48the defendant has been charged shall undergo a screening for perinatal psychiatric complications |
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78 | 78 | | 49by a treating physician, psychiatrist or psychologist or other qualified physician or psychologist. |
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79 | 79 | | 50 SECTION 4. Subsection (a) of section 15 of chapter 123 of the General Laws, as so |
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80 | 80 | | 51appearing, is hereby amended by inserting at the end thereof the following new sentence:- When |
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81 | 81 | | 52an examination is ordered for a female defendant who suffers or suffered, at the time the crime |
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82 | 82 | | 53for which the defendant has been charged with occurred, from mental illness related to a |
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83 | 83 | | 54perinatal psychiatric complication such as postpartum psychosis or postpartum depression, said 4 of 16 |
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84 | 84 | | 55examination shall be conducted by an expert in reproductive psychiatry within 48 hours of such |
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85 | 85 | | 56order. |
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86 | 86 | | 57 SECTION 5. Section 16 of chapter 123 of the General Laws, as so appearing, is hereby |
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87 | 87 | | 58amended by inserting at the end thereof the following new subsection:- |
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88 | 88 | | 59 (g) Any person committed to a facility under the provisions of this section who suffers |
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89 | 89 | | 60from mental illness related to a perinatal psychiatric complication such as postpartum psychosis |
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90 | 90 | | 61or postpartum depression shall receive a diagnosis and treatment plan made in consultation with |
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91 | 91 | | 62an expert in reproductive psychiatry. Additional services, including but not limited to parenting |
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92 | 92 | | 63assessment, parenting capacity building, and parent-child dyadic therapy shall be made available |
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93 | 93 | | 64if deemed appropriate by the consulting expert. |
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94 | 94 | | 65 SECTION 6. Chapter 123 of the General Laws, as so appearing, is hereby amended by |
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95 | 95 | | 66adding the following section:- Section 37. (a) The department shall appoint a community |
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96 | 96 | | 67program director to coordinate the department’s role provided for in this section in a particular |
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97 | 97 | | 68county or region. |
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98 | 98 | | 69 (b) Any person committed to a state hospital or other treatment facility under the |
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99 | 99 | | 70provisions of section 16 may be placed on outpatient status, from that commitment subject to the |
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100 | 100 | | 71procedures and provisions of this section. |
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101 | 101 | | 72 (c) In the case of any person charged with and found incompetent to stand trial or not |
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102 | 102 | | 73guilty by reason of mental illness or mental defect in such proceedings of murder, a violation in |
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103 | 103 | | 74which the victim suffers intentionally inflicted great bodily injury, or an act which poses a |
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104 | 104 | | 75serious threat of bodily harm to another person, outpatient status under this section shall not be |
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105 | 105 | | 76available until that person has actually been confined in a state hospital or other treatment facility 5 of 16 |
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106 | 106 | | 77for 180 days or more after having been committed under the provisions of law specified in |
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107 | 107 | | 78section 16, unless the court finds a suitable placement, including, but not limited to, an outpatient |
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108 | 108 | | 79placement program, that would provide the person with more appropriate mental health |
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109 | 109 | | 80treatment and the court finds that the placement would not pose a danger to the health or safety |
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110 | 110 | | 81of others, including, but not limited to, the safety of the victim and the victim’s family. |
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111 | 111 | | 82 (d) In the case of any person charged with and found incompetent to stand trial or not |
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112 | 112 | | 83guilty by reason of mental illness or mental defect of any misdemeanor or any felony other than |
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113 | 113 | | 84those described in subsection (c), or found not guilty of any misdemeanor by reason of mental |
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114 | 114 | | 85illness or mental defect outpatient status under this section may be granted by the court prior to |
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115 | 115 | | 86actual confinement in a state hospital or other treatment facility under the provisions of law |
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116 | 116 | | 87specified in section 16. |
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117 | 117 | | 88 (e) Before any person subject to the provisions of subsection (d) may be placed on |
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118 | 118 | | 89outpatient status, the court shall consider all of the following criteria: |
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119 | 119 | | 90 (i) In the case of a person who is an inpatient, whether the director of the state hospital or |
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120 | 120 | | 91other treatment facility to which the person has been committed advises the court that the |
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121 | 121 | | 92defendant will not be a danger to the health and safety of others while on outpatient status, and |
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122 | 122 | | 93will benefit from such outpatient status. |
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123 | 123 | | 94 (ii) In all cases, whether the community program director or a designee advises the court |
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124 | 124 | | 95that the defendant will not be a danger to the health and safety of others while on outpatient |
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125 | 125 | | 96status, will benefit from such status, and identifies an appropriate program of supervision and |
