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House Bill 1359

Florida House of Representatives - 1997 HB 1359 By Representative Argenziano 1 A bill to be entitled 2 An act relating to forensic client services; 3 amending s. 40.29, F.S., relating to estimated 4 amount of pay for expert witnesses, to conform 5 a reference; creating s. 393.112, F.S.; 6 providing for a court order involuntarily 7 admitting a mentally retarded or autistic 8 defendant to a specialized involuntary 9 residential training program; providing 10 departmental responsibilities, procedures, and 11 guidelines relating to court petition and 12 hearing thereon, notice, examination of 13 defendant, continuing jurisdiction, and appeal; 14 providing for fees of examining committee; 15 providing for appointment of public defender or 16 other counsel for the defendant or appointment 17 of guardian ad litem; amending and reorganizing 18 ch. 916, F.S., the Forensic Client Services 19 Act; creating pt. I of ch. 916, F.S.; providing 20 general provisions of the chapter; amending s. 21 916.105, F.S.; revising legislative intent; 22 amending s. 916.106, F.S.; revising definitions 23 with respect to the chapter; redefining 24 "department" to refer to the Department of 25 Children and Family Services in lieu of the 26 Department of Health and Rehabilitative 27 Services; amending s. 916.107, F.S.; revising 28 state policy with respect to the rights of 29 forensic clients, and conforming terminology; 30 amending and renumbering s. 916.175, F.S., 31 relating to criminal escape by client; 1 CODING: Words stricken are deletions; words underlined are additions. Florida House of Representatives - 1997 HB 1359 576-106A-97 1 prohibiting escape or attempted escape from a 2 facility or program by a client under specified 3 circumstances, and providing penalties 4 therefor; amending and renumbering s. 916.178, 5 F.S.; prohibiting the introduction of certain 6 articles into or upon, or the taking or attempt 7 to take or send certain articles from, facility 8 grounds, under specified circumstances, and 9 providing penalties therefor; providing for 10 enforcement by institutional security personnel 11 or law enforcement officers; amending and 12 renumbering s. 916.19, F.S.; providing for 13 client protection and security; renumbering s. 14 916.20, F.S., relating to departmental 15 rulemaking; creating pt. II of ch. 916, F.S., 16 relating to forensic services for persons who 17 are mentally ill; amending and renumbering s. 18 916.108, F.S.; providing for evaluation of 19 defendant for competency to proceed or for 20 sanity, under specified circumstances; amending 21 and renumbering s. 916.11, F.S.; revising time 22 limits and guidelines relating to appointment 23 of experts; amending s. 916.12, F.S.; providing 24 duties of examining experts and guidelines with 25 respect to reports on defendant's mental 26 competence to proceed and recommended treatment 27 for defendant to attain competence to proceed; 28 amending s. 916.13, F.S.; providing criteria 29 for involuntary commitment of defendant 30 adjudicated incompetent to proceed due to 31 mental illness; providing for admission to a 2 CODING: Words stricken are deletions; words underlined are additions. Florida House of Representatives - 1997 HB 1359 576-106A-97 1 mental health facility; amending s. 916.14, 2 F.S.; providing for inapplicability of statute 3 of limitations and former jeopardy under 4 specified circumstances when defendant is 5 incompetent to proceed; amending s. 916.145, 6 F.S.; revising time limits and guidelines with 7 respect to dismissal of charges against a 8 defendant adjudicated incompetent to proceed; 9 providing for dismissal without prejudice under 10 specified circumstances; amending s. 916.15, 11 F.S., relating to involuntary commitment of 12 defendant adjudicated not guilty by reason of 13 insanity; conforming terminology; providing for 14 mandatory departmental retention and treatment 15 of defendant; reenacting s. 394.467(7)(a), 16 F.S., relating to procedure for continued 17 involuntary placement, to incorporate said 18 amendment in a reference; amending s. 916.16, 19 F.S.; providing for retention of jurisdiction 20 by committing court over a defendant 21 hospitalized as incompetent to proceed or 22 because of a finding of not guilty by reason of 23 insanity or a defendant placed on conditional 24 release; amending s. 916.17, F.S.; revising 25 procedures and guidelines relating to 26 conditional release and modification of release 27 conditions, including filing requirements for 28 plans for outpatient treatment; creating pt. 29 III of ch. 916, F.S., relating to forensic 30 persons who are mentally retarded or autistic; 31 creating s. 916.301, F.S.; providing for 3 CODING: Words stricken are deletions; words underlined are additions. Florida House of Representatives - 1997 HB 1359 576-106A-97 1 appointment of experts who are mental 2 retardation or autism professionals, under 3 specified circumstances; providing for certain 4 witness fees and evaluator fees as court costs; 5 providing for reimbursement of certain travel 6 and per diem expenses of state employees; 7 creating s. 916.3012, F.S.; providing for 8 determination of incompetence to proceed when 9 the defendant's suspected mental condition is 10 mental retardation or autism; creating s. 11 916.302, F.S.; providing for involuntary 12 commitment of defendant determined to be 13 incompetent to proceed due to mental 14 retardation or autism; requiring the department 15 to notify the court of transfer of a defendant; 16 creating s. 916.3025, F.S.; providing for 17 retention of jurisdiction over certain 18 defendants found incompetent to proceed and 19 ordered into a secure facility for mentally 20 retarded or autistic defendants; creating s. 21 916.303, F.S.; providing for dismissal of 22 charges without prejudice or involuntary 23 admission to residential services or a training 24 program under specified circumstances when the 25 defendant is found incompetent to proceed due 26 to mental retardation or autism; creating s. 27 916.304, F.S.; providing for conditional 28 release based on an approved plan for providing 29 continuing community-based training of 30 defendant; providing for modification of 31 release conditions or termination of 4 CODING: Words stricken are deletions; words underlined are additions. Florida House of Representatives - 1997 HB 1359 576-106A-97 1 jurisdiction under specified circumstances; 2 requiring certain written notice of the 3 involuntarily admitted defendant's right to 4 petition for writ of habeas corpus; providing 5 an effective date. 6 7 Be It Enacted by the Legislature of the State of Florida: 8 9 Section 1. Subsection (1) of section 40.29, Florida 10 Statutes, is amended to read: 11 40.29 Clerks to estimate amount for pay of jurors and 12 witnesses and make requisition.-- 13 (1) The clerk of the court in and for any county shall 14 make an estimate of the amount necessary during any quarterly 15 fiscal period beginning July 1 and during each succeeding 16 quarterly fiscal period for the payment by the state of: 17 (a) Jurors in the circuit court and the county court; 18 (b) Witnesses before the grand jury; 19 (c) Witnesses summoned to appear for an investigation, 20 preliminary hearing, or trial in a criminal case when the 21 witnesses are summoned by a state attorney or on behalf of an 22 indigent defendant; 23 (d) Mental health professionals who are appointed 24 pursuant to s. 394.473 and required in a court hearing 25 involving an indigent; and 26 (e) Expert witnesses who are appointed pursuant to s. 27 916.115(2) 916.11(3) and required in a court hearing involving 28 an indigent; 29 30 and shall forward each such estimate to the State Courts 31 Administrator no later than the date scheduled by the State 5 CODING: Words stricken are deletions; words underlined are additions. Florida House of Representatives - 1997 HB 1359 576-106A-97 1 Courts Administrator. At the time of any forwarding of such 2 estimate, the clerk of such court shall make a requisition 3 upon the State Courts Administrator for the amount of such 4 estimate; and the State Courts Administrator may reduce the 5 amount if in his or her judgment the requisition is excessive. 6 Section 2. Section 393.112, Florida Statutes, is 7 created to read: 8 393.112 Specialized involuntary residential training 9 program.-- 10 (1) JURISDICTION.--When a defendant in a criminal 11 matter arising under chapter 916 is mentally retarded or 12 autistic, has had felony charges dismissed, and requires 13 involuntary admission to a specialized involuntary residential 14 training program provided by the developmental services 15 program of the Department of Children and Family Services, the 16 circuit court of the county which committed the defendant 17 pursuant to chapter 916 shall have jurisdiction to conduct a 18 hearing and enter an order involuntarily admitting the 19 defendant to a specialized involuntary residential training 20 program in order that the person may receive the care, 21 treatment, habilitation, and rehabilitation which the 22 defendant needs. Except as otherwise specified, the 23 proceedings under this section shall be governed by the 24 Florida Rules of Civil Procedure. 25 (2) PETITION.-- 26 (a) A petition for involuntary admission to a 27 specialized involuntary residential training program may be 28 executed by any person, including, but not limited to, the 29 department, a state attorney, a public defender, or a circuit 30 court judge. 31 (b) The petition shall be verified and shall: 6 CODING: Words stricken are deletions; words underlined are additions. Florida House of Representatives - 1997 HB 1359 576-106A-97 1 1. State the name, age, and present address of the 2 person filing the petition and the person's relationship to 3 the defendant with mental retardation or autism. 4 2. State the name, age, county of residence, and 5 present address of the defendant with mental retardation or 6 autism. 7 3. Allege that the person filing the petition believes 8 that the defendant needs a specialized involuntary residential 9 training program and specify the factual information on which 10 such belief is based. 11 4. Allege that the defendant has had charges dismissed 12 pursuant to s. 916.303, lacks sufficient capacity to give 13 express and informed consent to a voluntary application for 14 services, and lacks the basic survival and self-care skills to 15 provide for the defendant's well-being or is likely to 16 physically injure others if allowed to remain at liberty; that 17 there exists a substantial likelihood that in the near future 18 the defendant will inflict serious bodily harm on himself or 19 herself or another person, as evidenced by recent behavior 20 causing, attempting, or threatening such harm; that there 21 continues to present a danger of escape; and that all 22 available, less restrictive alternatives, including services 23 in community residential facilities or other community 24 settings, which would offer an opportunity for improvement of 25 the condition have been judged to be inappropriate. 26 (c) The petition shall be filed in the circuit court 27 of the county which committed the defendant with mental 28 retardation or autism pursuant to chapter 916. 29 (3) NOTICE.-- 30 (a) Notice of the filing of the petition shall be 31 given to the defendant, the defendant's legal guardian, the 7 CODING: Words stricken are deletions; words underlined are additions. Florida House of Representatives - 1997 HB 1359 576-106A-97 1 state attorney and the public defender of the circuit which 2 committed the defendant, the defendant's attorney, and the 3 department. The notice shall be given both orally and in 4 writing in the language of the defendant, or in other modes of 5 communication of the defendant, and in English. Notice shall 6 also be given to such other persons as the court may direct. 7 The petition for involuntary admission to a specialized 8 involuntary residential training program shall be served with 9 the notice. 10 (b) The notice shall state that a hearing shall be set 11 to inquire into the need of the defendant with mental 12 retardation or autism for a specialized involuntary 13 residential training program. The notice shall also state the 14 date of the hearing on the petition. 15 (c) The notice shall state that the defendant with 16 mental retardation or autism has the right to be represented 17 by counsel of his or her own choice and that, if the defendant 18 cannot afford an attorney, the court shall appoint one. 19 (4) DEVELOPMENTAL SERVICES PARTICIPATION.-- 20 (a) Upon receiving the petition, the court shall 21 immediately order the developmental services program of the 22 department to examine the defendant being considered for 23 involuntary admission to a specialized involuntary residential 24 training program. 25 (b) After the developmental services program examines 26 the defendant, a written report shall be filed with the court 27 not less than 10 working days before the date of the hearing. 