Req. No. 11435 Page 1 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 STATE OF OKLAHOMA 1st Session of the 60th Legislature (2025) HOUSE BILL 1740 By: Moore AS INTRODUCED An Act relating to individualized service plans; providing for legislative intent; providing for a prepared and maintained written individ ualized service plan; providing for timing requirements; establishing standards; providing for disputed evidence; providing for implementation into the court's disposition; providing for approval; providing for tailoring; providing for which language governs; providing for modification; providing for standardization; requiring certa in information to be provided in the service plan; providing for review hearings; requiring the Oklahoma Department of Mental Health and Substance Abuse Services to provide a report; providing for codification; and providing an effective date. BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKLAHOMA: SECTION 1. NEW LAW A new section of law to be codified in the Oklahoma Statutes as Section 1161.1 of Title 22, unless there is created a duplication in numbering, reads as follow s: A. In matters governing individuals who have been adjudicated not guilty by reason of mental illness, it is the intent of the Legislature to ensure the protection of the publ ic while also providing to these individuals the appropriate care they deserve. Req. No. 11435 Page 2 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 This care includes, but is not limited to: therapeutic interventions, psychiatric treatment, support services, relevant clinical services, protection from harm, administrative oversight, and judicial oversight. While recognizing that some individuals m ay require permanent institutional care and oversight, the focus should always be upon a recovery -based model of treatment. Best efforts should be utilized by the State of Oklah oma, through the Department of Mental Health and Substance Abuse Services (ODMHSAS) to secure adequate facilities for the delivery of treatment and services for these individuals. Likewise, meaningful administrative oversight by ODMHSAS should be establis hed to shepherd these individuals safely and securely while under its care and supervision. Courts provide invaluable oversight regarding compliance by ODMHSAS and these individuals. As such, Courts should exercise their ability to frequently monitor the progress, or lack thereof of ODMHSAS and these individuals while receiving treatment or supervision. B. The ODMHSAS shall prepare and maintain a written individualized service plan for any person who has been adjudicated to be not guilty by reason of men tal illness (NGRI/MI). Integral to the development of the service plan is obt aining a comprehensive psychological evaluation upon admission to include any relevant psychological testing, structured risk assessment, and treatment recommendations. Additionally, upon admission a comprehensive Req. No. 11435 Page 3 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 psychiatric evaluation should be conducted by a forensically trained psychiatrist. C. The plan shall be furnished to the court within forty -five (45) days after the adjudication of the person and shall be made available to counsel for the parties. D. 1. The individualized service plan shall be based upon a comprehensive psychological and psychiatric evaluations obtained upon admission together with any other collateral information and shall be developed with the parti cipation of the individual and their support system as deemed appropriate and legally authorized. The protection of the public as well as the health and safety of the individual shall be the paramount concern in the development of the plan. 2. If any part of the plan is disputed or not approved by the court, an evidentiary hearing may be held and at its conclusion, the court shall determine the content of the individualized service plan in accord with the evidence presented and the best interests of the individual. 3. When approved by the court, each individualized service plan shall be incorporated and made a part of the dispositional order of the court. 4. The plan shall be signed by: a. the individual, b. the attorney for the individual, and Req. No. 11435 Page 4 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 c. the treating doctor at ODMHSAS. E. 1. Every service plan prepared shall be individ ualized and specific to each individual. 2. The individualized service plan shall be written in simple and clear English. If English is not the principal language of the individual, and such person is unable to read or comprehend the English language, to the extent possible the plan shall be written in the principal language of the person. 3. The individualized service plan may be modified based on changing circumstances consis tent with the identified needs of the individual and the protection of the pub lic. 4. The individualized service plan shall be measurable, realistic, and consistent with the requirements of other court orders. 5. Shall follow clinical standards of forens ic mental health service delivery by qualified mental health providers. F. The individualized service plan shall include but not be limited to: 1. A statement of the incident facts upon which the individual was found to be not guilty by reason of mental illness, 2. A history of the individual and his or her family, including previous mental health and substance use related incidents, treatment episodes, and diagnosis, Req. No. 11435 Page 5 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 3. Identification of services to be provided to the individual, to include clinical services, psychotropic medication, therapeutic intervention, psychoeducation, educational or vocational services, and any other clinical activities deemed relevant and necessary, 4. Structured standardized risk assessments, which should be completed annually at a minimum by qualified forensic examiners; 5. The most recent available health, mental health, educational, and justice system records of the individual shall be provided to the court upon the court 's request including: a. the names and addresses of the individual's providers, b. information regarding special education, disability services, or other relevant and known information pertaining to disability, if applicable, c. the individual's known medical problems, including any known communicable disea ses, d. the individual's medications, and e. any other relevant health, mental health and substance use, and education information; 6. A schedule of the frequency of services and the means by which delivery of the services will be assured or, as necessary , the proposed means by which support services or other assistance will be provided to enable the individual to obtain the services; 7. The name of the social worker or case manager assigned to the case; Req. No. 11435 Page 6 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 8. The name and business address of the attorney r epresenting the Individual; 9. The name of the psychiatrists rendering treatm ent; 10. The name of the licensed clinician rendering therapeutic interventions; 11. The name of the patient advocate for the individual; G. The court shall conduct periodic r eview hearings following the adoption of the individualized service plan. 1. ODMHSAS shall prepare a report to the Court 10 days in advance of each review hearing which shall be provided to the court, counsel for the individual, the district attorney, and the Oklahoma Forensic Review Board (FRB). The court is not limited in the nu mber or frequency of review hearings it may conduct in reviewing the status of the individual except as follows: 2. In the first year following the initial adoption of the individualized service plan, the Court shall conduct no less than four quarterly review hearings and require updated reports to be submitted. 3. In the second and subsequent years (as necessary), the court shall conduct no less than two semi -annual review hearings. The court may schedule more depending upon the facts and circumstances of each case. Courts are encouraged to conduct more frequent hearings if the individual is demonstrating progress in treatment. Req. No. 11435 Page 7 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 4. If, in the opinion of the court, the individu al has made significant progress in treatment, the court may require the Oklahoma FRB to conduct its annual review earlier so that the Court may make subsequent decisions upon the continued treatment and placement of the individual. 5. Nothing shall precl ude ODMHSAS, the court, counsel for the individual, or the District Attorney f rom requesting an accelerated review hearing based upon a change in circumstances for the individual. 6. In its review of the individual 's case the court shall give consideration to concerns for the safety of the public based upon a current risk assessment, the underlying facts resulting in the individual's adjudication of being not guilty by reason of mental illness, the progress of the individual according to the service plan, the recommendations of the treatment provider(s), and the input of the affecte d victim(s), 7. Prior to the hearing, counsel for the individual shall meet with the individual in person or by remote video means to discuss ODMHSAS's report to the court. 8. Nothing herein shall preclude an individual who is already in the care, custody, control, and supervision of the ODMHSAS from requesting a review hearing for the purpose of establishing a written service plan as set out above. Req. No. 11435 Page 8 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 9. The ODMHSAS shall ensure that all individuals, previously adjudicated as not guilty by reason of mental illness and within its care, custody, control, and supervision have a written service plan as outlined above. The written service plan shall be filed of record in the case prio r to the next scheduled review hearing, unless granted leave of the court due to limited time constraints, but in no circumstances more than one year from the passage of this act. SECTION 2. This act shall become effective November 1, 2025 . 60-1-11435 TJ 12/10/24