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126 | 126 | | 97treatment. In the case of a female defendant who suffers from mental illness related to a perinatal |
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127 | 127 | | 98psychiatric complication such as postpartum psychosis or postpartum depression, an appropriate 6 of 16 |
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128 | 128 | | 99treatment program shall be identified in consultation with an expert in reproductive psychiatry. |
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129 | 129 | | 100Additional services, including but not limited to parenting assessment, parenting capacity |
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130 | 130 | | 101building and parent-child dyadic therapy shall also be made available if deemed appropriate by |
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131 | 131 | | 102the consulting expert. |
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132 | 132 | | 103 (f) Prior to determining whether to place the person on outpatient status, the court shall |
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133 | 133 | | 104provide actual notice to the prosecutor and defense counsel, and to the victim, and shall hold a |
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134 | 134 | | 105hearing at which the court may specifically order outpatient status for the person. |
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135 | 135 | | 106 (g) The community program director or a designee shall prepare and submit the |
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136 | 136 | | 107evaluation and the treatment plan specified in paragraph (ii) of subsection (e) to the court within |
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137 | 137 | | 10815 calendar days after notification by the court to do so, except that in the case of a person who |
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138 | 138 | | 109is an inpatient, the evaluation and treatment plan shall be submitted within 30 calendar days after |
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139 | 139 | | 110notification by the court to do so. |
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140 | 140 | | 111 (h) Any evaluations and recommendations pursuant to paragraphs (i) and (ii) of |
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141 | 141 | | 112subsection (e) shall include review and consideration of complete, available information |
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142 | 142 | | 113regarding the circumstances of the criminal offense and the person’s prior criminal history. |
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143 | 143 | | 114 (i) Before any person subject to subsection (c) of this section may be placed on outpatient |
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144 | 144 | | 115status the court shall consider all of the following criteria: |
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145 | 145 | | 116 (i) Whether the director of the state hospital or other treatment facility to which the |
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146 | 146 | | 117person has been committed advises the committing court and the prosecutor that the defendant |
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147 | 147 | | 118would no longer be a danger to the health and safety of others, including himself or herself, |
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148 | 148 | | 119while under supervision and treatment in the community, and will benefit from that status. 7 of 16 |
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149 | 149 | | 120 (ii) Whether the community program director advises the court that the defendant will |
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150 | 150 | | 121benefit from that status, and identifies an appropriate program of supervision and treatment. In |
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151 | 151 | | 122the case of a female defendant who suffers from mental illness related to a perinatal psychiatric |
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152 | 152 | | 123complication such as postpartum psychosis or postpartum depression, an appropriate treatment |
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153 | 153 | | 124program shall be identified in consultation with an expert in reproductive psychiatry. Additional |
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154 | 154 | | 125services, including but not limited to parenting assessment, parenting capacity building and |
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155 | 155 | | 126parent-child dyadic therapy shall also be made available if deemed appropriate by the consulting |
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156 | 156 | | 127expert. |
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157 | 157 | | 128 (j) Prior to release of a person under subsection (c), the prosecutor shall provide notice of |
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158 | 158 | | 129the hearing date and pending release to the victim or next of kin of the victim of the offense for |
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159 | 159 | | 130which the person was committed where a request for the notice has been filed with the court, and |
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160 | 160 | | 131after a hearing in court, the court shall specifically approve the recommendation and plan for |
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161 | 161 | | 132outpatient status. The burden shall be on the victim or next of kin to the victim to keep the court |
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162 | 162 | | 133apprised of the party’s current mailing address. |
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163 | 163 | | 134 (k) In any case in which the victim or next of kin to the victim has filed a request for |
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164 | 164 | | 135notice with the director of the state hospital or other treatment facility, he or she shall be notified |
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165 | 165 | | 136by the director at the inception of any program in which the committed person would be allowed |
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166 | 166 | | 137any type of day release unattended by the staff of the facility. |
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167 | 167 | | 138 (l) The community program director shall prepare and submit the evaluation and the |
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168 | 168 | | 139treatment plan specified in paragraph (ii) of subsection (i) to the court within 30 calendar days |
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169 | 169 | | 140after notification by the court to do so. 8 of 16 |
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170 | 170 | | 141 (m) Any evaluations and recommendations pursuant to paragraphs (i) and (ii) of |
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171 | 171 | | 142subsection (i) shall include review and consideration of complete, available information |
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172 | 172 | | 143regarding the circumstances of the criminal offense and the person’s prior criminal history. |