28 The report shall be served on the petitioner, the defendant 29 with mental retardation or autism, and the defendant's 30 attorney at the time the report is filed with the court. 31 8 CODING: Words stricken are deletions; words underlined are additions. Florida House of Representatives - 1997 HB 1359 576-106A-97 1 (c) The report shall contain the findings of the 2 developmental services program evaluation and any 3 recommendations deemed appropriate. 4 (5) EXAMINING COMMITTEE.-- 5 (a) Upon receiving the petition, the court shall 6 immediately appoint an examining committee to examine the 7 defendant being considered for involuntary admission to a 8 specialized involuntary residential training program. 9 (b) The court shall appoint no fewer than three 10 disinterested experts who have demonstrated to the court an 11 expertise in the diagnosis, evaluation, and treatment of 12 defendants with mental retardation or autism. The committee 13 shall include at least one licensed and qualified physician, 14 one licensed and qualified psychologist, and one qualified 15 professional with a minimum of a master's degree in social 16 work, special education, or vocational rehabilitation 17 counseling to examine the defendant and to testify at the 18 hearing on the involuntary admission to a specialized 19 involuntary residential training program. 20 (c) Counsel for the defendant who is being considered 21 for involuntary admission to a specialized involuntary 22 residential training program shall have the right to challenge 23 the qualifications of those appointed to the examining 24 committee. 25 (d) Members of the committee shall not be employees of 26 the department, be associated with each other in practice, or 27 be employed by or employ any member of the committee. Members 28 of the committee shall not be employees of the petitioner or 29 be associated in practice with the petitioner. 30 (e) The committee shall prepare a written report for 31 the court. The report shall explicitly document the extent to 9 CODING: Words stricken are deletions; words underlined are additions. Florida House of Representatives - 1997 HB 1359 576-106A-97 1 which the defendant meets the criteria for involuntary 2 admission to a specialized involuntary residential training 3 program. The report, and expert testimony, shall include, but 4 not be limited to: 5 1. The degree of the defendant's mental retardation or 6 autism. 7 2. Whether, because of the defendant's degree of 8 mental retardation or autism, the defendant: 9 a. Lacks sufficient capacity to give express and 10 informed consent to a voluntary application for services 11 pursuant to s. 393.065. 12 b. Lacks basic survival and self-care skills to such a 13 degree that close supervision and habilitation in a 14 specialized involuntary residential training program are 15 necessary and, if such supervision and habilitation were not 16 provided, a real and present threat of harm to the defendant's 17 well-being would result. 18 c. Is likely to physically injure others if allowed to 19 remain at liberty. 20 d. Presents a substantial likelihood that in the near 21 future the defendant will inflict serious bodily harm on 22 himself or herself or another person, as evidenced by recent 23 behavior causing, attempting, or threatening such harm. 24 e. Continues to present a danger of escape, and that 25 all available, less restrictive alternatives, including 26 services in community residential facilities or other 27 community settings, which would offer an opportunity for 28 improvement of the condition have been judged to be 29 inappropriate. 30 3. The purpose to be served by residential care. 31 10 CODING: Words stricken are deletions; words underlined are additions. Florida House of Representatives - 1997 HB 1359 576-106A-97 1 4. A recommendation as to why the specialized 2 involuntary residential training program would be the most 3 appropriate and least restrictive for the defendant. 4 5. The appropriate care, habilitation, and treatment. 5 (f) The committee shall file the report with the court 6 not less than 10 working days before the date of the hearing. 7 The report shall be served on the petitioner, the defendant 8 with mental retardation or autism, and the defendant's 9 attorney at the time the report is filed with the court. 10 (g) Members of the examining committee shall receive a 11 reasonable fee to be determined by the court. The fees are to 12 be paid from the general revenue fund of the county from which 13 the defendant with mental retardation or autism was committed. 14 (6) COUNSEL; GUARDIAN AD LITEM.-- 15 (a) The defendant with mental retardation or autism 16 shall be represented by counsel at all stages of the judicial 17 proceeding for involuntary admission to a specialized 18 involuntary residential training program. In the event the 19 defendant is indigent and cannot afford counsel, the court 20 shall appoint a public defender not less than 20 working days 21 before the scheduled hearing. The defendant's counsel shall 22 have full access to the records of the service provider and 23 the department. In all cases, the attorney shall represent 24 the rights and legal interests of the defendant with mental 25 retardation or autism, regardless of who may initiate the 26 proceedings or pay the attorney's fee. 27 (b) If the attorney, during the course of his or her 28 representation, reasonably believes that the defendant with 29 mental retardation or autism cannot adequately act in his or 30 her own interest, the attorney may seek the appointment of a 31 guardian ad litem. 11 CODING: Words stricken are deletions; words underlined are additions. Florida House of Representatives - 1997 HB 1359 576-106A-97 1 (7) HEARING.-- 2 (a) The hearing for involuntary admission to a 3 specialized involuntary residential training program shall be 4 conducted, and the order shall be entered, in the county from 5 which the defendant was committed. The hearing shall be 6 conducted in a physical setting not likely to be injurious to 7 the defendant's condition. 8 (b) A hearing on the petition shall be held as soon as 9 practicable after the petition is filed, but continuance for 10 reasonable delay for the purpose of investigation, discovery, 11 or procuring counsel or witnesses shall be granted. 12 (c) The court may appoint a master to preside. Except 13 as otherwise specified, the master's proceeding shall be 14 governed by Rule 1.490, Florida Rules of Civil Procedure. 15 (d) The defendant with mental retardation or autism 16 shall be physically present throughout the entire proceeding, 17 unless the defendant's presence is waived. If the defendant's 18 attorney believes that the defendant's presence at the hearing 19 is not in the defendant's best interest, the defendant's 20 presence may be waived once the court has seen the defendant 21 and the hearing has commenced. 22 (e) The defendant shall have the right to present 23 evidence and to cross-examine all witnesses and respond to or 24 refute other evidence alleging the appropriateness of the 25 defendant's admission to a specialized involuntary residential 26 training program. Other relevant and material evidence 27 regarding the appropriateness of the defendant's admission to 28 a specialized involuntary residential training program; 29 reasons why the specialized involuntary residential training 30 program is the most appropriate residence for the defendant, 31 12 CODING: Words stricken are deletions; words underlined are additions. Florida House of Representatives - 1997 HB 1359 576-106A-97 1 including written or oral reports, may be introduced at the 2 hearing by any interested person. 3 (f) The petitioner may be represented by counsel at 4 the hearing. The petitioner shall have the right to call 5 witnesses, present evidence, cross-examine witnesses, and 6 present argument on behalf of the petitioner. 7 (g) All evidence shall be presented according to 8 chapter 90. The burden of proof shall be on the party 9 alleging the appropriateness of the defendant's admission to a 10 specialized involuntary residential training program. The 11 burden of proof shall be met by clear and convincing evidence. 12 (h) All stages of each proceeding shall be 13 stenographically reported. 14 (8) ORDER.-- 15 (a) In all cases, the court shall issue written 16 findings of fact and conclusions of law to support its 17 decision. The order shall state the basis for such findings 18 of fact. 19 (b) An order of involuntary admission to a specialized 20 involuntary residential training program shall not be entered 21 unless the court finds that: 22 1. The defendant is mentally retarded or autistic. 23 2. Placement in a specialized involuntary residential 24 training program is the least restrictive and most appropriate 25 alternative to meet the defendant's needs. 26 3. Because of the defendant's degree of mental 27 retardation or autism the defendant: 28 a. Lacks sufficient capacity to give express and 29 informed consent to a voluntary application for services 30 pursuant to s. 393.065 and lacks basic survival and self-care 31 skills to such a degree that close supervision and 13 CODING: Words stricken are deletions; words underlined are additions. Florida House of Representatives - 1997 HB 1359 576-106A-97 1 habilitation in a specialized involuntary residential training 2 program are necessary and, if such supervision and 3 habilitation were not provided, a real and present threat of 4 harm to the defendant's well-being would result. 5 b. Is likely to physically injure others if allowed to 6 remain at liberty. 7 c. Presents a substantial likelihood that in the near 8 future the defendant will inflict serious bodily harm on 9 himself or herself or another person, as evidenced by recent 10 behavior causing, attempting, or threatening such harm. 11 d. Continues to present a danger of escape, and that 12 all available, less restrictive alternatives, including 13 services in community residential facilities or other 14 community settings, which would offer an opportunity for 15 improvement of the condition have been judged to be 16 inappropriate. 17 (c) If the evidence presented to the court is not 18 sufficient to warrant involuntary admission to a specialized 19 involuntary residential training program, but the court feels 20 that other residential services would be beneficial, the court 21 may involuntarily admit the defendant to a less restrictive 22 placement or recommend that the defendant seek voluntary 23 admission. 24 (d) If an order of involuntary admission to a 25 specialized involuntary residential training program provided 26 by the department is entered by the court, a copy of the 27 written order shall be served upon the defendant, the 28 defendant's counsel, the state attorney, the public defender, 29 and the department. The order of involuntary admission to a 30 specialized involuntary residential training program sent to 31 the department shall also be accompanied by a copy of the 14 CODING: Words stricken are deletions; words underlined are additions. Florida House of Representatives - 1997 HB 1359 576-106A-97 1 examining committee's report and other reports contained in 2 the court file. 3 (e) Upon receiving the order, the department shall, 4 within 45 days, provide the court with a copy of the 5 defendant's individual support plan and copies of all 6 examinations and evaluations, outlining the treatment and 7 rehabilitative programs. The department shall document that 8 the defendant has been placed in the specialized involuntary 9 residential training program or, if so ordered, into a less 10 restrictive involuntary residential program. A copy of the 11 individual support plan and other examinations and evaluations 12 shall be served upon the defendant and the defendant's counsel 13 at the same time the documents are filed with the court. 14 (f) The order of involuntary admission to a 15 specialized involuntary residential training program sent to 16 the department shall contain a provision which requires the 17 administrator of the facility to which the defendant is sent 18 to review at least annually the progress of the defendant to 19 determine whether the defendant still requires placement in a 20 specialized involuntary residential training program. 21 (9) EFFECT OF THE ORDER OF INVOLUNTARY ADMISSION TO A 22 SPECIALIZED INVOLUNTARY RESIDENTIAL TRAINING PROGRAM.--In no 23 case shall an order authorizing an admission to a specialized 24 involuntary residential training program be considered an 25 adjudication of mental incompetency. No person shall be 26 presumed incompetent solely by reason of the defendant's 27 involuntary admission to a specialized involuntary residential 28 training program. No defendant shall be denied the full 29 exercise of all legal rights guaranteed to citizens of this 30 state and of the United States. 31 (10) CONTINUING JURISDICTION.-- 15 CODING: Words stricken are deletions; words underlined are additions. Florida House of Representatives - 1997 HB 1359 576-106A-97 1 (a) The court which issues the initial order for 2 involuntary admission to a specialized involuntary residential 3 training program under this section shall have continuing 4 jurisdiction to enter further orders to ensure that the 5 defendant is receiving adequate care, treatment, habilitation, 6 and rehabilitation, including psychotropic medication and 7 behavioral programming. 8 (b) Each person committed pursuant to this section 9 shall have an annual review conducted by the court to 10 determine whether the defendant continues to need secure 11 residential services. At any such review, the least 12 restrictive setting appropriate for the person must be 13 considered. 14 (11) APPEAL.-- 15 (a) Any party to the proceeding who is affected by an 16 order of the court may appeal to the appropriate district 17 court of appeal within the time and in the manner prescribed 18 by the Florida Rules of Appellate Procedure. 19 (b) The filing of an appeal by the defendant with 20 mental retardation or autism shall stay admission of the 21 defendant into a specialized involuntary residential training 22 program. The stay shall remain in effect during the pendency 23 of all review proceedings in courts of this state until a 24 mandate issues. 25 (12) HABEAS CORPUS.--At any time and without notice, 26 any defendant involuntarily admitted to a specialized 27 involuntary residential training program, or the defendant's 28 legal guardian in his or her behalf, is entitled to a writ of 29 habeas corpus to question the cause, legality, and 30 appropriateness of the defendant's involuntary admission to a 31 specialized involuntary residential training program. Each 16 CODING: Words stricken are deletions; words underlined are additions. Florida House of Representatives - 1997 HB 1359 576-106A-97 1 defendant, or the defendant's legal guardian, shall receive 2 specific written notice of the right to petition for a writ of 3 habeas corpus at the time of his or her involuntary placement. 4 Section 3. For the purpose of incorporating the 5 amendment to section 916.15, Florida Statutes, in a reference 6 thereto, paragraph (a) of subsection (7) of section 394.467, 7 Florida Statutes, 1996 Supplement, is reenacted to read: 8 394.467 Involuntary placement.-- 9 (7) PROCEDURE FOR CONTINUED INVOLUNTARY PLACEMENT.-- 10 (a) Hearings on petitions for continued involuntary 11 placement shall be administrative hearings and shall be 12 conducted in accordance with the provisions of s. 120.57(1), 13 except that any order entered by the hearing officer shall be 14 final and subject to judicial review in accordance with s. 15 120.68. Orders concerning patients committed after 16 successfully pleading not guilty by reason of insanity shall 17 be governed by the provisions of s. 916.15. 18 Section 4. Part I of chapter 916, Florida Statutes, 19 consisting of sections 916.10, 916.105, 916.106, 916.107, 20 916.1081, 916.1085, 916.1091, and 916.1093, is created and 21 entitled "General Provisions." 22 Section 5. Section 916.105, Florida Statutes, is 23 amended to read: 24 916.105 Legislative intent.-- 25 (1) It is the intent of the Legislature that the 26 Department of Children and Family Health and Rehabilitative 27 Services establish, locate, and maintain separate and secure 28 facilities and programs for the treatment or training of 29 defendants forensic clients who are charged with a felony and 30 who have been found to be incompetent to proceed due to their 31 mental illness, mental retardation, or autism mentally 17 CODING: Words stricken are deletions; words underlined are additions. Florida House of Representatives - 1997 HB 1359 576-106A-97 1 retarded or mentally ill defendants, or who have been 2 acquitted of felonies crimes by reason of insanity, and who, 3 while still under the jurisdiction of the committing court, 4 are committed to the department for mental retardation or 5 mental health services under the provisions of this chapter. 6 The separate, secure facilities shall be sufficient to 7 accommodate the number of defendants clients committed under 8 the conditions noted above, except those defendants clients 9 found by the department to be appropriate for treatment or 10 training in a civil mental health treatment facility or 11 program. Such secure facilities shall be designed and 12 administered so that ingress and egress, together with other 13 requirements of this chapter, may be strictly controlled by 14 staff responsible for security in order to protect the 15 defendant client, facility hospital personnel, other clients, 16 and citizens in adjacent communities. 17 (2) It is further the intent of the Legislature that 18 treatment or training programs for defendants clients who are 19 found to be mentally retarded or mentally ill, mentally 20 retarded, or autistic defendants and are involuntarily 21 committed to the department certain mental retardation or 22 mental health facilities, and who are still under the 23 jurisdiction of the committing court, be provided in such a 24 manner, subject to security requirements and other mandates of 25 this chapter, as to ensure the rights of the defendants said 26 clients as provided in this chapter. 27 (3) It is the intent of the Legislature that 28 evaluation and services to defendants who are treatment of 29 mentally ill, and mentally retarded, or autistic defendants be 30 provided in community inpatient or outpatient settings, in 31 community residential facilities, or in civil, nonforensic 18 CODING: Words stricken are deletions; words underlined are additions. Florida House of Representatives - 1997 HB 1359 576-106A-97 1 facilities, whenever this is a feasible alternative to 2 treatment or training in a state forensic facility. 3 Section 6. Section 916.106, Florida Statutes, is 4 amended to read: 5 916.106 Definitions.--For the purposes of this 6 chapter: 7 (1) "Autism" means a pervasive, neurologically based 8 developmental disability of extended duration which causes 9 severe learning, communication, and behavior disorders, with 10 the age of onset of autism occurring during infancy or 11 childhood. Individuals with autism exhibit impairment in 12 reciprocal social interaction, impairment in verbal and 13 nonverbal communication and imaginative ability, and a 14 markedly restricted repertoire of activities and interests. 15 (2)(1) "Chemical weapon" means any shell, cartridge, 16 bomb, gun, or other device capable of emitting 17 chloroacetophenone (CN), chlorobenzalmalononitrile (CS) or any 18 derivatives thereof in any form, or any other agent with 19 lacrimatory properties, and shall include products such as 20 that commonly known as "mace." 21 (3) "Civil facility" means a mental health facility 22 established within the department to serve individuals 23 committed pursuant to chapter 394 and those defendants 24 committed pursuant to this chapter who do not require the 25 security provided in a forensic facility. 26 (4)(2) "Court" means the circuit court. 27 (5)(3) "Department" means the Department of Children 28 and Family Health and Rehabilitative Services. 29 (6) "Express and informed consent" or "consent" means 30 consent given voluntarily in writing after a conscientious and 31 sufficient explanation and disclosure of the purpose of the 19 CODING: Words stricken are deletions; words underlined are additions. Florida House of Representatives - 1997 HB 1359 576-106A-97 1 proposed treatment, the common side effects of the treatment, 2 if any, the expected duration of the treatment, and any 3 alternative treatment available. 4 (7)(4) "Forensic client" or "client" "patient" means 5 any defendant who is mentally ill, mentally retarded, or 6 autistic and mentally ill person who is committed to the 7 department pursuant to this chapter and: 8 (a) Who has been determined to need treatment for a 9 mental illness or training for mental retardation or autism; 10 (b) Who has been found incompetent to proceed on a 11 felony offense stand trial or incompetent for sentencing, has 12 been acquitted of a felony criminal offense by reason of 13 insanity;, has criminal charges pending, or has been found 14 guilty of a criminal offense but is not an inmate of the 15 Department of Corrections or any other correctional facility; 16 and 17 (c) Who has been determined by the department to: 18 1. Be dangerous to himself or herself or others; or 19 2. Present a clear and present potential to escape; 20 and. 21 (d) Who is an adult or juvenile prosecuted as an 22 adult. 23 (8)(5) "Forensic facility" means a separate and secure 24 facility established within the department to serve for the 25 treatment of forensic clients. Such separate and secure 26 facilities shall be security-grade buildings located on 27 grounds distinct in location from other treatment facilities 28 for persons who are mentally ill, mentally retarded, or 29 autistic. The Florida State Hospital shall not be required to 30 maintain separate treatment facilities for mentally ill, or 31 mentally retarded, or autistic defendants who are persons 20 CODING: Words stricken are deletions; words underlined are additions. Florida House of Representatives - 1997 HB 1359 576-106A-97 1 found incompetent to proceed for trial or who are acquitted of 2 a criminal offense by reason of insanity. 3 (9) "Incompetent" means unable to proceed at any 4 material stage of a criminal proceeding, which shall include 5 trial of the case, pretrial hearings involving questions of 6 fact on which the defendant might be expected to testify, 7 entry of a plea violation of probation or violation of 8 community control proceedings, sentencing, and hearings on 9 issues regarding a defendant's failure to comply with court 10 orders or conditions or other matters in which the mental 11 competence of the defendant is necessary for a just resolution 12 of the issues being considered. 13 (10)(6) "Institutional security personnel" means staff 14 members who meet or exceed the requirements of s. 943.13 and 15 who are responsible for providing security, for protection of 16 clients and personnel, for the enforcement of rules, for 17 prevention and investigation of unauthorized activities, and 18 for safeguarding the interests of citizens in the surrounding 19 communities. 20 (11)(7) "Mental illness" "Mentally ill" means having 21 an impairment of the emotional processes that, of the ability 22 to exercise conscious control of one's actions, or of the 23 ability to perceive or understand reality or to understand, 24 which impairment substantially interferes with a defendant's 25 person's ability to meet the ordinary demands of living, 26 regardless of etiology.; except that, For the purposes of 27 this chapter, the term does not include simple intoxication, 28 defendants persons who are solely mentally retarded or 29 autistic, or conditions manifested only by antisocial behavior 30 or substance abuse impairment drug addiction. 31 21 CODING: Words stricken are deletions; words underlined are additions. Florida House of Representatives - 1997 HB 1359 576-106A-97 1 (12)(8) "Mental retardation" means significantly 2 subaverage general intellectual functioning existing 3 concurrently with deficits in adaptive behavior and manifested 4 during the period from conception to age 18. "Significantly 5 subaverage general intellectual functioning," for the purpose 6 of this definition, means performance which is two or more 7 standard deviations from the mean score on a standardized 8 intelligence test specified in the rules of the department. 9 "Adaptive behavior," for the purpose of this definition, means 10 the effectiveness or degree with which an individual meets the 11 standards of personal independence and social responsibility 12 expected of the individual's his age, cultural group, and 13 community. 14 (13) "Social service professional," for the purposes 15 of part III, means a person whose minimum qualifications 16 include a bachelor's degree and at least 2 years of social 17 work, clinical practice, or equivalent experience working 18 directly with persons with mental retardation, autism or other 19 developmental disabilities, special education, or habilitation 20 programs. 21 (14) "Specialized involuntary residential training 22 program" means a program which provides a residential training 23 program to defendants who have mental retardation or autism 24 and who have had felony charges dismissed due to the 25 defendant's incompetency to proceed. A defendant may be 26 eligible for a specialized involuntary residential training 27 program if the individual has mental retardation or autism, is 28 considered to lack sufficient capacity to give express and 29 informed consent to a voluntary application for services, and 30 lacks the basic survival and self-care skills to provide for 31 the defendant's well-being; there is a substantial likelihood 22 CODING: Words stricken are deletions; words underlined are additions. Florida House of Representatives - 1997 HB 1359 576-106A-97 1 that in the near future the defendant will inflict serious 2 bodily harm on himself or herself or another person, as 3 evidenced by recent behavior causing, attempting, or 4 threatening such harm; the defendant continues to present a 5 danger of escape; and all available, less restrictive 6 alternatives, including services in community residential 7 facilities or other community settings, which would offer an 8 opportunity for improvement of the condition have been judged 9 to be inappropriate. 