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173 | 173 | | 144 (n) Upon receipt by the committing court of the recommendation of the director of the |
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174 | 174 | | 145state hospital or other treatment facility to which the person has been committed that the person |
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175 | 175 | | 146may be eligible for outpatient status as set forth in paragraph (i) of subsection (e) or (i) of this |
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176 | 176 | | 147section, the court shall immediately forward such recommendation to the community program |
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177 | 177 | | 148director, prosecutor, and defense counsel. The court shall provide copies of the arrest reports and |
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178 | 178 | | 149the state summary criminal history information to the community program director. |
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179 | 179 | | 150 (o) Within 30 calendar days the community program director or a designee shall submit |
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180 | 180 | | 151to the court and, when appropriate, to the director of the state hospital or other treatment facility, |
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181 | 181 | | 152a recommendation regarding the defendant’s eligibility for outpatient status, as set forth in |
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182 | 182 | | 153paragraph (ii) of subsection (e) or (i) and the recommended plan for outpatient supervision and |
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183 | 183 | | 154treatment. The plan shall set forth specific terms and conditions to be followed during outpatient |
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184 | 184 | | 155status. The court shall provide copies of this report to the prosecutor and the defense counsel. |
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185 | 185 | | 156 (p) The court shall calendar the matter for hearing within 15 business days of the receipt |
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186 | 186 | | 157of the community program director’s report and shall give notice of the hearing date to the |
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187 | 187 | | 158prosecutor, defense counsel, the community program director, and, when appropriate, to the |
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188 | 188 | | 159director of the state hospital or other facility. In any hearing conducted pursuant to this section, |
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189 | 189 | | 160the court shall consider the circumstances and nature of the criminal offense leading to |
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190 | 190 | | 161commitment and shall consider the person’s prior criminal history. 9 of 16 |
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191 | 191 | | 162 (q) The court shall, after a hearing in court, either approve or disapprove the |
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192 | 192 | | 163recommendation for outpatient status. If the approval of the court is given, the defendant shall be |
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193 | 193 | | 164placed on outpatient status subject to the terms and conditions specified in the supervision and |
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194 | 194 | | 165treatment plan. If the outpatient treatment occurs in a county other than the county of |
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195 | 195 | | 166commitment, the court shall transmit a copy of the case record to the superior court in the county |
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196 | 196 | | 167where outpatient treatment occurs, so that the record will be available if revocation proceedings |
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197 | 197 | | 168are initiated pursuant to subsection (w) or (x). |
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198 | 198 | | 169 (r) The department shall be responsible for the supervision of persons placed on |
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199 | 199 | | 170outpatient status under this title. The commissioner shall designate, for each county or region, a |
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200 | 200 | | 171community program director who shall be responsible for administering the community |
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201 | 201 | | 172treatment programs for persons committed from that county or region under the provisions |
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202 | 202 | | 173specified in subsection (b). |
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203 | 203 | | 174 (s) The department shall notify in writing the chief justice of the trial court, the district |
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204 | 204 | | 175attorney of each county, and the executive director of the committee on public counsel services |
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205 | 205 | | 176as to the person designated to be the community program director for each county or region, and |
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206 | 206 | | 177timely written notice shall be given whenever a new community program director is to be |
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207 | 207 | | 178designated. |
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208 | 208 | | 179 (t) The community program director shall be the outpatient treatment supervisor of |
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209 | 209 | | 180persons placed on outpatient status under this section. The community program director may |
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210 | 210 | | 181delegate the outpatient treatment supervision responsibility to a designee. |
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211 | 211 | | 182 (u) The outpatient treatment supervisor shall, at 90-day intervals following the beginning |
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212 | 212 | | 183of outpatient treatment, submit to the court, the prosecutor and defense counsel, and to the 10 of 16 |
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213 | 213 | | 184community program director, where appropriate, a report setting forth the status and progress of |
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214 | 214 | | 185the defendant. |
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215 | 215 | | 186 (v) Outpatient status shall be for a period not to exceed 1 year. At the end of the period of |
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216 | 216 | | 187outpatient status approved by the court, the court shall, after actual notice to the prosecutor, the |
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217 | 217 | | 188defense counsel, and the community program director, and after a hearing in court, either |
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218 | 218 | | 189discharge the person from commitment under appropriate provisions of the law, order the person |
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219 | 219 | | 190confined to a treatment facility, or renew its approval of outpatient status. Prior to such hearing, |