10 Section 7. Section 916.107, Florida Statutes, 1996 11 Supplement, is amended to read: 12 916.107 Rights of forensic clients.-- 13 (1) RIGHT TO INDIVIDUAL DIGNITY.-- 14 (a) The policy of the state is that the individual 15 dignity of the client patient shall be respected at all times 16 and upon all occasions, including any occasion when the 17 forensic client patient is detained, transported, or treated. 18 Defendants Persons who are mentally ill, or mentally retarded, 19 or autistic and who are charged with, or who have been 20 convicted of, committing felonies criminal acts shall receive 21 appropriate treatment or training. In a criminal case 22 involving a defendant person who has been adjudicated 23 incompetent to proceed stand trial or not guilty by reason of 24 insanity, or who has otherwise been found by the court to meet 25 the criteria for involuntary commitment, a jail may be used as 26 an emergency facility for up to 15 days from the date the 27 department receives a completed copy of the commitment order 28 containing the documentation required by Rules 3.212 and 29 3.217, Florida Rules of Criminal Procedure. In every case in 30 which a defendant who is mentally ill, or mentally retarded, 31 or autistic person is held in a jail, evaluation and treatment 23 CODING: Words stricken are deletions; words underlined are additions. Florida House of Representatives - 1997 HB 1359 576-106A-97 1 or training shall be provided in the jail by the local public 2 receiving facility for mental health services or by the 3 developmental services program for persons with mental 4 retardation or autism, the client's patient's physician or 5 clinical psychologist, or any other appropriate mental health 6 program available to provide such treatment until the client 7 person is transferred to the custody of the department. 8 (b) Mentally ill, or mentally retarded, or autistic 9 defendants persons who are committed to the department 10 pursuant to this chapter and who are initially placed in, or 11 subsequently transferred to, a civil mental health treatment 12 facility shall have the same rights as other persons committed 13 to civil facilities as described in chapter 393 or part I of 14 chapter 394, as long as they remain in a civil facility. 15 (2) RIGHT TO TREATMENT.-- 16 (a) The policy of the state is that the department 17 shall not deny treatment or training of mental illness or 18 mental retardation to any client and that no services shall be 19 delayed at a forensic mental health treatment facility because 20 the forensic client is unable to pay. However, every 21 reasonable effort to collect appropriate reimbursement for the 22 cost of providing mental health services to clients persons 23 able to pay for the services, including reimbursement from 24 insurance or other third-party payments, shall be made by 25 forensic facilities providing services pursuant to this 26 chapter and in accordance with the provisions of s. 402.33. 27 (b) Each forensic client who is a patient at a 28 forensic facility shall be given, at the time of admission and 29 at regular intervals thereafter, a physical examination, which 30 shall include screening for communicable disease by a health 31 24 CODING: Words stricken are deletions; words underlined are additions. Florida House of Representatives - 1997 HB 1359 576-106A-97 1 practitioner authorized by law to give such screenings and 2 examinations. 3 (c) Every client patient committed pursuant to this 4 act shall be afforded the opportunity to participate in 5 activities designed to enhance self-image and the beneficial 6 effects of other treatments or training, as determined by the 7 facility. 8 (d) Not more than 30 days after admission, each client 9 patient shall have and receive, in writing, an individualized 10 treatment or training plan which the client patient has had an 11 opportunity to assist in preparing. 12 (3) RIGHT TO EXPRESS AND INFORMED CONSENT.-- 13 (a) A client person committed to the department 14 pursuant to this act shall be asked to give express and 15 informed written consent for treatment. "Express and informed 16 consent" or "consent" means consent given voluntarily in 17 writing after a conscientious and sufficient explanation and 18 disclosure of the purpose of the proposed treatment, the 19 common side effects of the treatment, if any, the expected 20 duration of the treatment, and any alternative treatment 21 available. If a client patient in a forensic facility refuses 22 such treatment as is deemed necessary by the client's 23 patient's multidisciplinary treatment team at the forensic 24 facility for the appropriate care of the client patient and 25 the safety of the client patient or others, such treatment may 26 be provided under the following circumstances: 27 1. In an emergency situation in which there is 28 immediate danger to the safety of the client patient or 29 others, such treatment may be provided upon the written order 30 of a physician for a period not to exceed 48 hours, excluding 31 weekends and legal holidays. If, after the 48-hour period, 25 CODING: Words stricken are deletions; words underlined are additions. Florida House of Representatives - 1997 HB 1359 576-106A-97 1 the client patient has not given express and informed consent 2 to the treatment initially refused, the administrator or 3 designee of the forensic facility shall, within 48 hours, 4 excluding weekends and legal holidays, petition the committing 5 court or the circuit court serving the county in which the 6 facility is located, at the option of the facility 7 administrator or designee, for an order authorizing the 8 continued treatment of the client patient. In the interim, 9 treatment may be continued without the consent of the client 10 patient upon the continued written order of a physician who 11 has determined that the emergency situation continues to 12 present a danger to the safety of the client patient or 13 others. 14 2. In a situation other than an emergency situation, 15 the administrator or designee of the forensic facility shall 16 petition the court for an order authorizing the treatment to 17 of the client patient. The petition may be filed without fees 18 or costs being charged to the department. The order shall 19 allow such treatment for a period not to exceed 90 days from 20 the date of the entry of the order. Unless the court is 21 notified in writing that the client patient has provided 22 express and informed consent in writing or that the client 23 patient has been discharged by the committing court, the 24 administrator or designee shall, prior to the expiration of 25 the initial 90-day order, petition the court for an order 26 authorizing the continuation of treatment for another 90-day 27 period. This procedure shall be repeated until the client 28 patient provides consent or is discharged by the committing 29 court. 30 3. At the hearing on the issue of whether the court 31 should enter an order authorizing treatment for which a client 26 CODING: Words stricken are deletions; words underlined are additions. Florida House of Representatives - 1997 HB 1359 576-106A-97 1 patient has refused to give express and informed consent, the 2 court shall determine by clear and convincing evidence that 3 the client patient is mentally ill, or mentally retarded, or 4 autistic as defined in this chapter, that the treatment not 5 consented to is essential to the care of the client patient, 6 and that the treatment not consented to is not experimental 7 and does not present an unreasonable risk of serious, 8 hazardous, or irreversible side effects. In arriving at the 9 substitute judgment decision, the court must consider at least 10 the following factors: 11 a. The client's patient's expressed preference 12 regarding treatment; 13 b. The probability of adverse side effects; 14 c. The prognosis without treatment; and 15 d. The prognosis with treatment. 16 17 The hearing shall be as convenient to the client patient as 18 may be consistent with orderly procedure and shall be 19 conducted in physical settings not likely to be injurious to 20 the client's patient's condition. The court may appoint a 21 master to preside at the hearing. The client patient or his or 22 her guardian, and the his representative, shall be provided 23 with a copy of the petition and the date, time, and location 24 of the hearing. The client patient has the right to have an 25 attorney represent him or her at the hearing, and, if the 26 client patient is indigent, the court shall appoint the office 27 of the public defender to represent the client him at the 28 hearing. The client patient may testify or not, as he or she 29 chooses, and has the right to cross-examine witnesses 30 testifying on behalf of the facility and may present his or 31 her own witnesses. 27 CODING: Words stricken are deletions; words underlined are additions. Florida House of Representatives - 1997 HB 1359 576-106A-97 1 (b) In addition to the provisions of paragraph (a), in 2 the case of surgical procedures requiring the use of a general 3 anesthetic or electroconvulsive treatment or nonpsychiatric 4 medical procedures, and prior to performing the procedure, 5 written permission shall be obtained from the client patient, 6 if the client he is legally competent, from the parent or 7 guardian of a minor client patient, or from the guardian of an 8 incompetent client patient. The administrator or designee of 9 the forensic facility or a his designated representative may, 10 with the concurrence of the client's patient's attending 11 physician, authorize emergency surgical or nonpsychiatric 12 medical treatment if such treatment is deemed lifesaving or 13 for a situation threatening serious bodily harm to the client 14 patient and permission of the client patient or the his 15 guardian cannot be obtained. 16 (4) QUALITY OF TREATMENT.--Each client patient 17 committed pursuant to this chapter shall receive treatment or 18 training suited to the client's his needs, which shall be 19 administered skillfully, safely, and humanely with full 20 respect for the client's his dignity and personal integrity. 21 Each client patient shall receive such medical, vocational, 22 social, educational, and rehabilitative services as his or her 23 condition requires to bring about a return to court for 24 disposition of charges or a an early return to the client's 25 his community. In order to achieve this goal, the department 26 is directed to coordinate the services of the Alcohol, Drug 27 Abuse, and Mental Health Program Office and the Developmental 28 Services Program Office its forensic mental health and mental 29 retardation programs with all other programs of the department 30 and other appropriate state agencies. 31 (5) COMMUNICATION, ABUSE REPORTING, AND VISITS.-- 28 CODING: Words stricken are deletions; words underlined are additions. Florida House of Representatives - 1997 HB 1359 576-106A-97 1 (a) Each client patient committed pursuant to the 2 provisions of this chapter has the right to communicate freely 3 and privately with persons outside the facility unless it is 4 determined that such communication is likely to be harmful to 5 the client patient or others. Clients shall have the right to 6 contact and to receive communication from their attorneys at 7 any reasonable time. 8 (b) Each client patient committed under the provisions 9 of this chapter shall be allowed to receive, send, and mail 10 sealed, unopened correspondence; and no client's patient's 11 incoming or outgoing correspondence shall be opened, delayed, 12 held, or censored by the facility unless there is reason to 13 believe that it contains items or substances which may be 14 harmful to the client patient or others, in which case the 15 administrator or designee may direct reasonable examination of 16 such mail and may regulate the disposition of such items or 17 substances. "Correspondence" shall not include parcels or 18 packages. Forensic facilities are authorized to promulgate 19 reasonable institutional policies rules to provide for the 20 inspection of parcels or packages and for the removal of 21 contraband items for health or security reasons prior to the 22 contents being given to a client resident. 23 (c) If a client's patient's right to communicate is 24 restricted by the administrator, written notice of such 25 restriction shall be served on the client patient or his or 26 her legal guardian or representatives, and such restriction 27 shall be recorded on the client's patient's clinical record 28 with the reasons therefor. The restriction of a client's 29 patient's right to communicate shall be reviewed at least 30 every 7 90 days. 31 29 CODING: Words stricken are deletions; words underlined are additions. Florida House of Representatives - 1997 HB 1359 576-106A-97 1 (d) Each forensic facility shall establish reasonable 2 institutional policies rules governing visitors, visiting 3 hours, and the use of telephones by clients patients in the 4 least restrictive possible manner. 5 (e) Each client patient committed pursuant to this 6 chapter shall have ready access to a telephone in order to 7 report an alleged abuse. The facility or program staff shall 8 orally verbally and in writing inform each client patient of 9 the procedure for reporting abuse and shall present the 10 information in a language the client understands. A written 11 copy of that procedure, including the telephone number of the 12 abuse registry and reporting forms, shall be posted in plain 13 view. 14 (f) The department shall adopt institutional policies 15 rules providing a procedure for reporting abuse. Facility 16 staff shall be required, as a condition of employment, to 17 become familiar with the procedures for the reporting of 18 abuse. 19 (6) CARE AND CUSTODY OF PERSONAL EFFECTS OF CLIENTS 20 PATIENTS.--A client's patient's right to possession of his 21 clothing and personal effects shall be respected. The 22 department by rule, or the administrator of any facility by 23 written institutional policy, may declare certain items to be 24 hazardous to the welfare of clients patients or others or to 25 the operation of the facility. Such items may be restricted 26 from introduction into the facility or may be restricted from 27 being in a client's patient's possession. The administrator 28 or designee may take temporary custody of such effects when 29 required for medical and safety reasons. Custody of such 30 personal effects shall be recorded in the client's patient's 31 clinical record. 30 CODING: Words stricken are deletions; words underlined are additions. Florida House of Representatives - 1997 HB 1359 576-106A-97 1 (7) VOTING IN PUBLIC ELECTIONS.--A client patient 2 committed pursuant to this chapter who is eligible to vote 3 according to the laws of the state has the right to vote in 4 the primary and general elections. The department shall 5 establish rules to enable clients patients to obtain voter 6 registration forms, applications for absentee ballots, and 7 absentee ballots. 8 (8) CLINICAL RECORD; CONFIDENTIALITY.--A clinical 9 record for each client patient shall be maintained. The record 10 shall include data pertaining to admission and such other 11 information as may be required under rules of the department. 12 Unless waived by express and informed consent by the client 13 patient or his or her legal guardian or, if the client patient 14 is deceased, by the client's patient's personal representative 15 or by that family member who stands next in line of intestate 16 succession or except as otherwise provided in this subsection, 17 the clinical record is confidential and exempt from the 18 provisions of s. 119.07(1) and s. 24(a), Art. I of the State 19 Constitution. 20 (a) Such clinical record may be released: 21 1. To such persons and agencies as are designated by 22 the client patient or the client's his legal guardian. 23 2. To persons authorized by order of court and to the 24 client's counsel when the records are needed by the counsel 25 for adequate representation. 26 3. To a qualified researcher, as defined by rule; a 27 staff member of the facility; or an employee of the department 28 when the administrator of the facility or secretary of the 29 department deems it necessary for treatment of the client 30 patient, maintenance of adequate records, compilation of 31 treatment data, or evaluation of programs. 31 CODING: Words stricken are deletions; words underlined are additions. Florida House of Representatives - 1997 HB 1359 576-106A-97 1 4. For statistical and research purposes if the 2 information is abstracted in such a way as to protect the 3 identity of individuals. 4 5. If a client patient receiving services pursuant to 5 this chapter has declared an intention to harm other persons. 6 When such a declaration has been made, the administrator shall 7 authorize the release of sufficient information to provide 8 adequate warning to the person threatened with harm by the 9 client, and to the committing court, the state attorney, and 10 the attorney representing the client; however, only the 11 declaration may be disclosed. 12 6. To the parent or next of kin of a mentally ill, or 13 mentally retarded, or autistic person who is committed to, or 14 is being served treated by, a forensic mental health facility 15 or program when such information is limited to that person's 16 service treatment plan and current physical and mental 17 condition. Release of such information shall be in accordance 18 with the code of ethics of the profession involved. 19 (b) Notwithstanding other provisions of this 20 subsection, the department may request or receive from or 21 provide to any of the following entities client information to 22 facilitate treatment, habilitation, rehabilitation, and 23 continuity of care of any forensic client: 24 1. The Social Security Administration and the United 25 States Department of Veterans Affairs; 26 2. Law enforcement agencies, state attorneys, defense 27 attorneys public defenders or other attorneys defending the 28 patient, and judges in regard to the client's patient's 29 status; 30 3. Jail personnel in the jail to which a client may be 31 returned; and 32 CODING: Words stricken are deletions; words underlined are additions. Florida House of Representatives - 1997 HB 1359 576-106A-97 1 4. Community agencies and others expected to provide 2 followup care to the client patient upon the client's his 3 return to the community. 4 (c) The department may provide notice to any client's 5 patient's next of kin or first representative regarding any 6 serious medical illness or the death of the client patient. 7 (d)1. Any law enforcement agency, treatment facility, 8 or other governmental agency that receives information 9 pursuant to this subsection shall maintain the confidentiality 10 of such information except as otherwise provided herein. 11 2. Any agency or private practitioner who acts in good 12 faith in releasing information pursuant to this subsection is 13 not subject to civil or criminal liability for such release. 14 (9) HABEAS CORPUS.-- 15 (a) At any time, and without notice, a client person 16 detained by a facility, or a relative, friend, guardian, 17 representative, or attorney on behalf of such client person, 18 may petition for a writ of habeas corpus to question the cause 19 and legality of such detention and request that the committing 20 circuit court issue a writ for release. Each client patient 21 committed pursuant to this chapter shall receive a written 22 notice of the right to petition for a writ of habeas corpus. 23 (b) A client patient or his or her legal guardian or 24 representatives or attorney may file a petition in the circuit 25 court in the county where the client patient is committed 26 alleging that the client patient is being unjustly denied a 27 right or privilege granted herein or that a procedure 28 authorized herein is being abused. Upon the filing of such a 29 petition, the circuit court shall have the authority to 30 conduct a judicial inquiry and to issue any appropriate order 31 to correct an abuse of the provisions of this chapter. 33 CODING: Words stricken are deletions; words underlined are additions. Florida House of Representatives - 1997 HB 1359 576-106A-97 1 (10) TRANSPORTATION.-- 2 (a) The sheriff shall consult with the governing board 3 of the county as to the most appropriate and cost-effective 4 means of transportation for forensic clients committed for 5 treatment or training. Such consultation shall include, but 6 is not limited to, consideration of the cost to the county of 7 transportation performed by sheriff's department personnel as 8 opposed to transportation performed by other means and, if 9 sheriff's department personnel are to be used for 10 transportation, the effect such use will have, if any, on 11 service delivery levels of the sheriff's road patrol. After 12 such consultation with the governing board of the county, the 13 sheriff shall determine the most appropriate and 14 cost-effective means of transportation for forensic clients 15 committed for treatment or training. 16 (b) The governing board of each county is authorized 17 to contract with private transport companies for the 18 transportation of such clients patients to and from a forensic 19 facility. 20 (c) Any company that transports a client patient 21 pursuant to this section is considered an independent 22 contractor and is solely liable for the safe and dignified 23 transportation of the client patient. Any transport company 24 that contracts with the governing board of a county for the 25 transport of clients patients as provided for in this section 26 shall be insured and provide no less than $100,000 in 27 liability insurance with respect to the transportation of the 28 clients patients. 29 (d) Any company that contracts with a governing board 30 of a county to transport clients patients shall comply with 31 34 CODING: Words stricken are deletions; words underlined are additions. Florida House of Representatives - 1997 HB 1359 576-106A-97 1 the applicable rules of the department to ensure the safety 2 and dignity of the clients patients. 3 (11) LIABILITY FOR VIOLATIONS.--Any person who 4 violates or abuses any rights or privileges of a client 5 patient provided by this act is liable for damages as 6 determined by law. Any person who acts in good faith in 7 complying with the provisions of this act is immune from civil 8 or criminal liability for his or her actions in connection 9 with the admission, diagnosis, treatment, training, or 10 discharge of a client patient to or from a facility. However, 11 this subsection does not relieve any person from liability if 12 he or she is negligent. 13 Section 8. Section 916.175, Florida Statutes, is 14 renumbered as section 916.1081, Florida Statutes, and amended 15 to read: 16 916.1081 916.175 Escape from treatment program; 17 penalty.--A defendant client involuntarily committed to the 18 department under the provisions of this chapter who escapes or 19 attempts to escape from a facility or program commits the 20 department is guilty of a felony of the second degree, 21 punishable as provided in s. 775.082, s. 775.083, or s. 22 775.084. 23 Section 9. Section 916.178, Florida Statutes, is 24 renumbered as section 916.1085, Florida Statutes, and amended 25 to read: 26 916.1085 916.178 Introduction or removal of certain 27 articles unlawful; penalty.-- 28 (1)(a) Except as authorized by law or as specifically 29 authorized by the person in charge of a forensic facility, it 30 is unlawful to introduce into or upon the grounds of any 31 forensic facility under the supervision or control of the 35 CODING: Words stricken are deletions; words underlined are additions. Florida House of Representatives - 1997 HB 1359 576-106A-97 1 department, or to take or attempt to take or send therefrom, 2 any of the following articles, which are hereby declared to be 3 contraband for the purposes of this section: 4 1. Any intoxicating beverage or beverage which causes 5 or may cause an intoxicating effect; 6 2. Any controlled substance as defined in chapter 893; 7 3. Any firearm or deadly weapon; or 8 4. Any other item items as determined by the 9 department, and as designated by departmental rule or by the 10 administrator of any facility, and designated by written 11 institutional policies, to be hazardous to the welfare of 12 patients or the operation of the facility. 13 (b) It is unlawful to transmit to, attempt to transmit 14 to, or cause or attempt to cause to be transmitted to or 15 received by any client patient of any facility any article or 16 thing declared by this section to be contraband, at any place 17 which is outside of the grounds of such facility, except as 18 authorized by law or as specifically authorized by the person 19 in charge of such facility. 20 (2)(a) All individuals or vehicles entering upon the 21 grounds of any forensic facility under the supervision or 22 control of the department shall be subject to reasonable 23 search and seizure of any contraband materials introduced 24 thereon, for the purpose of enforcement of this chapter. 25 (b) These provisions shall be enforced by 26 institutional security personnel as defined in s. 27 916.106(10)(6) or by a law enforcement officer as defined in 28 s. 943.10. 