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220 | 220 | | 191the community program director shall furnish a report and recommendation to the medical |
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221 | 221 | | 192director of the state hospital or other treatment facility, where appropriate, and to the court, |
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222 | 222 | | 193which the court shall make available to the prosecutor and defense counsel. The person shall |
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223 | 223 | | 194remain on outpatient status until the court renders its decision unless hospitalized under other |
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224 | 224 | | 195provision of the law. The hearing pursuant to the provisions of this section shall be held no later |
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225 | 225 | | 196than 30 days after the end of the 1 year period of outpatient status unless good cause exists. The |
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226 | 226 | | 197court shall transmit a copy of its order to the community program director or a designee. |
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227 | 227 | | 198 (w) If at any time during the outpatient period, the outpatient treatment supervisor is of |
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228 | 228 | | 199the opinion that the person requires extended inpatient treatment or refuses to accept further |
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229 | 229 | | 200outpatient treatment and supervision, the community program director shall notify the superior |
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230 | 230 | | 201court in either the county which approved outpatient status or in the county where outpatient |
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231 | 231 | | 202treatment is being provided of such opinion by means of a written request for revocation of |
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232 | 232 | | 203outpatient status. The community program director shall furnish a copy of this request to the |
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233 | 233 | | 204defense counsel and to the prosecutor in both counties if the request is made in the county of |
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234 | 234 | | 205treatment rather than the county of commitment. Within 15 business days, the court where the |
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235 | 235 | | 206request was filed shall hold a hearing and shall either approve or disapprove the request for 11 of 16 |
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236 | 236 | | 207revocation of outpatient status. If the court approves the request for revocation, the court shall |
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237 | 237 | | 208order that the person be confined in a state hospital or other treatment facility approved by the |
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238 | 238 | | 209community program director. The court shall transmit a copy of its order to the community |
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239 | 239 | | 210program director or a designee. Where the county of treatment and the county of commitment |
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240 | 240 | | 211differ and revocation occurs in the county of treatment, the court shall enter the name of the |
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241 | 241 | | 212committing county and its case number on the order of revocation and shall send a copy of the |
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242 | 242 | | 213order to the committing court and the prosecutor and defense counsel in the county of |
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243 | 243 | | 214commitment. |
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244 | 244 | | 215 (x) If at any time during the outpatient period the prosecutor is of the opinion that the |
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245 | 245 | | 216person is a danger to the health and safety of others while on that status, the prosecutor may |
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246 | 246 | | 217petition the court for a hearing to determine whether the person shall be continued on that status. |
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247 | 247 | | 218Upon receipt of the petition, the court shall calendar the case for further proceedings within 15 |
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248 | 248 | | 219business days and the clerk shall notify the person, the community program director, and the |
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249 | 249 | | 220attorney of record for the person of the hearing date. Upon failure of the person to appear as |
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250 | 250 | | 221noticed, if a proper affidavit of service has been filed with the court, the court may issue a capias |
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251 | 251 | | 222to compel the attendance of such person. If, after a hearing in court conducted using the same |
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252 | 252 | | 223standards used in conducting probation revocation hearings pursuant to section 3 of chapter 279, |
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253 | 253 | | 224the judge determines that the person is a danger to the health and safety of others, the court shall |
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254 | 254 | | 225order that the person be confined in a state hospital or other treatment facility which has been |
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255 | 255 | | 226approved by the community program director. |
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256 | 256 | | 227 (y) Upon the filing of a request for revocation under subsection (w) or subsection (x) and |
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257 | 257 | | 228pending the court’s decision on revocation, the person subject to revocation may be confined in a |
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258 | 258 | | 229facility designated by the community program director when it is the opinion of that director that 12 of 16 |
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259 | 259 | | 230the person will now be a danger to self or to another while on outpatient status and that to delay |
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260 | 260 | | 231confinement until the revocation hearing would pose an imminent risk of harm to the person or |
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261 | 261 | | 232to another. The facility so designated shall continue the patient’s program of treatment, shall |
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262 | 262 | | 233provide adequate security so as to ensure both the safety of the person and the safety of others in |
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263 | 263 | | 234the facility, and shall, to the extent possible, minimize interference with the person’s program of |
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264 | 264 | | 235treatment. Upon the request of the community program director or a designee, a peace officer |