29 (c) Whoever violates any provision of subparagraph 30 (1)(a)2. or subparagraph (1)(a)3. commits is guilty of a 31 36 CODING: Words stricken are deletions; words underlined are additions. Florida House of Representatives - 1997 HB 1359 576-106A-97 1 felony of the third degree, punishable as provided in s. 2 775.082, s. 775.083, or s. 775.084. 3 Section 10. Section 916.19, Florida Statutes, is 4 renumbered as section 916.1091, Florida Statutes, and amended 5 to read: 6 916.1091 916.19 Duties, functions, and powers of 7 institutional security personnel.--In case of emergency, and 8 when necessary to provide protection and security to any 9 client patient, to the personnel, equipment, buildings, or 10 grounds of a department facility, or to citizens in the 11 surrounding community, institutional security personnel may, 12 when authorized by the administrator of the facility or his or 13 her designee when the administrator is not present, use a 14 chemical weapon against a patient housed in a forensic 15 facility. However, such weapon shall be used only to the 16 extent necessary to provide such protection and security. 17 Under no circumstances shall any such officer carry a chemical 18 weapon on his or her person except during the period of the 19 emergency for which its use was authorized. All chemical 20 weapons shall be placed in secure storage when their use is 21 not authorized as provided in this section. 22 Section 11. Section 916.20, Florida Statutes, is 23 renumbered as section 916.1093, Florida Statutes, and amended 24 to read: 25 916.1093 916.20 Operation and administration; rules.-- 26 (1) The department is authorized to promulgate rules, 27 enter into contracts, and do such things as may be necessary 28 and incidental to assure compliance with and to carry out the 29 provisions of this chapter in accordance with the stated 30 legislative intent. 31 37 CODING: Words stricken are deletions; words underlined are additions. Florida House of Representatives - 1997 HB 1359 576-106A-97 1 (2) Rules of the department shall be adopted in 2 accordance with the provisions of chapter 120, the 3 Administrative Procedure Act. 4 Section 12. Part II of chapter 916, Florida Statutes, 5 consisting of sections 916.111, 916.115, 916.12, 916.13, 6 916.14, 916.145, 916.15, 916.16, and 916.17, is created and 7 entitled "Forensic Services for Persons Who Are Mentally Ill." 8 Section 13. Section 916.108, Florida Statutes, is 9 renumbered as section 916.111, Florida Statutes, and amended 10 to read: 11 916.111 916.108 Training of mental health 12 experts.--The evaluation of defendants for competency to 13 proceed stand trial or for sanity at the time of the 14 commission of the offense shall be conducted in such a way as 15 to ensure uniform application of the criteria enumerated in 16 Rules 3.210 and 3.216, Florida Rules of Criminal Procedure. 17 The department shall develop, and may contract with accredited 18 institutions: 19 (1) To provide: 20 (a) A plan for training community mental health 21 professionals to perform forensic evaluations and to 22 standardize the criteria and procedures to be used in these 23 evaluations; 24 (b) Clinical protocols and procedures based upon the 25 criteria of Rules 3.210 and 3.216, Florida Rules of Criminal 26 Procedure; and 27 (c) Training for community mental health professionals 28 in the application of these protocols and procedures in 29 performing forensic evaluations and providing reports to the 30 courts; and 31 38 CODING: Words stricken are deletions; words underlined are additions. Florida House of Representatives - 1997 HB 1359 576-106A-97 1 (2) To compile and maintain, the necessary information 2 for evaluating the success of this program, including the 3 number of persons trained, the cost of operating the program, 4 and the effect on the quality of forensic evaluations as 5 measured by appropriateness of admissions to state forensic 6 facilities and to community-based care programs. 7 Section 14. Section 916.11, Florida Statutes, is 8 renumbered as section 916.115, Florida Statutes, and amended 9 to read: 10 916.115 916.11 Appointment of experts.-- 11 (1)(a) Annually Semiannually, the department shall 12 provide the courts with a list of mental health professionals 13 who have completed approved training as experts. 14 (b) The court may appoint no more than three nor fewer 15 than two experts to determine issues of the mental condition 16 of a defendant in a criminal case, including the issues of 17 competency to proceed stand trial, insanity, and involuntary 18 hospitalization or placement. The panel of experts may 19 evaluate the defendant in jail or in another appropriate local 20 facility. 21 (c) To the extent possible, at least one of the 22 appointed experts shall have completed forensic evaluator 23 training approved by the department and be either a 24 state-employed psychiatrist, clinical psychologist, or 25 physician if in the local vicinity; a psychiatrist, 26 psychologist, or physician designated by the district alcohol, 27 drug abuse, and mental health program office; or a community 28 mental health center psychiatrist, psychologist, or physician. 29 (d) If a defendant's suspected mental condition is 30 mental retardation, the court shall appoint the developmental 31 services program of the Department of Health and 39 CODING: Words stricken are deletions; words underlined are additions. Florida House of Representatives - 1997 HB 1359 576-106A-97 1 Rehabilitative Services to examine the defendant and determine 2 whether he meets the definition of "retardation" in s. 393.063 3 and, if so, whether he is competent to stand trial. 4 (2) Expert witnesses appointed by the court to 5 evaluate determine the mental condition of a defendant in a 6 criminal case shall be allowed reasonable fees for services 7 rendered as evaluators of competence or sanity and as 8 witnesses, which shall be paid by the county in which the 9 indictment was found or the information or affidavit was 10 filed. State employees shall be paid expenses pursuant to s. 11 112.061. The fees shall be taxed as costs in the case. In 12 order for the experts to be paid for the services rendered, 13 the reports and testimony must explicitly address each of the 14 factors and follow the procedures set out in this chapter and 15 in the Rules of Criminal Procedure. 16 Section 15. Section 916.12, Florida Statutes, is 17 amended to read: 18 916.12 Mental competence to proceed stand trial.-- 19 (1) A defendant person is incompetent to proceed stand 20 trial within the meaning of this chapter if the defendant he 21 does not have sufficient present ability to consult with his 22 or her lawyer with a reasonable degree of rational 23 understanding or if the defendant he has no rational, as well 24 as factual, understanding of the proceedings against him or 25 her. 26 (2) The experts shall first consider factors related 27 to the issue of whether the defendant meets the criteria for 28 competence to proceed; that is, whether the defendant has 29 sufficient present ability to consult with counsel with a 30 reasonable degree of rational understanding and whether the 31 40 CODING: Words stricken are deletions; words underlined are additions. Florida House of Representatives - 1997 HB 1359 576-106A-97 1 defendant has a rational, as well as factual, understanding of 2 the pending proceedings. 3 (3) In considering the issue of competence to proceed, 4 the examining experts shall first consider and specifically 5 include in their report the defendant's capacity to: 6 (a) Appreciate the charges or allegations against the 7 defendant; 8 (b) Appreciate the range and nature of possible 9 penalties, if applicable, that may be imposed in the 10 proceedings against the defendant; 11 (c) Understand the adversary nature of the legal 12 process; 13 (d) Disclose to counsel facts pertinent to the 14 proceedings at issue; 15 (e) Manifest appropriate courtroom behavior; and 16 (f) Testify relevantly; 17 18 and include in their report any other factor deemed relevant 19 by the experts. 20 (4) If the experts should find that the defendant is 21 incompetent to proceed, the experts shall report on any 22 recommended treatment for the defendant to attain competence 23 to proceed. In considering the issues relating to treatment, 24 the examining experts shall specifically report on each of the 25 following: 26 (a) The mental illness causing the incompetence. 27 (b) The treatment or treatments appropriate for the 28 mental illness of the defendant and an explanation of each of 29 the possible treatment alternatives in order of choices. 30 31 41 CODING: Words stricken are deletions; words underlined are additions. Florida House of Representatives - 1997 HB 1359 576-106A-97 1 (c) The availability of acceptable treatment. If 2 treatment is available in the community, the expert shall so 3 state in the report. 4 (d) The likelihood of the defendant attaining 5 competence under the treatment recommended, an assessment of 6 the probable duration of the treatment required to restore 7 competence, and the probability that the defendant will attain 8 competence to proceed in the foreseeable future. 9 (5)(2) A defendant who, because of psychotropic 10 medication, is able to understand the nature of proceedings 11 and assist in the defendant's own his defense shall not 12 automatically be deemed incompetent to proceed stand trial 13 simply because the defendant's his satisfactory mental 14 functioning is dependent upon such medication. As used in 15 this subsection, "psychotropic medication" means any drug or 16 compound used to treat mental or emotional disorders affecting 17 the mind, behavior, intellectual functions, perception, moods, 18 or emotions and includes antipsychotic, antidepressant, 19 antimanic, and antianxiety drugs. 20 Section 16. Section 916.13, Florida Statutes, is 21 amended to read: 22 916.13 Involuntary commitment of defendant adjudicated 23 incompetent to proceed stand trial or incompetent for 24 sentencing.-- 25 (1) CRITERIA.--Every defendant who is charged with a 26 felony and who is person adjudicated incompetent to proceed 27 stand trial or incompetent for sentencing, pursuant to the 28 applicable Florida Rules of Criminal Procedure, may be 29 involuntarily committed for treatment upon a finding by the 30 court of clear and convincing evidence that: 31 42 CODING: Words stricken are deletions; words underlined are additions. Florida House of Representatives - 1997 HB 1359 576-106A-97 1 (a) The defendant He is mentally ill and because of 2 the his mental illness, or that he is mentally retarded and 3 because of his mental retardation: 4 1. The defendant He is manifestly incapable of 5 surviving alone or with the help of willing and responsible 6 family or friends, including available alternative services, 7 and, without treatment, the defendant he is likely to suffer 8 from neglect or refuse to care for himself or herself and such 9 neglect or refusal poses a real and present threat of 10 substantial harm to the defendant's his well-being; and or 11 2. There is a substantial likelihood that in the near 12 future the defendant he will inflict serious bodily harm on 13 himself or herself or another person, as evidenced by recent 14 behavior causing, attempting, or threatening such harm.; and 15 (b) All available, less restrictive treatment 16 alternatives, including treatment in community residential 17 facilities or community inpatient or outpatient settings, 18 which would offer an opportunity for improvement of the 19 defendant's his condition have been judged to be 20 inappropriate. 21 (c) There is a substantial probability that the mental 22 illness causing the defendant's incompetence will respond to 23 treatment and the defendant will regain competency to proceed 24 in the reasonably foreseeable future. 25 (2) ADMISSION TO A MENTAL HEALTH FORENSIC FACILITY.-- 26 (a) A defendant Every person who has been charged with 27 a felony and who has been adjudicated incompetent to proceed 28 stand trial or incompetent for sentencing, and who meets the 29 criteria for commitment to the department under the provisions 30 of this chapter, may shall be committed to the department, and 31 the department shall may retain and treat the defendant. No 43 CODING: Words stricken are deletions; words underlined are additions. Florida House of Representatives - 1997 HB 1359 576-106A-97 1 later than 6 months after the date of admission commitment or 2 at the end of any period of extended commitment, or at any 3 time the administrator or designee shall have determined that 4 the defendant has regained competency to proceed stand trial 5 or no longer meets the criteria for continued commitment, the 6 administrator or designee shall file a report with the court 7 pursuant to the applicable Florida Rules of Criminal 8 Procedure. 9 (b) A defendant adjudicated incompetent to stand trial 10 due to his mental retardation may be ordered into a secure 11 facility designated by the department for retarded defendants. 