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265 | 265 | | 236shall take, or cause to be taken, the person into custody and transport the person to a facility as |
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266 | 266 | | 237described in subsection (z) and designated by the community program director for confinement |
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267 | 267 | | 238under this section. Within 1 business day after the person is confined in a jail under this section, |
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268 | 268 | | 239the community program director shall apply in writing to the court for authorization to confine |
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269 | 269 | | 240the person pending the hearing under subsection (w) or subsection (x). The application shall be |
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270 | 270 | | 241in the form of a declaration, and shall specify the behavior or other reason justifying the |
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271 | 271 | | 242confinement of the person in a jail. Upon receipt of the application for confinement, the court |
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272 | 272 | | 243shall consider and rule upon it, and if the court authorizes detention in a jail, the court shall |
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273 | 273 | | 244actually serve copies of all orders and all documents filed by the community program director |
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274 | 274 | | 245upon the prosecuting and defense counsel. The community program director shall notify the |
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275 | 275 | | 246court in writing of the confinement of the person and of the factual basis for the opinion that the |
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276 | 276 | | 247immediate confinement in a jail was necessary. The court shall supply a copy of these documents |
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277 | 277 | | 248to the prosecutor and defense counsel. |
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278 | 278 | | 249 (z) The facility designated by the community program director may be a state hospital, a |
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279 | 279 | | 250local treatment facility, a county jail, or any other appropriate facility, so long as the facility can |
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280 | 280 | | 251continue the person’s program of treatment, provide adequate security, and minimize |
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281 | 281 | | 252interference with the person’s program of treatment. If the facility designated by the community 13 of 16 |
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282 | 282 | | 253program director is a county jail, the patient shall be separated from the general population of the |
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283 | 283 | | 254jail. A county jail may not be designated unless the services specified above are provided, and |
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284 | 284 | | 255accommodations are provided which ensure both the safety of the person and the safety of the |
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285 | 285 | | 256general population of the jail. Within 3 business days of the patient’s confinement in a jail, the |
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286 | 286 | | 257community program director shall report to the court regarding what type of treatment the patient |
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287 | 287 | | 258is receiving in the facility. If there is evidence that the treatment program is not being complied |
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288 | 288 | | 259with, or accommodations have not been provided which ensure both the safety of the committed |
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289 | 289 | | 260person and the safety of the general population of the jail, the court shall order the person |
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290 | 290 | | 261transferred to an appropriate facility, including an appropriate state hospital. |
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291 | 291 | | 262 (aa) A resentencing hearing shall be allowed in the following cases, in addition to those |
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292 | 292 | | 263permitted under other sections: |
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293 | 293 | | 264 At the time of the offense, the defendant was suffering from a serious perinatal |
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294 | 294 | | 265psychiatric complication, a mental illness such as postpartum depression or postpartum |
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295 | 295 | | 266psychosis, which though insufficient to establish the defense of insanity, substantially affected |
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296 | 296 | | 267his or her ability to understand his or her acts or to conform his or her conduct to the |
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297 | 297 | | 268requirements of the law. |
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298 | 298 | | 269 At the time of the offense, the defendant was suffering from postpartum depression or |
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299 | 299 | | 270postpartum psychosis which was either undiagnosed by a qualified medical professional |
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300 | 300 | | 271(physician, psychiatrist or psychologist) or untreated or unsuccessfully treated, and this |
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301 | 301 | | 272temporary mental illness tended to excuse or justify the defendant’s criminal conduct and was |
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302 | 302 | | 273not used in trial or sentencing. 14 of 16 |
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303 | 303 | | 274 (bb) Nothing in this section shall prevent hospitalization pursuant to the provisions of |
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304 | 304 | | 275section 12. |
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305 | 305 | | 276 (cc) A person whose confinement in a treatment facility under subsection (w) or |
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306 | 306 | | 277subsection (x) is approved by the court shall not be released again to outpatient status unless |
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307 | 307 | | 278court approval is obtained under subsection (e) or subsection (i). |
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308 | 308 | | 279 (dd) No person who is on outpatient status pursuant to this section shall leave this state |
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309 | 309 | | 280without first obtaining prior written approval to do so from the committing court. The prior |
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310 | 310 | | 281written approval of the court for the person to leave this state shall specify when the person may |
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311 | 311 | | 282leave, when the person is required to return, and may specify other conditions or limitations at |