12 The department may not transfer a client from the secure 13 facility to another residential setting without first 14 notifying the court; the department may transfer such 15 defendant unless the department receives written objection to 16 the transfer from the court within 30 days after receipt of 17 the notice by the court. No retarded client may be placed in 18 the designated secure facility except by criminal court order. 19 However, if criminal charges are subsequently dropped and the 20 client is involuntarily admitted to retardation residential 21 services, the placement at the secure facility may be 22 continued if so ordered by the committing court following a 23 hearing with the same due process requirements as set out in 24 s. 393.11 for an initial involuntary admission. Such court 25 hearings shall be held at least annually, with notice to the 26 state attorney, and each order of continuing placement shall 27 be based on a finding that the client is likely to physically 28 injure others as specified in s. 393.11(1)(c)2. In no case may 29 a client's placement in a secure facility exceed the maximum 30 sentence for the crime for which he was charged. 31 44 CODING: Words stricken are deletions; words underlined are additions. Florida House of Representatives - 1997 HB 1359 576-106A-97 1 Section 17. Section 916.14, Florida Statutes, is 2 amended to read: 3 916.14 Statute of limitations; former jeopardy.--The 4 statute of limitations shall not be applicable to criminal 5 charges dismissed because of the incompetency of the defendant 6 to proceed stand trial. If a defendant is declared 7 incompetent to proceed stand trial during trial and afterwards 8 is declared competent to proceed, the defendant's stand trial, 9 his other, uncompleted trial shall not constitute former 10 jeopardy. 11 Section 18. Section 916.145, Florida Statutes, is 12 amended to read: 13 916.145 Adjudication of incompetency due to mental 14 illness retardation; dismissal of charges.--The charges 15 against any defendant adjudicated incompetent to proceed stand 16 trial due to the defendant's his mental illness retardation 17 shall be dismissed without prejudice if the defendant remains 18 incompetent to proceed within a reasonable time after such 19 determination, not to exceed 5 years stand trial 2 years after 20 such adjudication, unless the court in its order specifies its 21 reasons for believing that the defendant will become competent 22 to proceed within the foreseeable future stand trial and 23 specifies the time within which the defendant is expected to 24 become competent to proceed stand trial. The charges against 25 the defendant are dismissed without prejudice to the state to 26 refile the charges should the defendant be declared competent 27 to proceed in the future. 28 Section 19. Section 916.15, Florida Statutes, is 29 amended to read: 30 916.15 Involuntary commitment of defendant adjudicated 31 not guilty by reason of insanity.-- 45 CODING: Words stricken are deletions; words underlined are additions. Florida House of Representatives - 1997 HB 1359 576-106A-97 1 (1) A defendant person who is acquitted of criminal 2 charges because of a finding of not guilty by reason of 3 insanity may be involuntarily committed pursuant to such 4 finding if the defendant he is mentally ill and, because of 5 the his illness, is manifestly dangerous to himself or herself 6 or others. 7 (2) Every defendant person acquitted of criminal 8 charges by reason of insanity and found to meet the criteria 9 for involuntary commitment may be committed and treated in 10 accordance with the provisions of this section and the 11 applicable Florida Rules of Criminal Procedure. The 12 department shall admit a defendant so adjudicated to an 13 appropriate facility or program for treatment and shall may 14 retain and treat such defendant. No later than 6 months after 15 the date of admission, prior to the end of any period of 16 extended commitment, or at any time the administrator or 17 designee shall have determined that the defendant no longer 18 meets the criteria for continued commitment placement, the 19 administrator or designee shall file a report with the court 20 pursuant to the applicable Florida Rules of Criminal 21 Procedure. 22 (3) In all proceedings under this subsection, both the 23 defendant patient and the state shall have the right to a 24 hearing before the committing court. Evidence at such hearing 25 may be presented by the hospital administrator or the 26 administrator's his designee as well as by the state and the 27 defendant. The defendant shall have the right to counsel at 28 any such hearing. In the event that a defendant cannot afford 29 counsel, the court shall appoint the public defender to 30 represent the defendant him. The parties shall have access to 31 the defendant's records at the treating facilities and may 46 CODING: Words stricken are deletions; words underlined are additions. Florida House of Representatives - 1997 HB 1359 576-106A-97 1 interview or depose personnel who have had contact with the 2 defendant at the treating facilities. 3 Section 20. Section 916.16, Florida Statutes, is 4 amended to read: 5 916.16 Jurisdiction of committing court.-- 6 (a) The committing court shall retain jurisdiction in 7 the case of any defendant patient hospitalized as incompetent 8 to proceed or because of a finding of not guilty by reason of 9 insanity or, if retarded, admitted to retardation residential 10 services pursuant to this chapter. No such defendant person 11 may be released except by order of the committing court. The 12 administrative hearing examiner shall have no jurisdiction to 13 determine issues of continuing hospitalization or release of 14 any defendant person admitted pursuant to this chapter. 15 (b) The committing court shall retain jurisdiction in 16 the case of any defendant placed on conditional release. No 17 such defendant may be released from the conditions of release 18 except by order of the committing court. 19 Section 21. Section 916.17, Florida Statutes, is 20 amended to read: 21 916.17 Conditional release.-- 22 (1) The committing court may order a conditional 23 release of any defendant who has been found to be incompetent 24 to proceed or committed according to a finding of incompetency 25 to stand trial or an adjudication of not guilty by reason of 26 insanity, based on an approved plan for providing appropriate 27 outpatient care and treatment. Upon a recommendation that At 28 such time as the administrator shall determine outpatient 29 treatment of the defendant is to be appropriate, he may file 30 with the court, with copies to all parties, a written plan for 31 outpatient treatment, including recommendations from qualified 47 CODING: Words stricken are deletions; words underlined are additions. Florida House of Representatives - 1997 HB 1359 576-106A-97 1 professionals, must be filed with the court, with copies to 2 all parties. Such a plan may also be submitted by the 3 defendant and filed with the court with copies to all parties. 4 The plan shall include: 5 (a) Special provisions for residential care or 6 adequate supervision of the defendant. 7 (b) Provisions for outpatient mental health services. 8 (c) If appropriate, recommendations for auxiliary 9 services such as vocational training, educational services, or 10 special medical care. 11 12 In its order of conditional release, the court shall specify 13 the conditions of release based upon the release plan and 14 shall direct the appropriate agencies or persons to submit 15 periodic reports to the court regarding the defendant's 16 compliance with the conditions of the release and progress in 17 treatment, with copies to all parties. 18 (2) Upon the filing of an affidavit or statement under 19 oath by any person If at any time it appears that the 20 defendant has failed to comply with the conditions of release, 21 that the defendant's condition has deteriorated to the point 22 that inpatient care is required, or that the release 23 conditions should be modified, the court shall hold a hearing 24 within 7 days after receipt of the affidavit or statement 25 under oath. After the hearing, the court and may modify the 26 release conditions. The court may also or order that the 27 defendant be returned to the department if it is found, after 28 the appointment and report of experts, that the person meets 29 the criteria for involuntary further treatment. 30 (3) If at any time it is determined after a hearing 31 that the defendant no longer requires court-supervised 48 CODING: Words stricken are deletions; words underlined are additions. Florida House of Representatives - 1997 HB 1359 576-106A-97 1 followup care, the court shall terminate its jurisdiction in 2 the cause and discharge the defendant. 3 Section 22. Part III of chapter 916, Florida Statutes, 4 consisting of sections 916.301, 916.3012, 916.302, 916.3025, 5 916.303, and 916.304, is created and entitled "Forensic 6 Services for Persons Who Are Mentally Retarded or Autistic." 7 Section 23. Section 916.301, Florida Statutes, is 8 created to read: 9 916.301 Appointment of experts.-- 10 (1) Annually the department shall provide the courts 11 with a list of mental retardation and autism professionals who 12 are qualified to perform evaluations of defendants who are 13 alleged to be incompetent to proceed due to mental retardation 14 or autism. The courts may use professionals from this list 15 when ordering evaluations for defendants suspected of being 16 retarded or autistic. 17 (2) If a defendant's suspected mental condition is 18 mental retardation or autism, the court shall appoint the 19 Developmental Services Program Office of the department who 20 will select two experts to evaluate whether the defendant 21 meets the definition of retardation or autism and, if so, 22 whether the defendant is competent to proceed. One of the 23 experts selected by the Developmental Services Program Office 24 must be a psychologist and the other must be a social service 25 professional. 26 (3) The Developmental Services Program Office shall 27 obtain evaluations from a psychologist licensed or authorized 28 by law to practice psychology in this state, with experience 29 in evaluating persons suspected of having mental retardation 30 or autism, and a social service professional with experience 31 in working with persons with mental retardation or autism. 49 CODING: Words stricken are deletions; words underlined are additions. Florida House of Representatives - 1997 HB 1359 576-106A-97 1 (a) The psychologist shall evaluate whether the 2 defendant meets the definition of mental retardation or autism 3 and, if so, whether the defendant is incompetent to proceed 4 due to mental retardation or autism. 5 (b) The social service professional shall provide a 6 social and developmental history of the defendant. 7 (4) At the request of any party, the court must 8 appoint at least one, but not more than two, additional 9 experts to evaluate the defendant. The expert or experts 10 appointed by the court will evaluate whether the defendant 11 meets the definition of mental retardation or autism and, if 12 so, whether the defendant is competent to proceed. All 13 evaluations ordered by the court must be from qualified 14 experts licensed in this state with experience in evaluating 15 persons with mental retardation or autism. 16 (5) Expert witnesses selected by the Developmental 17 Services Program Office or appointed by the court to evaluate 18 the mental condition of an indigent defendant in a criminal 19 case shall be allowed reasonable fees for services rendered as 20 evaluators and as witnesses, which shall be paid by the county 21 in which the indictment was found or in which the information 22 or affidavit was filed. State employees shall be paid 23 expenses pursuant to s. 112.061. The fees shall be taxed as 24 costs in the case. In order for the experts to be paid for 25 the services rendered, the reports and testimony must 26 explicitly address each of the factors and follow the 27 procedures set out in this chapter and in the Rules of 28 Criminal Procedure. 29 Section 24. Section 916.3012, Florida Statutes, is 30 created to read: 31 916.3012 Mental competence to proceed.-- 50 CODING: Words stricken are deletions; words underlined are additions. Florida House of Representatives - 1997 HB 1359 576-106A-97 1 (1) A defendant whose suspected mental condition is 2 mental retardation or autism is incompetent to proceed within 3 the meaning of this chapter if the defendant does not have 4 sufficient present ability to consult with the defendant's 5 lawyer with a reasonable degree of rational understanding or 6 if the defendant has no rational, as well as factual, 7 understanding of the proceedings against the defendant. 8 (2) The experts shall first consider whether the 9 defendant meets the definition of mental retardation or autism 10 and, if so, consider the factors related to the issue of 11 whether the defendant meets the criteria for competence to 12 proceed; that is, whether the defendant has sufficient present 13 ability to consult with counsel with a reasonable degree of 14 rational understanding and whether the defendant has a 15 rational, as well as factual, understanding of the pending 16 proceedings. 17 (3) In considering the issue of competence to proceed, 18 the examining experts shall first consider and specifically 19 include in their report the defendant's capacity to: 20 (a) Appreciate the charges or allegations against the 21 defendant; 22 (b) Appreciate the range and nature of possible 23 penalties, if applicable, that may be imposed in the 24 proceedings against the defendant; 25 (c) Understand the adversary nature of the legal 26 process; 27 (d) Disclose to counsel facts pertinent to the 28 proceedings at issue; 29 (e) Manifest appropriate courtroom behavior; and 30 (f) Testify relevantly; 31 51 CODING: Words stricken are deletions; words underlined are additions. Florida House of Representatives - 1997 HB 1359 576-106A-97 1 and include in their report any other factor deemed relevant 2 by the experts. 3 (4) If the experts should find that the defendant is 4 incompetent to proceed, the experts shall report on any 5 recommended training for the defendant to attain competence to 6 proceed. In considering the issues relating to training, the 7 examining experts shall specifically report on each of the 8 following: 9 (a) The mental retardation or autism causing the 10 incompetence. 11 (b) The training appropriate for the mental 12 retardation or autism of the defendant and an explanation of 13 each of the possible training alternatives in order of 14 choices. 15 (c) The availability of acceptable training. If 16 training is available in the community, the expert shall so 17 state in the report. 18 (d) The likelihood of the defendant attaining 19 competence under the training recommended, an assessment of 20 the probable duration of the training required to restore 21 competence, and the probability that the defendant will attain 22 competence to proceed in the foreseeable future. 23 Section 25. Section 916.302, Florida Statutes, is 24 created to read: 25 916.302 Involuntary commitment of defendant determined 26 to be incompetent to proceed due to mental retardation or 27 autism.-- 28 (1) CRITERIA.--Every defendant who is charged with a 29 felony and who is found to be incompetent to proceed, pursuant 30 to this chapter and the applicable Florida Rules of Criminal 31 52 CODING: Words stricken are deletions; words underlined are additions. Florida House of Representatives - 1997 HB 1359 576-106A-97 1 Procedure, may be involuntarily committed for training upon a 2 finding by the court of clear and convincing evidence: 3 (a) That the defendant is mentally retarded or 4 autistic. 5 (b) There is a substantial likelihood that in the near 6 future the defendant will inflict serious bodily harm on 7 himself or herself or another person, as evidenced by recent 8 behavior causing, attempting, or threatening such harm. 9 (c) All available, less restrictive alternatives, 10 including services provided in community residential 11 facilities or other community settings, which would offer an 12 opportunity for improvement of the defendant's condition have 13 been judged to be inappropriate. 14 (d) There is a substantial probability that the mental 15 retardation or autism causing the defendant's incompetence 16 will respond to training and the defendant will regain 17 competency to proceed in the reasonably foreseeable future. 18 (2) ADMISSION TO A FACILITY.-- 19 (a) A defendant who has been charged with a felony and 20 who is found to be incompetent to proceed, and who meets the 21 criteria for commitment to the department under the provisions 22 of this chapter, shall be committed to the department, and the 23 department shall retain and serve the defendant. No later 24 than 6 months after the date of admission or at the end of any 25 period of extended commitment or at any time the administrator 26 or designee shall have determined that the defendant has 27 regained competency to proceed or no longer meets the criteria 28 for continued commitment, the administrator or designee shall 29 file a report with the court pursuant to this chapter and the 30 applicable Florida Rules of Criminal Procedure. 31 53 CODING: Words stricken are deletions; words underlined are additions. Florida House of Representatives - 1997 HB 1359 576-106A-97 1 (b) A defendant determined to be incompetent to 2 proceed due to mental retardation or autism may be ordered by 3 a criminal circuit court into a secure facility designated by 4 the department for mentally retarded or autistic defendants. 5 (c) The department may transfer a defendant from a 6 designated secure facility to another designated secure 7 facility and must notify the court of the transfer within 30 8 days after the transfer is completed. 9 (d) The department may not transfer a defendant from a 10 designated secure facility to a nonsecure facility without 11 first notifying the court, and all parties, 30 days before the 12 proposed transfer. If the court objects to the proposed 13 transfer to a nonsecure facility, it must send its written 14 objection to the department. The department may transfer the 15 defendant unless it receives the written objection from the 16 court within 30 days after the court's receipt of the notice 17 of the proposed transfer. 18 (3) PLACEMENT OF DUALLY DIAGNOSED DEFENDANTS.-- 19 (a) If a defendant is both retarded or autistic and 20 mentally ill, and mental illness is the primary disability, 21 the mental illness must be ameliorated before the defendant 22 can benefit from training from the developmental services 23 program. Therefore, a dually diagnosed defendant must first 24 be placed for treatment with the appropriate forensic mental 25 illness treatment program until the mental illness is 26 controlled to the extent that the defendant can benefit from 27 training. 28 (b) Placement in a training program for retarded or 29 autistic defendants may not be made until the defendant's 30 mental condition is stable, the defendant's medications are at 31 54 CODING: Words stricken are deletions; words underlined are additions. Florida House of Representatives - 1997 HB 1359 576-106A-97 1 a minimum dosage and have been unchanged for at least 45 days, 2 and the defendant can benefit from training. 3 (c) Transfer of a dually diagnosed defendant from a 4 mental illness treatment program to a retardation or autism 5 training program may not be made until the committing court 6 approves the transfer and issues an order authorizing the 7 transfer. 8 Section 26. Section 916.3025, Florida Statutes, is 9 created to read: 10 916.3025 Jurisdiction of committing court.-- 11 (a) The committing court shall retain jurisdiction in 12 the case of any defendant found to be incompetent to proceed 13 and ordered into a secure facility designated by the 14 department for mentally retarded or autistic defendants. No 15 defendant may be released except by the order of the 16 committing court. 17 (b) The committing court shall retain jurisdiction in 18 the case of any defendant placed on conditional release. No 19 such defendant may be released from the conditions of release 20 except by order of the committing court. 21 Section 27. Section 916.303, Florida Statutes, is 22 created to read: 23 916.303 Determination of incompetency due to mental 24 retardation or autism; dismissal of charges.-- 25 (1) The charges against any defendant found to be 26 incompetent to proceed due to mental retardation or autism 27 shall be dismissed without prejudice if the defendant remains 28 incompetent to proceed within a reasonable time after such 29 determination, not to exceed 2 years, unless the court in its 30 order specifies its reasons for believing that the defendant 31 will become competent to proceed within the foreseeable future 55 CODING: Words stricken are deletions; words underlined are additions. Florida House of Representatives - 1997 HB 1359 576-106A-97 1 and specifies the time within which the defendant is expected 2 to become competent to proceed. The charges against the 3 defendant are dismissed without prejudice to the state to 4 refile the charges should the defendant be declared competent 5 to proceed in the future. 6 (2) If the charges are dismissed and if the defendant 7 is considered to lack sufficient capacity to give express and 8 informed consent to a voluntary application for services and 9 lacks the basic survival and self-care skills to provide for 10 the person's well-being or is likely to physically injure 11 himself or herself or others if allowed to remain at liberty, 12 the department may apply to involuntarily admit the defendant 13 to residential services under chapter 393. If the defendant is 14 involuntarily admitted under chapter 393 and there is a 15 substantial likelihood that in the near future the defendant 16 will inflict serious bodily harm on himself or herself or 17 another person, as evidenced by recent behavior causing, 18 attempting, or threatening such harm; the defendant continues 19 to present a danger of escape; and all available, less 20 restrictive alternatives, including services provided in 21 community residential facilities or other community settings, 22 which would offer an opportunity for improvement of the 23 defendant's condition have been judged to be inappropriate, 24 then the defendant may be ordered into a specialized 25 involuntary residential training program designated by the 26 department for mentally retarded or autistic defendants whose 27 charges have been dismissed. The department shall file a 28 petition for involuntary admission under chapter 393 in the 29 circuit court which committed the defendant. 30 Section 28. Section 916.304, Florida Statutes, is 31 created to read: 56 CODING: Words stricken are deletions; words underlined are additions. Florida House of Representatives - 1997 HB 1359 576-106A-97 1 916.304 Conditional release.-- 2 (1) The committing court may order a conditional 3 release of any defendant who has been found to be incompetent 4 to proceed, based on an approved plan for providing continuing 5 community-based training. Upon a recommendation that 6 communty-based training for the defendant is appropriate, a 7 written plan for community-based training, including 8 recommendations from qualified professionals, may be filed 9 with the court, with copies to all parties. Such a plan may 10 also be submitted by the defendant to the court with copies to 11 all parties. The plan shall include: 12 (a) Special provisions for residential care and 13 adequate supervision of the defendant including recommended 14 location of placement. 15 (b) Recommendations for auxiliary services such as 16 vocational training, psychological training, educational 17 services, leisure services, and special medical care. 18 19 In its order of conditional release, the court shall specify 20 the conditions of release based upon the release plan and 21 shall direct the appropriate agencies or persons to submit 22 periodic reports to the courts regarding the defendant's 23 compliance with the conditions of the release and progress in 24 training, with copies to all parties. 25 (2) Upon the filing of an affidavit or statement under 26 oath by any person that the defendant has failed to comply 27 with the conditions of release, that the defendant's condition 28 has deteriorated, or that the release conditions should be 29 modified, the court shall hold a hearing within 7 days after 30 receipt of the affidavit or statement under oath. After the 31 hearing, the court may modify the release conditions. The 57 CODING: Words stricken are deletions; words underlined are additions. Florida House of Representatives - 1997 HB 1359 576-106A-97 1 court may also order that the defendant be placed into more 2 appropriate programs for further training or may order the 3 defendant to be involuntarily admitted to residential services 4 of the department if it is found, after the appointment and 5 report of experts, that the defendant meets the criteria for 6 involuntary residential services. 7 (3) If at any time it is determined after a hearing 8 that the defendant no longer requires court-supervised 9 followup care, the court shall terminate its jurisdiction in 10 the cause and discharge the defendant. 11 Section 29. This act shall take effect October 1, 12 1997. 13 14 ***************************************** 15 HOUSE SUMMARY 16 Revises and reorganizes ch. 916, F.S., the Forensic 17 Client Services Act. Creates pt. I of ch. 916, F.S., containing general provisions, pt. II of ch. 916, F.S., 18 relating to forensic services for persons who are mentally ill, and pt. III of ch. 916, F.S., relating to 19 forensic services for persons who are mentally retarded or autistic. Revises specified provisions relating to 20 estimated amount of pay for jurors and witnesses, to conform a reference. Provides for a specialized 21 involuntary residential training program for certain mentally retarded or autistic defendants. 22 23 24 25 26 27 28 29 30 31 58