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312 | 312 | | 283the discretion of the court. The written approval for the person to leave this state may be in a |
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313 | 313 | | 284form and format chosen by the committing court. |
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314 | 314 | | 285 (ee) In no event shall the court give written approval for the person to leave this state |
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315 | 315 | | 286without providing notice to the prosecutor, the defense counsel, and the community program |
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316 | 316 | | 287director. The court may conduct a hearing on the question of whether the person should be |
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317 | 317 | | 288allowed to leave this state and what conditions or limitations, if any, should be imposed. |
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318 | 318 | | 289 (ff) Any person who violates subsection (dd) is guilty of a misdemeanor and upon |
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319 | 319 | | 290conviction shall by punished by imprisonment for not more than 6 months in a house of |
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320 | 320 | | 291correction or by a fine of not more than $1,000. |
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321 | 321 | | 292 (gg) The department shall be responsible for the community treatment and supervision of |
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322 | 322 | | 293judicially committed patients. These services shall be available on a county or regional basis. |
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323 | 323 | | 294The department may provide these services directly or through contract with private providers. 15 of 16 |
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324 | 324 | | 295The program or programs through which these services are provided shall be known as the |
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325 | 325 | | 296forensic conditional release program. |
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326 | 326 | | 297 (hh) The department shall contact all regional mental health programs by January 1, |
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327 | 327 | | 2982024, to determine their interest in providing an appropriate level of supervision and treatment of |
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328 | 328 | | 299judicially committed patients at reasonable cost. Regional mental health programs may agree or |
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329 | 329 | | 300refuse to operate such a program. |
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330 | 330 | | 301 (ii) No later than January 1, 2025, and by January 1 of each subsequent year, all state |
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331 | 331 | | 302hospitals or other treatment facilities participating in the forensic conditional release program |
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332 | 332 | | 303shall report to the commissioner the following information: (i) the cost of the program to the |
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333 | 333 | | 304facility; (ii) the demographic profiles of persons receiving supervision and treatment in the |
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334 | 334 | | 305program; and (iii) the rates of adherence to treatment under the program. |
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335 | 335 | | 306 (jj) No later than January 1, 2025, and by January 1 of each subsequent year, the chief |
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336 | 336 | | 307justice of the trial court shall report to the commissioner the following information: rates and |
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337 | 337 | | 308types of reoffense while these persons are served by the program and after their discharge. |
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338 | 338 | | 309 (kk) The department shall conduct yearly evaluations of the forensic conditional release |
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339 | 339 | | 310program. An evaluation of the program shall determine its effectiveness in successfully |
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340 | 340 | | 311reintegrating these persons into society after release from state institutions. This evaluation of |
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341 | 341 | | 312program effectiveness shall include, but not be limited to, a determination of the rates of |
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342 | 342 | | 313reoffense while these persons are served by the program and after their discharge. This |
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343 | 343 | | 314evaluation shall also address the effectiveness of the various treatment components of the |
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344 | 344 | | 315program and their intensity. 16 of 16 |
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345 | 345 | | 316 (ll) The department shall ensure consistent data gathering and program standards for use |
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346 | 346 | | 317statewide by the forensic conditional release program. |
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347 | 347 | | 318 (mm) The department of correction, and the executive office of public safety and security |
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348 | 348 | | 319shall cooperate with the department in conducting this evaluation. |
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349 | 349 | | 320 (nn) The administrators and the supervision and treatment staff of the forensic conditional |
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350 | 350 | | 321release program shall not be held criminally or civilly liable for any criminal acts committed by |
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351 | 351 | | 322the persons on parole or judicial commitment status who receive supervision or treatment. |
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352 | 352 | | 323 (oo) The court retains jurisdiction over the person until the end of the period of the |
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353 | 353 | | 324assisted outpatient treatment established under this section or until the court finds that the person |
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354 | 354 | | 325no longer meets the criteria in this section. |
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355 | 355 | | 326 SECTION 7. In all cases in which the penalty of life imprisonment without the possibility |
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356 | 356 | | 327of parole may be authorized, mitigating circumstances shall be any factors proffered by the |
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357 | 357 | | 328defendant or the commonwealth which are relevant to a finding that a defendant suffered from |
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358 | 358 | | 329mental illness related to a perinatal psychiatric complication such as postpartum psychosis or |
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359 | 359 | | 330postpartum depression at the time the offense was committed. |
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